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AETNA MA/MAPD/DSNP EXAM 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? (Excluding emergency or
urgently needed services)
a.
PDP plan
b.
HMO plan
c.
PPO plan
d.
ESRD plan - (answer)b.
HMO plan
What is a Special Needs Plan (SNP)?
a.A type of Medicare Advantage Prescription Drug (MAPD) coordinated care
plan that limits enrollment to people with specific diseases or characteristics.
b.An MA plan that tailors benefits, provider choices, and drug formularies to
meet specific needs of the groups they serve.
c.An MA plan for those who are eligible for Medicare and Medicaid.
d.A MA plan required to contract with a state Medicaid agency.
e.
All of the above - (answer)e.
All of the above
Which of the following is true for Low Income Subsidy?
, 2
a.Beneficiaries pay no more than $3.95 for a covered generic and $9.85 for
each brand name drug
b.There is no coverage gap
c.There is no Late Enrollment Penalty
d.All of the above - (answer)d.All of the above
Which are attributes of the Aetna's Model of Care?
a.An Interdisciplinary Care Team approach
b.Clinical programs to improve health and well-being
c.Transition of Care Program
d.A and B
e.
All of the above - (answer)e.
All of the above
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 - (answer)c.
PPO plan
AETNA MA/MAPD/DSNP EXAM 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? (Excluding emergency or
urgently needed services)
a.
PDP plan
b.
HMO plan
c.
PPO plan
d.
ESRD plan - (answer)b.
HMO plan
What is a Special Needs Plan (SNP)?
a.A type of Medicare Advantage Prescription Drug (MAPD) coordinated care
plan that limits enrollment to people with specific diseases or characteristics.
b.An MA plan that tailors benefits, provider choices, and drug formularies to
meet specific needs of the groups they serve.
c.An MA plan for those who are eligible for Medicare and Medicaid.
d.A MA plan required to contract with a state Medicaid agency.
e.
All of the above - (answer)e.
All of the above
Which of the following is true for Low Income Subsidy?
, 2
a.Beneficiaries pay no more than $3.95 for a covered generic and $9.85 for
each brand name drug
b.There is no coverage gap
c.There is no Late Enrollment Penalty
d.All of the above - (answer)d.All of the above
Which are attributes of the Aetna's Model of Care?
a.An Interdisciplinary Care Team approach
b.Clinical programs to improve health and well-being
c.Transition of Care Program
d.A and B
e.
All of the above - (answer)e.
All of the above
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 - (answer)c.
PPO plan
