Aetna MAMAPDDSNP Mastery Test

Aetna MA/MAPD/DSNP Mastery Test | Questions with 100% Correct Answers | Verified | Latest Update

Question : Aetna offers a variety of Aetna Medicare

Advantage plan types. Which plan type requires a person to use only network providers?

• PDP plan
• HMO plan
• PPO plan
• ESRD plan

Correct answer: B) HMO

Question : Which plan type allows members to see preferred

doctors in network, doctors out of network and does not require referrals to a specialist?

• PDP plan
• Cost plan

• PPO plan
• HMO plan

Correct answer: C) PPO

Question : Which of the following are true?

• The PPO plans provide access to services from doctors in

the PPO network at a lower out-of-pocket cost.

• 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.

• All of the Medicare Advantage plans include free monthly

fitness club memberships to any facility participating within the SilverSneakers network.

• All of the above

Correct answer: D) All of the above

Question : What is a Dual eligible Special Needs Plan (D-

SNP)?

• A type of MAPD plan designed to provide targeted care

and services to individuals with specific needs.

• A MA plan that tailors benefits, provider choices and drug

formularies to meet specific needs of the groups they serve.

• A MA plan for those who are eligible for Medicare and

Medicaid.

• A MA plan required to contract with a state Medicaid

agency.

• All of the above

Correct answer: E) All of the above

Question : Which of the following is true for LIS?

• Beneficiaries pay no more than $3.60 for a covered

generic and $8.95 for each brand name drug.

• There is no coverage gap
• There is no Late Enrollment Penalty
• All of the above

Correct answer: D) All of the above

Question : Which are attributes of the Aetna's Model of Care:

• An Interdisciplinary Care Team approach
• Clinical Programs to improve health and well-being
• Transition of Care Program
• A and B
• All of the above

Correct answer: E) All of the above

Question : Most Aetna Medicare Advantage plans are

integrated with prescription drug coverage, so they are called MAPD plans.

True or False

Correct answer: True

Question : Aetna case management consists of registered

nurses, social workers, behavioral health professionals and