AETNA MA/MAPD/DSNP EXAM 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS
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 - (answer) 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 - (answer) C) PPO
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called
MAPD plans.
True or False - (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.
True or False - (answer) True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False - (answer) False
ANSWERS
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 - (answer) 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 - (answer) C) PPO
Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called
MAPD plans.
True or False - (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.
True or False - (answer) True
Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum.
True or False - (answer) False
