Health Care > QUESTIONS & ANSWERS > Aetna Individual MA/MAPD/DSNP Quiz & Answers. 2022/2023 latest updates. Rated A (All)
Aetna Individual MA/MAPD/DSNP Quiz & Answers. 2022/2023 latest updates. Rated A Aetna offers a variety of Aetna Medicare Advantage plan types. Which plan type requires a person to use only networ... k providers? (Excluding emergency or urgently needed services) - ✔✔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? - ✔✔PPO plan Most Aetna Medicare Advantage plans are integrated with prescription drug coverage, so they are called MAPD plans. - ✔✔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 Aetna Medicare Advantage HMO and PPO plans have no out-of-pocket maximum. - ✔✔False Aetna Medicare Advantage HMO and PPO plans cover routine preventive care including an annual wellness visit, screening mammograms, and prostate cancer screenings. - ✔✔True A member's cost share at a preferred pharmacy will usually be lower than cost share at a standard pharmacy. - ✔✔True All MAPD plans have a prescription drug component. - ✔✔True You can find a quick list of tools for Aetna Medicare plans on https://www.aetnamedicare.com/en/for-producers.html, which includes information about plans, medications, and doctors. - ✔✔True [Show More]
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