Aetna MA/MAPD/DSNP Mastery Test (answered Summer 22/23)

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 ANS: 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 ANS: C) PPO

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

are called MAPD plans.

True or False - (Correct ANS: 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 ANS: True

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

True or False - (Correct ANS: 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 ANS: True

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