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NURSING 412 Aetna MA/MAPD/DSNP Mastery Test with 100% Correct Answers .

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Aetna MA/MAPD/DSNP Mastery Test Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to useonly network providers?A) PDP planB) HMO planC) PPO planD) ESRD plan Correct Answer:B) HMO Which plan type allows members to see preferred doctors in network, doc...

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  • 1 de septiembre de 2023
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Aetna MA/MAPD/DSNP Mastery Test
Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to
use only network providers?

A) PDP plan
B) HMO plan
C) PPO plan
D) ESRD plan Correct Answer: B) HMO

Which plan type allows members to see preferred doctors in network, doctors out of network and does
not require referrals to a specialist?

A) PDP plan
B) Cost plan
C) PPO plan
D) HMO plan Correct Answer: C) PPO

Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called
MAPD plans.

True or False Correct Answer: True

Aetna case management consists of registered nurses, social workers, behavioral health professionals
and pharmacists who help members navigate the health care system and access services.

True or False Correct Answer: True

Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.

True or False Correct Answer: False

Aetna Medicare Advantage HMO and PPO plans cover routine preventative care including an annual
wellness visit, screening mammograms, and prostate cancer screenings.

True or False Correct Answer: True

A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard
pharmacy.

True or False Correct Answer: True

All MAPD plans have a prescription drug

component. True or False Correct Answer: True




This study source was downloaded by 100000847097152 from CourseHero.com on 09-01-2023 05:20:50 GMT -05:00


https://www.coursehero.com/file/169523424/Aetna-MAdocx/

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