1
Aetna MA/MAPD/DSNP Mastery Test Questions with
Answers (100% Correct Answers)
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) —ANS: 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? —ANS: PPO plan
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage,
so they are called MAPD plans. —ANS: 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. —ANS: True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. —
ANS: False
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, 2
Aetna Medicare Advantage HMO and PPO plans cover routine preventive care
including an annual wellness visit, screening mammograms, and prostate cancer
screenings. —ANS: True
A member's cost share at a preferred pharmacy will usually be lower than cost share at
a standard pharmacy. —ANS: True
All MAPD plans have a prescription drug component. —ANS: True
Which of the following statements are true?
Select one:
a.
The Aetna Medicare PPO plans provide access to services from doctors in the PPO
network at a lower out-of-pocket cost.
b.
In the Aetna Medicare PPO plan, members can go to any Aetna Medicare Plan PPO
network doctor they choose for covered services without a PCP referral as long the
doctor is a contracted PPO doctor.
c.
© 2025 All rights reserved
Aetna MA/MAPD/DSNP Mastery Test Questions with
Answers (100% Correct Answers)
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) —ANS: 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? —ANS: PPO plan
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage,
so they are called MAPD plans. —ANS: 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. —ANS: True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. —
ANS: False
© 2025 All rights reserved
, 2
Aetna Medicare Advantage HMO and PPO plans cover routine preventive care
including an annual wellness visit, screening mammograms, and prostate cancer
screenings. —ANS: True
A member's cost share at a preferred pharmacy will usually be lower than cost share at
a standard pharmacy. —ANS: True
All MAPD plans have a prescription drug component. —ANS: True
Which of the following statements are true?
Select one:
a.
The Aetna Medicare PPO plans provide access to services from doctors in the PPO
network at a lower out-of-pocket cost.
b.
In the Aetna Medicare PPO plan, members can go to any Aetna Medicare Plan PPO
network doctor they choose for covered services without a PCP referral as long the
doctor is a contracted PPO doctor.
c.
© 2025 All rights reserved
