Health Care > EXAM > Aetna 2022 questions and answers 100% correct (All)
Aetna offers a variety of Aetna and Coventry Medicare Advantage plan types. Which plan type requires a person to use only network providers? (excluding emergency or urgently needed services) Correct A... nswer: HMO plan Which plan type allows members to see preferred doctors out of network and does not require referrals to a specialist? Correct Answer: PPO Plan Most Aetna and Coventry Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. Correct Answer: True Aetna and Coventry case Management consists of registered nurses, social workers, behavioral health professionals and pharmacists who help members navigate the health care system and access services. Correct Answer: True Aetna Medicare Advatage HMO and PPO plans have no out-of-pocket maximum. Correct Answer: False Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an annual wellness visit, screening mammograms, and prostate cancer screenings. Correct Answer: True A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. Correct Answer: True All MAPD plans have a prescription drug component. Correct Answer: True Which of the following are true? Correct Answer: All of the above. You can find a quick list of tools on aetnamedicare.com/brokers which includes information about plans, medications, and doctors. Correct Answer: True What is a Dual eligible Special Needs Plan (D-SNP)? Correct Answer: All of the above Low Income Subsidy (LIS) is a Mediare finacial program that helps to reduce prescription drug costs. Correct Answer: True The difference between LIS and the Medicare Savings Program (MSP) is LIS helps reduce prescription drug costs and MSP helps w [Show More]
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