Aetna Individual MA/MAPD/DSNP
Questions And Answers Latest Top Score.
Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type
requires a person to use only network providers? (Excluding emergency or urgently
needed services) - correct answer. HMO plan
Which plan type allows members to see preferred doctors in network, doctors out-of-
network, and does not require referrals to a specialist? - correct answer. PPO plan
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage,
so they are called MAPD plans. - 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. - correct answer. True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. -
correct answer. False
Aetna Medicare Advantage HMO and PPO plans cover routine preventive care
including an annual wellness visit, screening mammograms, and prostate cancer
screenings. - correct answer. True
A member's cost share at a preferred pharmacy will usually be lower than cost share at
a standard pharmacy. - correct answer. True
All hMAPD hplans hhave ha hprescription hdrug hcomponent. h- hcorrect hanswer. h h h hTrue
You hcan hfind ha hquick hlist hof htools hfor hAetna hMedicare hplans hon
hhttps://www.aetnamedicare.com/en/for-producers.html, hwhich hincludes hinformation
habout hplans, hmedications, hand hdoctors. h- hcorrect hanswer. h h h hTrue
Questions And Answers Latest Top Score.
Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type
requires a person to use only network providers? (Excluding emergency or urgently
needed services) - correct answer. HMO plan
Which plan type allows members to see preferred doctors in network, doctors out-of-
network, and does not require referrals to a specialist? - correct answer. PPO plan
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage,
so they are called MAPD plans. - 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. - correct answer. True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. -
correct answer. False
Aetna Medicare Advantage HMO and PPO plans cover routine preventive care
including an annual wellness visit, screening mammograms, and prostate cancer
screenings. - correct answer. True
A member's cost share at a preferred pharmacy will usually be lower than cost share at
a standard pharmacy. - correct answer. True
All hMAPD hplans hhave ha hprescription hdrug hcomponent. h- hcorrect hanswer. h h h hTrue
You hcan hfind ha hquick hlist hof htools hfor hAetna hMedicare hplans hon
hhttps://www.aetnamedicare.com/en/for-producers.html, hwhich hincludes hinformation
habout hplans, hmedications, hand hdoctors. h- hcorrect hanswer. h h h hTrue
