UHC Medicare Certification Exam (2026-
2027) – Actual Questions & Answers
Questions and Correct Answers Already
Graded A+
Question 1
Which two parts of Original Medicare provide hospital and medical coverage?
A. Part A and Part B
B. Part B and Part D
C. Part C and Part D
D. Part A and Part D
CORRECT ANSWER: A. Part A and Part B
RATIONALE: Medicare Part A generally covers inpatient hospital and certain related services,
while Part B generally covers medically necessary physician and outpatient services.
Question 2
What is Medicare Part C commonly called?
A. Medicare Supplement
B. Medicare Advantage
C. Medicaid
D. Prescription Assistance
CORRECT ANSWER: B. Medicare Advantage
RATIONALE: Medicare Advantage, also called Part C, provides Medicare-covered benefits
through Medicare Advantage plans offered by private Medicare-approved organizations.
Question 3
What does Medicare Part D primarily provide?
,A. Prescription drug coverage
B. Hospital insurance
C. Long-term custodial care
D. Dental-only coverage
CORRECT ANSWER: A. Prescription drug coverage
RATIONALE: Part D provides outpatient prescription drug coverage through Medicare-approved
prescription drug plans and Medicare Advantage plans that include prescription drug coverage.
Question 4
A beneficiary enrolls in a Medicare Advantage plan. Which Medicare coverage must the person
generally have to remain eligible?
A. Part A and Part B
B. Part D only
C. Medicaid only
D. Medigap only
CORRECT ANSWER: A. Part A and Part B
RATIONALE: Medicare Advantage eligibility generally requires entitlement to both Medicare
Part A and enrollment in Part B. The beneficiary generally must also continue paying the Part B
premium unless another program pays it. UHC's 2026 enrollment materials explicitly state this
requirement.
Question 5
Which type of plan is generally designed to provide Medicare benefits through a private health
plan rather than Original Medicare?
A. Medicare Advantage
B. Medigap only
C. Medicaid
D. Veterans health benefits
CORRECT ANSWER: A. Medicare Advantage
RATIONALE: Medicare Advantage plans are private Medicare plans that provide Medicare-
covered benefits according to the plan's rules and cost-sharing structure.
,Question 6
What is a Medicare Supplement insurance policy commonly called?
A. Medigap
B. Medicare Part C
C. Part D
D. Medicaid
CORRECT ANSWER: A. Medigap
RATIONALE: Medicare Supplement insurance, commonly known as Medigap, is designed to help
pay certain costs that Original Medicare does not fully cover.
Question 7
Which statement best describes Original Medicare?
A. It consists primarily of Part A and Part B
B. It is the same thing as Medicare Advantage
C. It is a Medicaid program
D. It automatically includes every prescription drug
CORRECT ANSWER: A. It consists primarily of Part A and Part B
RATIONALE: Original Medicare is the federal fee-for-service program consisting of Part A and
Part B. Prescription drug coverage is generally obtained separately through Part D.
Question 8
A Medicare Advantage plan may use a provider network. Why is this important?
A. The plan may have different rules and cost-sharing depending on whether a provider is in
network
B. Networks are irrelevant to Medicare Advantage
C. Members can never use network providers
D. Networks apply only to Part D
CORRECT ANSWER: A. The plan may have different rules and cost-sharing depending on
whether a provider is in network
, RATIONALE: Network requirements and out-of-network coverage vary by plan type.
Beneficiaries should understand their specific plan's provider rules before receiving care.
Question 9
What does an Evidence of Coverage generally provide?
A. Detailed information about a plan's benefits, coverage rules, rights, and responsibilities
B. A list of all Medicare beneficiaries
C. A replacement for a Medicare card
D. A physician's medical record
CORRECT ANSWER: A. Detailed information about a plan's benefits, coverage rules, rights,
and responsibilities
RATIONALE: The Evidence of Coverage is an important plan document explaining covered
services, cost-sharing, procedures, rights, and other plan requirements.
Question 10
A beneficiary wants to know exactly what services a particular UHC plan covers. What should
the agent recommend reviewing?
A. The plan's official benefit materials and Evidence of Coverage
B. Another person's plan
C. An unofficial social-media post
D. An unrelated insurance policy
CORRECT ANSWER: A. The plan's official benefit materials and Evidence of Coverage
RATIONALE: Benefits and cost-sharing can vary by plan and service area. Official plan
documents provide the authoritative plan-specific information.
Question 11
What is a Medicare Advantage HMO generally characterized by?
