AETNA MA/MAPD/DSNP EXAM
2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH
RATIONALES|AGRADE
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
Master01 | October, 2024/2025 | Latest update
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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.
Master01 | October, 2024/2025 | Latest update