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Aetna Care Management

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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

What is a Dual eligible Special Needs Plan (D-SNP)?

A) A type of MAPD plan designed to provide targeted care and services to individuals with specific needs.
B) A MA plan that tailors benefits, provider choices and drug formularies to meet specific needs of the groups they serve.
C) A MA plan for those who are eligible for Medicare and Medicaid.
D) A MA plan required to contract with a state Medicaid agency.
E) All of the above

Which of the following is true for LIS?

A) Beneficiaries pay no more than $3.60 for a covered generic and $8.95 for each brand name drug.
B) There is no coverage gap
C) There is no Late Enrollment Penalty
D) All of the above

Which are attributes of the Aetna’s Model of Care:

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