Aetna Questions and Answers
(2022/2023) Graded A+
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) ✔✔HMO plan
Which plan type allows members to see preferred doctors out of network and does not require
referrals to a specialist? ✔✔PPO Plan
Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug
coverage, so they are called MAPD plans. ✔✔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. ✔✔True
Aetna Medicare Advatage HMO and PPO plans have no out-of-pocket maximum. ✔✔False
, Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an
annual wellness visit, screening mammograms, and prostate cancer screenings. ✔✔True
A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard
pharmacy. ✔✔True
All MAPD plans have a prescription drug component. ✔✔True
Which of the following are true? ✔✔All of the above.
You can find a quick list of tools on aetnamedicare.com/brokers which includes information
about plans, medications, and doctors. ✔✔True
What is a Dual eligible Special Needs Plan (D-SNP)? ✔✔All of the above
Low Income Subsidy (LIS) is a Mediare finacial program that helps to reduce prescription drug
costs. ✔✔True
(2022/2023) Graded A+
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) ✔✔HMO plan
Which plan type allows members to see preferred doctors out of network and does not require
referrals to a specialist? ✔✔PPO Plan
Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug
coverage, so they are called MAPD plans. ✔✔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. ✔✔True
Aetna Medicare Advatage HMO and PPO plans have no out-of-pocket maximum. ✔✔False
, Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an
annual wellness visit, screening mammograms, and prostate cancer screenings. ✔✔True
A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard
pharmacy. ✔✔True
All MAPD plans have a prescription drug component. ✔✔True
Which of the following are true? ✔✔All of the above.
You can find a quick list of tools on aetnamedicare.com/brokers which includes information
about plans, medications, and doctors. ✔✔True
What is a Dual eligible Special Needs Plan (D-SNP)? ✔✔All of the above
Low Income Subsidy (LIS) is a Mediare finacial program that helps to reduce prescription drug
costs. ✔✔True
