UHC Ethics and Compliance Section for
Certification Exam V3 –
UnitedHealthcare Medicare Advantage
Certification – 2026/2027 Edition |
Questions with Evidence-Based Verified
Answers
Q: Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He
calls in February the month before his 65th birthday and is unhappy with his current plan. On the
date of the call, what can Gene do about his coverage?
Answer
On the day he called, he can enroll in a different Medicare Advantage plan with an effective date
of March 1.
Q: An agent is explaining Medicare Advantage plan options to a consumer. During the
conversation, the agent explains that Medicare gives each plan a Star Rating. Which statement is
true?
Answer
The agent said that Medicare uses a 5-star rating system to illustrate the plan's performance and
quality.
Q: Which of the following describes Permission to Contact guidelines?
Answer
it allows the agent to discuss the products identified during the marketing appointment
,Q: Which statement about discussing benefits with the consumer before an enrollment is true?
Q: When completing an enrollment application in LEAN, why is an agent prohibited from
entering his or her own email address in a field available for the consumer's email address?
Answer
The consumer/member would not receive plan related correspondence intended for him/her.
Q: What is the purpose of the Statement of Understanding?
Answer
It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollment
Application, they are acknowledging their understanding that they are actually enrolling, in
which plan they are enrolling, and standard disclosures.
Q: What is Scope of Appointment?
Answer
The agreement obtained from the consumer that identifies the scope of products that can be
discussed at a personal/individual marketing appointment (in-person or telephonic)
, Q: To complete an Enrollment Application on behalf of a consumer, what authority must the
individual have?
Answer
The individual must be legally authorized in the state in which the consumer resides to act on
behalf of the consumer (e.g., Power of Attorney).
Q: melanie is currently enrolled in an HMO MAPD, and she is talking to sales agent Brenda
about enrolling in a Medicare Supplement Insurance Plan. What should Brenda tell Melanie?
Answer
Brenda should tell her that she is automatically disenrolled from her MA Plan if she enrolls in a
Medicare Supplement Insurance Plan
Q: In which situation must the Medicare Advantage (MA) organization disenroll a member
from an MA plan?
Answer
The member loses entitlement to either Medicare Part A or Part B
Q: Dennis, a consumer, is currently enrolled in Original Medicare plus a Medicare Supplement
Plan. His current plan is suitable for his medical needs, but he would like to add prescription
drug coverage only. Since Dennis wants to keep his current coverage, which option is available
to Dennis (assuming he is in a valid election period)?
Answer
Dennis should stay enrolled in Original Medicare and his Medicare Supplement Plan and enroll
in a stand-alone PDP.
Certification Exam V3 –
UnitedHealthcare Medicare Advantage
Certification – 2026/2027 Edition |
Questions with Evidence-Based Verified
Answers
Q: Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He
calls in February the month before his 65th birthday and is unhappy with his current plan. On the
date of the call, what can Gene do about his coverage?
Answer
On the day he called, he can enroll in a different Medicare Advantage plan with an effective date
of March 1.
Q: An agent is explaining Medicare Advantage plan options to a consumer. During the
conversation, the agent explains that Medicare gives each plan a Star Rating. Which statement is
true?
Answer
The agent said that Medicare uses a 5-star rating system to illustrate the plan's performance and
quality.
Q: Which of the following describes Permission to Contact guidelines?
Answer
it allows the agent to discuss the products identified during the marketing appointment
,Q: Which statement about discussing benefits with the consumer before an enrollment is true?
Q: When completing an enrollment application in LEAN, why is an agent prohibited from
entering his or her own email address in a field available for the consumer's email address?
Answer
The consumer/member would not receive plan related correspondence intended for him/her.
Q: What is the purpose of the Statement of Understanding?
Answer
It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollment
Application, they are acknowledging their understanding that they are actually enrolling, in
which plan they are enrolling, and standard disclosures.
Q: What is Scope of Appointment?
Answer
The agreement obtained from the consumer that identifies the scope of products that can be
discussed at a personal/individual marketing appointment (in-person or telephonic)
, Q: To complete an Enrollment Application on behalf of a consumer, what authority must the
individual have?
Answer
The individual must be legally authorized in the state in which the consumer resides to act on
behalf of the consumer (e.g., Power of Attorney).
Q: melanie is currently enrolled in an HMO MAPD, and she is talking to sales agent Brenda
about enrolling in a Medicare Supplement Insurance Plan. What should Brenda tell Melanie?
Answer
Brenda should tell her that she is automatically disenrolled from her MA Plan if she enrolls in a
Medicare Supplement Insurance Plan
Q: In which situation must the Medicare Advantage (MA) organization disenroll a member
from an MA plan?
Answer
The member loses entitlement to either Medicare Part A or Part B
Q: Dennis, a consumer, is currently enrolled in Original Medicare plus a Medicare Supplement
Plan. His current plan is suitable for his medical needs, but he would like to add prescription
drug coverage only. Since Dennis wants to keep his current coverage, which option is available
to Dennis (assuming he is in a valid election period)?
Answer
Dennis should stay enrolled in Original Medicare and his Medicare Supplement Plan and enroll
in a stand-alone PDP.