A. Use of a defined provider network and plan-specific rules for accessing care
B. Unlimited use of every provider without regard to plan rules
2027) – Actual Questions & Answers
Questions and Correct Answers Already
Graded A+
Question 1
Which two parts of Original Medicare provide hospital and medical coverage?
A. Part A and Part B
B. Part B and Part D
C. Part C and Part D
D. Part A and Part D
CORRECT ANSWER: A. Part A and Part B
RATIONALE: Medicare Part A generally covers inpatient hospital and certain related services,
while Part B generally covers medically necessary physician and outpatient services.
Question 2
What is Medicare Part C commonly called?
A. Medicare Supplement
B. Medicare Advantage
C. Medicaid
D. Prescription Assistance
CORRECT ANSWER: B. Medicare Advantage
RATIONALE: Medicare Advantage, also called Part C, provides Medicare-covered benefits
through Medicare Advantage plans offered by private Medicare-approved organizations.
Question 3
What does Medicare Part D primarily provide?
,A. Prescription drug coverage
B. Hospital insurance
C. Long-term custodial care
D. Dental-only coverage
CORRECT ANSWER: A. Prescription drug coverage
RATIONALE: Part D provides outpatient prescription drug coverage through Medicare-approved
prescription drug plans and Medicare Advantage plans that include prescription drug coverage.
Question 4
A beneficiary enrolls in a Medicare Advantage plan. Which Medicare coverage must the person
generally have to remain eligible?
A. Part A and Part B
B. Part D only
C. Medicaid only
D. Medigap only
CORRECT ANSWER: A. Part A and Part B
RATIONALE: Medicare Advantage eligibility generally requires entitlement to both Medicare
Part A and enrollment in Part B. The beneficiary generally must also continue paying the Part B
premium unless another program pays it. UHC's 2026 enrollment materials explicitly state this
requirement.
Question 5
Which type of plan is generally designed to provide Medicare benefits through a private health
plan rather than Original Medicare?
A. Medicare Advantage
B. Medigap only
C. Medicaid
D. Veterans health benefits
CORRECT ANSWER: A. Medicare Advantage
RATIONALE: Medicare Advantage plans are private Medicare plans that provide Medicare-
covered benefits according to the plan's rules and cost-sharing structure.
,Question 6
What is a Medicare Supplement insurance policy commonly called?
A. Medigap
B. Medicare Part C
C. Part D
D. Medicaid
CORRECT ANSWER: A. Medigap
RATIONALE: Medicare Supplement insurance, commonly known as Medigap, is designed to help
pay certain costs that Original Medicare does not fully cover.
Question 7
Which statement best describes Original Medicare?
A. It consists primarily of Part A and Part B
B. It is the same thing as Medicare Advantage
C. It is a Medicaid program
D. It automatically includes every prescription drug
CORRECT ANSWER: A. It consists primarily of Part A and Part B
RATIONALE: Original Medicare is the federal fee-for-service program consisting of Part A and
Part B. Prescription drug coverage is generally obtained separately through Part D.
Question 8
A Medicare Advantage plan may use a provider network. Why is this important?
A. The plan may have different rules and cost-sharing depending on whether a provider is in
network
B. Networks are irrelevant to Medicare Advantage
C. Members can never use network providers
D. Networks apply only to Part D
CORRECT ANSWER: A. The plan may have different rules and cost-sharing depending on
whether a provider is in network
, RATIONALE: Network requirements and out-of-network coverage vary by plan type.
Beneficiaries should understand their specific plan's provider rules before receiving care.
Question 9
What does an Evidence of Coverage generally provide?
A. Detailed information about a plan's benefits, coverage rules, rights, and responsibilities
B. A list of all Medicare beneficiaries
C. A replacement for a Medicare card
D. A physician's medical record
CORRECT ANSWER: A. Detailed information about a plan's benefits, coverage rules, rights,
and responsibilities
RATIONALE: The Evidence of Coverage is an important plan document explaining covered
services, cost-sharing, procedures, rights, and other plan requirements.
Question 10
A beneficiary wants to know exactly what services a particular UHC plan covers. What should
the agent recommend reviewing?
A. The plan's official benefit materials and Evidence of Coverage
B. Another person's plan
C. An unofficial social-media post
D. An unrelated insurance policy
CORRECT ANSWER: A. The plan's official benefit materials and Evidence of Coverage
RATIONALE: Benefits and cost-sharing can vary by plan and service area. Official plan
documents provide the authoritative plan-specific information.
Question 11
What is a Medicare Advantage HMO generally characterized by?
A. Use of a defined provider network and plan-specific rules for accessing care
B. Unlimited use of every provider without regard to plan rules
