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
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
