UHC Medicare Certification Exam (2026/2027) –
Actual Questions & Answers (Graded CORRECT
ANSWER>+)
UHC Medicare Certification Exam
Section 1: Medicare Basics & Eligibility
Q1: What does Medicare Part CORRECT ANSWER> primarily
cover?
A1: Inpatient hospital stays, care in CORRECT ANSWER> skilled
nursing facility, hospice care, and some home health care.
Q2: What does Medicare Part B primarily cover?
A2: Outpatient medical services, doctor's visits, preventive care,
durable medical equipment (DME), and some home health
services.
Q3: How is Medicare Part CORRECT ANSWER> primarily
funded?
A3: Through payroll taxes paid by employees and employers
during their working years.
Q4: How is Medicare Part B primarily funded?
,A4: Through beneficiary monthly premiums and general U.S.
Treasury revenues.
Q5: What is the standard Medicare Part B Premium based on?
A5: It is based on the beneficiary's modified adjusted gross
income (MAGI) from two years prior, subject to Income-Related
Monthly Adjustment Amount (IRMACORRECT ANSWER>)
surcharges for higher-income earners.
Q6: What is the Initial Enrollment Period (IEP) for Medicare?
A6: CORRECT ANSWER> 7-month period that begins 3 months
before the month CORRECT ANSWER> person turns 65, includes
the month they turn 65, and ends 3 months after the month
they turn 65.
Q7: When is the Annual Election Period (AEP) for Medicare
Advantage and Part D?
A7: October 15th through December 7th each year. Changes
made during this period take effect on January 1st of the
following year.
, Q8: What is the Medicare Advantage Open Enrollment Period
(MCORRECT ANSWER> OEP)?
A8: January 1st through March 31st each year. During this time,
individuals enrolled in an MCORRECT ANSWER> plan can switch
to another MCORRECT ANSWER> plan or drop their MCORRECT
ANSWER> plan and return to Original Medicare (and enroll in
CORRECT ANSWER> standalone Part D plan).
Q9: What is CORRECT ANSWER> Special Election Period (SEP)?
A9: CORRECT ANSWER> time outside of standard enrollment
periods when CORRECT ANSWER> beneficiary can change their
Medicare coverage due to specific qualifying life events, such as
moving out of CORRECT ANSWER> plan's service areCORRECT
ANSWER>, losing employer coverage, or qualifying for
ExtrCORRECT ANSWER> Help.
Q10: What is the penalty for enrolling in Medicare Part B late?
A10: CORRECT ANSWER> 10% increase in the Part B premium
for each full 12-month period the person could have had Part B
but did not enroll.
Section 2: Medicare Advantage (Part C) & Plan Types
Actual Questions & Answers (Graded CORRECT
ANSWER>+)
UHC Medicare Certification Exam
Section 1: Medicare Basics & Eligibility
Q1: What does Medicare Part CORRECT ANSWER> primarily
cover?
A1: Inpatient hospital stays, care in CORRECT ANSWER> skilled
nursing facility, hospice care, and some home health care.
Q2: What does Medicare Part B primarily cover?
A2: Outpatient medical services, doctor's visits, preventive care,
durable medical equipment (DME), and some home health
services.
Q3: How is Medicare Part CORRECT ANSWER> primarily
funded?
A3: Through payroll taxes paid by employees and employers
during their working years.
Q4: How is Medicare Part B primarily funded?
,A4: Through beneficiary monthly premiums and general U.S.
Treasury revenues.
Q5: What is the standard Medicare Part B Premium based on?
A5: It is based on the beneficiary's modified adjusted gross
income (MAGI) from two years prior, subject to Income-Related
Monthly Adjustment Amount (IRMACORRECT ANSWER>)
surcharges for higher-income earners.
Q6: What is the Initial Enrollment Period (IEP) for Medicare?
A6: CORRECT ANSWER> 7-month period that begins 3 months
before the month CORRECT ANSWER> person turns 65, includes
the month they turn 65, and ends 3 months after the month
they turn 65.
Q7: When is the Annual Election Period (AEP) for Medicare
Advantage and Part D?
A7: October 15th through December 7th each year. Changes
made during this period take effect on January 1st of the
following year.
, Q8: What is the Medicare Advantage Open Enrollment Period
(MCORRECT ANSWER> OEP)?
A8: January 1st through March 31st each year. During this time,
individuals enrolled in an MCORRECT ANSWER> plan can switch
to another MCORRECT ANSWER> plan or drop their MCORRECT
ANSWER> plan and return to Original Medicare (and enroll in
CORRECT ANSWER> standalone Part D plan).
Q9: What is CORRECT ANSWER> Special Election Period (SEP)?
A9: CORRECT ANSWER> time outside of standard enrollment
periods when CORRECT ANSWER> beneficiary can change their
Medicare coverage due to specific qualifying life events, such as
moving out of CORRECT ANSWER> plan's service areCORRECT
ANSWER>, losing employer coverage, or qualifying for
ExtrCORRECT ANSWER> Help.
Q10: What is the penalty for enrolling in Medicare Part B late?
A10: CORRECT ANSWER> 10% increase in the Part B premium
for each full 12-month period the person could have had Part B
but did not enroll.
Section 2: Medicare Advantage (Part C) & Plan Types
