Aetna MA/MAPD/DSNP Mastery Test | 100% Correct Answers

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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 - ✔✔B) HMO Wh... ich 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 - ✔✔C) PPO Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. True or False - ✔✔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 - ✔✔True Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. True or False - ✔✔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 - ✔✔True A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. True or False - ✔✔True [Show More]

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