Exam (elaborations) (Answered)Aetna MA/MAPD/DSNP Mastery Test_ 2022.

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Exam (elaborations) (Answered)Aetna MA/MAPD/DSNP Mastery Test_ 2022. 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 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. True or False >>> 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 >>> True A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. True or False >>> True All MAPD plans have a prescription drug component. True or False >>> True Which of the following are true? A) The PPO plans provide access to services from doctors in the PPO network at a lower out-of-pocket cost. B) In the Open Access HMO plan, members can go to any Aetna Medicare Plan HMO network doctor they choose for covered services without a PCP referral as long as the doctor is a contracted HMO doctor. C) All of the Medicare Advantage plans include free monthly fitness club memberships to any facility participating within the SilverSneakers network. D) All of the above >>> D) All of the above [Show More]

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