Aetna 2024 Exam Questions with 100% Correct Answers

Aetna 2024 Exam Questions with 100% Correct Answers Aetna offers a variety of Aetna and Coventry Medicare Advantage plan types. Which plan type requires a person to use only network providers? (excluding emergency or urgently needed services) - Answer ️️ -HMO plan Which plan type allows members to see preferred doctors out of network and does not require referrals to a specialist? - Answer ️️ -PPO Plan Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. - Answer ️️ -True Aetna and Coventry case Management consists of registered nurses, social workers, behavioral health professionals and pharmacists who help members navigate the health care system and access services. - Answer ️️ -True Aetna Medicare Advatage HMO and PPO plans have no out-of-pocket maximum. - Answer ️️ -False Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an annual wellness visit, screening mammograms, and prostate cancer screenings. - Answer ️️ - True A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. - Answer ️️ -True All MAPD plans have a prescription drug component. - Answer ️️ -True Which of the following are true? - Answer ️️ -All of the above. You can find a quick list of tools on about plans, medications, and doctors. - Answer ️️ -True What is a Dual eligible Special Needs Plan (D-SNP)? - Answer ️️ -All of the above Low Income Subsidy (LIS) is a Mediare finacial program that helps to reduce prescription drug costs. - Answer ️️ -True The difference between LIS and the Medicare Savings Program (MSP) is LIS helps reduce prescription drug costs and MSP helps with Medicare plan premiums, deductibles and copayments/coinsurance with medical services. - Answer ️️ -True