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

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


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

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

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.