EXAMINATION LATEST UPDATE 2026|2027|
A COMPREHENSIVE REVIEW OF 300
PRACTICE QUESTIONS WITH ANSWERS
AND RATIONALES| ASSURED PASS
Introduction
The UnitedHealthcare (UHC) Certification Fast Track Examination is an
accelerated certification pathway designed for experienced agents who meet
specific eligibility criteria. This examination consolidates the Base Level and Next
Level assessments into a streamlined evaluation process, covering essential topics
including Medicare Basics, Ethics and Compliance, AARP-branded products,
Special Needs Plans (D-SNP and C-SNP), and Events Basics.
Eligibility for Fast Track: To qualify, agents must either be Premier Agents with
12+ months of tenure, or have sold UHC for 2 consecutive years with 20+
Medicare Advantage or Medicare Supplement applications and no more than one
complaint point in the past 12 months.
Passing Scores: Medicare Basics Assessment (85%), Ethics and Compliance
Assessment (85%), AARP Assessment (70%), D-SNP/C-SNP Assessment (85%),
and Events Basics (module completion).
Section 1: Medicare Basics (Questions 1-60)
1. Which of the following is a correct statement about in-network provider
services for HMO Plans?
A) HMO Plans cover both in-network and out-of-network services equally.
B) HMO Plans generally cover only in-network services; members typically pay
full cost for out-of-network services.
,C) PPO Plans never cover out-of-network services.
D) All Medicare plans cover out-of-network services without additional cost.
Answer: B
Rationale: HMO Plans generally cover only in-network services. In most cases,
members pay the full cost of any out-of-network services received, with a few
important exceptions.
2. What costs count toward the out-of-pocket maximum for Medicare
Advantage (MA) Plans?
A) Monthly plan premiums.
B) Copayments, coinsurance, and deductibles for covered services.
C) Over-the-counter medications.
D) Dental and vision services not included in the plan.
Answer: B
Rationale: The Out-of-Pocket Maximum includes costs the member pays for any
Medicare-covered Part A or B services but does not include the cost of any plan
premiums.
3. When does Medicare Supplement Open Enrollment take place?
A) Any time after age 65.
B) During the three months prior to the consumer's 65th birthday, the month of
their birthday, and the three months following the month of their 65th birthday and
enrolled in Medicare Part B.
C) Only in November each year.
D) Once every five years.
Answer: B
Rationale: Medicare Supplement Open Enrollment is a one-time 6-month period
that begins when a consumer is both age 65 or older and enrolled in Medicare Part
B.
,4. What is a formulary?
A) A list of in-network providers.
B) A list of medications covered within the benefit plan, based on CMS guidelines,
and developed in collaboration with providers and pharmacists.
C) A schedule of monthly premiums.
D) A document outlining appeal rights.
Answer: B
Rationale: A formulary is a list of medications covered within the benefit plan,
based on CMS guidelines, and developed in collaboration with providers and
pharmacists.
5. Step Therapy, Prior Authorization, Quantity Limit, 7-day limit, Dispensing
Limit and Limited Access are all examples of what?
A) Plan enrollment requirements.
B) Utilization Management Rules.
C) Medicare Part A benefits.
D) Preventive care services.
Answer: B
Rationale: These are all Utilization Management Rules designed to ensure
medications are used safely and cost-effectively.
6. What kind of financial assistance does a consumer receive who qualifies for
the Low-Income Subsidy (LIS)?
A) Free dental and vision coverage.
B) Help paying for Medicare Part D premiums, deductibles, and coinsurance.
C) A monthly cash payment.
D) Free gym memberships.
Answer: B
Rationale: The Low-Income Subsidy (also called "Extra Help") helps qualified
individuals pay for Medicare Part D premiums, deductibles, and coinsurance.
, 7. A consumer currently has Original Medicare and is enrolled in a stand-
alone Prescription Drug Plan (PDP). What will happen if the consumer enrolls
in an MA Plan that has integrated prescription drug coverage?
A) The consumer will maintain both the PDP and the MA Plan.
B) The consumer will be automatically disenrolled from their stand-alone PDP
upon enrollment in the MA Plan.
C) The consumer will have to actively disenroll from the PDP.
D) The consumer will be automatically disenrolled from Original Medicare.
Answer: B
Rationale: When a consumer enrolls in an MA Plan that includes prescription drug
coverage (MAPD), they are automatically disenrolled from their stand-alone PDP.
A consumer cannot have both a PDP and an MAPD plan simultaneously.
8. Which statement is true about Medicare Part D?
A) It is a mandatory program offered by the federal government.
B) It is a voluntary program, offered by private insurance companies contracted
with the federal government, that provides prescription drug coverage for an
additional monthly plan premium.
C) It is automatically included in Original Medicare.
D) It is only available to consumers with Medicare Part C.
Answer: B
Rationale: Medicare Part D is a voluntary prescription drug coverage program
offered by private insurance companies that are contracted with the federal
government. Enrollees pay an additional monthly premium for this coverage.
9. A consumer with only Medicare Part A who resides in the plan's service
area can enroll in which plan type to get Part D coverage?
A) A Medicare Advantage Plan
B) A stand-alone Part D Plan