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

Aetna MA/MAPD/DSNP Mastery Test
1. 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
2. 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
3. Most Aetna Medicare Advantage plans are integrated with
prescription drug coverage, so they are called MAPD plans.

True or False: True
4. Aetna case management consists of registered nurses, social workers,
be- havioral health professionals and pharmacists who help members
navigate the health care system and access services.

True or False: True
5. Aetna Medicare Advantage HMO and PPO plans have no out-of-
pocket maximum.

True or False: False
6. Aetna Medicare Advantage HMO and PPO plans cover routine
preventa- tive care including an annual wellness visit, screening
mammograms, and prostate cancer screenings.

True or False: True
7. A member's cost share at a preferred pharmacy will usually be lower
than cost share at a standard pharmacy.

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