AETNA MA MAPD DSNP MASTERY TEST EXAM ACTUAL

AETNA MA MAPD DSNP MASTERY TEST EXAM (ACTUAL

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 - ---Answers---E) All of the above

Low Income Subsidy (LIS) is a Medicare financial assistance program that helps to reduce prescription drug costs.

True or False - ---Answers---True

The difference between LIS and the Medicare Savings Program (MSP) is LIS helps reduce prescription drug costs and MSP helps with Medicare plan premiums, deductibles and copayments/coinsurance with medical services.

True or False - ---Answers---True

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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 - ---Answers---D) All of the above

A full dual eligible means an individual has Medicare, but is only eligible for assistance with Medicare premiums and sometimes cost share through the Medicare Saving Program.

True or False - ---Answers---False

LIS Medicare drug plan premium and deductible costs are based on income level.

True or False - ---Answers---True

Full benefit duals meet state Medicaid eligibility requirements and are entitled to receive the Medicaid services they need.

True or False - Tru---Answers---e

One of Aetna's Model of Care goals is to improve use of preventive health services.

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