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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?
A) PDP plan
B) HMO plan
C) PPO plan
D) ESRD plan - (answers)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 - (answers)C) PPO
Most Aetna Medicare Advantage plans are integrated with prescription drug
coverage, so they are called MAPD plans.
True or False - (answers)True
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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 - (answers)True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False - (answers)False
Aetna Medicare Advantage HMO and PPO plans cover routine preventative care
including an annual wellness visit, screening mammograms, and prostate cancer
screenings.
True or False - (answers)True
A member's cost share at a preferred pharmacy will usually be lower than cost
share at a standard pharmacy.
True or False - (answers)True
All MAPD plans have a prescription drug component.
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?
A) PDP plan
B) HMO plan
C) PPO plan
D) ESRD plan - (answers)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 - (answers)C) PPO
Most Aetna Medicare Advantage plans are integrated with prescription drug
coverage, so they are called MAPD plans.
True or False - (answers)True
, 2|Page
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 - (answers)True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False - (answers)False
Aetna Medicare Advantage HMO and PPO plans cover routine preventative care
including an annual wellness visit, screening mammograms, and prostate cancer
screenings.
True or False - (answers)True
A member's cost share at a preferred pharmacy will usually be lower than cost
share at a standard pharmacy.
True or False - (answers)True
All MAPD plans have a prescription drug component.
