Aetna Exam |Complete with Latest Answers
Updated 2024\2025
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
Updated 2024\2025
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
