UHC MEDICARE CERTIFICATION EXAM (2026-2027) –
ACTUAL QUESTIONS & ANSWERS QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+
1. Which Medicare part primarily provides hospital insurance?
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: A. Part A
Rationale:
Medicare Part A is Hospital Insurance. It generally covers inpatient hospital care, certain skilled
nursing facility care, hospice care, and certain home health services.
2. Which Medicare part primarily covers physician and outpatient medical services?
A. Part A
B. Part B
C. Part C
D. Part D
,Correct Answer: B. Part B
Rationale:
Medicare Part B is Medical Insurance. It generally covers physician services, outpatient care,
certain preventive services, laboratory services, and medically necessary durable medical
equipment.
3. What is Medicare Part C?
A. Medicare prescription drug coverage only
B. Original Medicare hospital coverage
C. Medicare Advantage
D. Medicaid
Correct Answer: C. Medicare Advantage
Rationale:
Part C, also called Medicare Advantage, is an alternative way for beneficiaries to receive their
Medicare Part A and Part B benefits through a private plan that contracts with Medicare.
4. What does Medicare Part D primarily provide?
A. Hospital insurance
B. Prescription drug coverage
C. Dental insurance only
D. Long-term custodial care
,Correct Answer: B. Prescription drug coverage
Rationale:
Medicare Part D provides prescription drug coverage through stand-alone Prescription Drug
Plans (PDPs) and Medicare Advantage Prescription Drug plans (MA-PDs).
5. A beneficiary enrolled in a Medicare Advantage plan generally continues to pay which
Original Medicare premium?
A. Part A premium in every situation
B. Part B premium
C. Part D premium regardless of the plan
D. No Medicare premium of any kind
Correct Answer: B. Part B premium
Rationale:
Beneficiaries enrolled in Medicare Advantage generally continue paying their Part B premium, in
addition to any plan-specific premium that may apply. CMS specifically identifies this as a
Medicare Basics concept for agent testing.
6. Which organization administers the Medicare program?
A. CMS
B. UnitedHealthcare
C. AARP
D. State insurance departments
, Correct Answer: A. CMS
Rationale:
The Centers for Medicare & Medicaid Services (CMS) is the federal agency responsible for
administering Medicare, Medicaid, and several other federal health programs. Private Medicare
Advantage and Part D organizations contract with Medicare but do not administer the entire
Medicare program.
7. What is the primary difference between Original Medicare and Medicare Advantage?
A. Original Medicare is administered exclusively by private insurers
B. Medicare Advantage provides Medicare benefits through private Medicare-contracted plans
C. Medicare Advantage eliminates Medicare Part A and Part B
D. Original Medicare automatically includes comprehensive prescription drug coverage
Correct Answer: B
Rationale:
Medicare Advantage allows eligible beneficiaries to receive their Medicare-covered Part A and
Part B benefits through a private plan that contracts with Medicare. Original Medicare is the
traditional fee-for-service Medicare program.
8. Which plan type generally combines Medicare Advantage medical benefits with prescription
drug coverage?
A. MA-PD
B. PDP
ACTUAL QUESTIONS & ANSWERS QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+
1. Which Medicare part primarily provides hospital insurance?
A. Part A
B. Part B
C. Part C
D. Part D
Correct Answer: A. Part A
Rationale:
Medicare Part A is Hospital Insurance. It generally covers inpatient hospital care, certain skilled
nursing facility care, hospice care, and certain home health services.
2. Which Medicare part primarily covers physician and outpatient medical services?
A. Part A
B. Part B
C. Part C
D. Part D
,Correct Answer: B. Part B
Rationale:
Medicare Part B is Medical Insurance. It generally covers physician services, outpatient care,
certain preventive services, laboratory services, and medically necessary durable medical
equipment.
3. What is Medicare Part C?
A. Medicare prescription drug coverage only
B. Original Medicare hospital coverage
C. Medicare Advantage
D. Medicaid
Correct Answer: C. Medicare Advantage
Rationale:
Part C, also called Medicare Advantage, is an alternative way for beneficiaries to receive their
Medicare Part A and Part B benefits through a private plan that contracts with Medicare.
4. What does Medicare Part D primarily provide?
A. Hospital insurance
B. Prescription drug coverage
C. Dental insurance only
D. Long-term custodial care
,Correct Answer: B. Prescription drug coverage
Rationale:
Medicare Part D provides prescription drug coverage through stand-alone Prescription Drug
Plans (PDPs) and Medicare Advantage Prescription Drug plans (MA-PDs).
5. A beneficiary enrolled in a Medicare Advantage plan generally continues to pay which
Original Medicare premium?
A. Part A premium in every situation
B. Part B premium
C. Part D premium regardless of the plan
D. No Medicare premium of any kind
Correct Answer: B. Part B premium
Rationale:
Beneficiaries enrolled in Medicare Advantage generally continue paying their Part B premium, in
addition to any plan-specific premium that may apply. CMS specifically identifies this as a
Medicare Basics concept for agent testing.
6. Which organization administers the Medicare program?
A. CMS
B. UnitedHealthcare
C. AARP
D. State insurance departments
, Correct Answer: A. CMS
Rationale:
The Centers for Medicare & Medicaid Services (CMS) is the federal agency responsible for
administering Medicare, Medicaid, and several other federal health programs. Private Medicare
Advantage and Part D organizations contract with Medicare but do not administer the entire
Medicare program.
7. What is the primary difference between Original Medicare and Medicare Advantage?
A. Original Medicare is administered exclusively by private insurers
B. Medicare Advantage provides Medicare benefits through private Medicare-contracted plans
C. Medicare Advantage eliminates Medicare Part A and Part B
D. Original Medicare automatically includes comprehensive prescription drug coverage
Correct Answer: B
Rationale:
Medicare Advantage allows eligible beneficiaries to receive their Medicare-covered Part A and
Part B benefits through a private plan that contracts with Medicare. Original Medicare is the
traditional fee-for-service Medicare program.
8. Which plan type generally combines Medicare Advantage medical benefits with prescription
drug coverage?
A. MA-PD
B. PDP
