1
UHC CERTIFICATIONS EXAM QUESTIONS AND
ANSWERS 2026-27 LATEST UPDATED VERSION
The following is a characteristic of consumers for whom a C-SNP may
be most appropriate: - correct answer Consumers who have a
qualifying chronic condition, are focused on their health issues and may
have concerns with having to manage their illness or dealing with
multiple providers
On July 19, each of the following consumers met with an agent. Based
on the information provided, which consumer must wait until the
Annual Election Period (AEP) or Open Enrollment Period (OEP) to
enroll? - correct answer Joy has a cardiovascular disorder, is
enrolled in a C-SNP that
,2
covers the condition, and wants to enroll in another CSNP offered by
the plan that covers the same condition.
Which service will a C-SNP or D-SNP member in the high risk care
management category receive? - correct answer Case Management
(telephonic, digital and/or face-to-face) according to individual needs
Which statement is true about provider information on the Chronic
Condition Verification Form? - correct answer The provider
indicated on the form does not have to be contracted with the plan.
Which statement is true about the Medicaid program? - correct answer
Benefits vary from state to state.
Which statement is true of D-SNP members? - correct answer
Members who are QMB+ or are Full Dual-Eligible are not required to
pay copayments for Medicare-covered services obtained from a D-SNP
in-network provider. Their provider should bill the state Medicaid
program, as appropriate, for these costs.
,3
How long do plans using the C-SNP pre-enrollment verification process
have to verify the qualifying chronic condition until they must deny the
enrollment request? - correct answer Within 21 days of the request
for additional information or the end of the month in which the
enrollment request is made (whichever is longer).
Lucille is no longer eligible for her state Medicaid program and has lost
her eligibility for the D-SNP in which she is enrolled. What is her
responsibility for cost sharing? - correct answer All, such as
premiums, deductibles, copayments, and coinsurance
What type of event must an agent conduct when they want to be
able to collect consumer information, schedule future
appointments, and accept enrollment applications? - correct
answer Marketing/sales event
Which of the following does not describe a personal/individual
marketing appointment? - correct answer It needs to be reported to
UnitedHealthcare prior to advertising and not less than 7 calendar days
prior to the date of the event
, 4
When conducting an event, agents should select a site that is compliant
with the Americans with Disabilities Act (ADA). Which of the following
is not an ADA requirement? - correct answer Extra-wide sidewalks
that accommodate wheelchairs
Which of the following elements does not need to be entered on the
NEW Event Request Form when reporting a new event? - correct
answer The event venue manager/contact person
Jeff has an informal marketing/sales event scheduled this afternoon,
but a consumer has requested an in-home appointment during that
time. He would like to cancel or reschedule the event because he is
certain to get an enrollment application at the appointment. Which of
the statements below is correct about Jeff's event? - correct answer
Jeff is prohibited from canceling the event because it is within 1
business day and is not due to inclement weather. Jeff must hold his
event or he could work with his manager to get a replacement to
conduct the event.
On October 1, Sam reported the formal marketing/sales event he has
scheduled for 9 a.m. on November 19. Luckily, before he had flyers
UHC CERTIFICATIONS EXAM QUESTIONS AND
ANSWERS 2026-27 LATEST UPDATED VERSION
The following is a characteristic of consumers for whom a C-SNP may
be most appropriate: - correct answer Consumers who have a
qualifying chronic condition, are focused on their health issues and may
have concerns with having to manage their illness or dealing with
multiple providers
On July 19, each of the following consumers met with an agent. Based
on the information provided, which consumer must wait until the
Annual Election Period (AEP) or Open Enrollment Period (OEP) to
enroll? - correct answer Joy has a cardiovascular disorder, is
enrolled in a C-SNP that
,2
covers the condition, and wants to enroll in another CSNP offered by
the plan that covers the same condition.
Which service will a C-SNP or D-SNP member in the high risk care
management category receive? - correct answer Case Management
(telephonic, digital and/or face-to-face) according to individual needs
Which statement is true about provider information on the Chronic
Condition Verification Form? - correct answer The provider
indicated on the form does not have to be contracted with the plan.
Which statement is true about the Medicaid program? - correct answer
Benefits vary from state to state.
Which statement is true of D-SNP members? - correct answer
Members who are QMB+ or are Full Dual-Eligible are not required to
pay copayments for Medicare-covered services obtained from a D-SNP
in-network provider. Their provider should bill the state Medicaid
program, as appropriate, for these costs.
,3
How long do plans using the C-SNP pre-enrollment verification process
have to verify the qualifying chronic condition until they must deny the
enrollment request? - correct answer Within 21 days of the request
for additional information or the end of the month in which the
enrollment request is made (whichever is longer).
Lucille is no longer eligible for her state Medicaid program and has lost
her eligibility for the D-SNP in which she is enrolled. What is her
responsibility for cost sharing? - correct answer All, such as
premiums, deductibles, copayments, and coinsurance
What type of event must an agent conduct when they want to be
able to collect consumer information, schedule future
appointments, and accept enrollment applications? - correct
answer Marketing/sales event
Which of the following does not describe a personal/individual
marketing appointment? - correct answer It needs to be reported to
UnitedHealthcare prior to advertising and not less than 7 calendar days
prior to the date of the event
, 4
When conducting an event, agents should select a site that is compliant
with the Americans with Disabilities Act (ADA). Which of the following
is not an ADA requirement? - correct answer Extra-wide sidewalks
that accommodate wheelchairs
Which of the following elements does not need to be entered on the
NEW Event Request Form when reporting a new event? - correct
answer The event venue manager/contact person
Jeff has an informal marketing/sales event scheduled this afternoon,
but a consumer has requested an in-home appointment during that
time. He would like to cancel or reschedule the event because he is
certain to get an enrollment application at the appointment. Which of
the statements below is correct about Jeff's event? - correct answer
Jeff is prohibited from canceling the event because it is within 1
business day and is not due to inclement weather. Jeff must hold his
event or he could work with his manager to get a replacement to
conduct the event.
On October 1, Sam reported the formal marketing/sales event he has
scheduled for 9 a.m. on November 19. Luckily, before he had flyers
