1 | Page
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UHC CERTIFICATION MEDICARE
QUESTIONS AND ANSWERS 2025
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will
| | | | | | | | | | | | | |
be effective on July 1. Using her Initial Election Period
| | | | | | | | | |
(IEP), when can she submit an application for a Medicare
| | | | | | | | |
Advantage or Prescription Drug plan?
| | | | |
March 1 through July 31 | | | |
April 1 through October 31 | | | |
July 1 through December 30
| | | |
June 1 through July 31 - correct answer- Not July 1 - Dec 30 -
| | | | | | | | | | | | | |
WRONG
|
April 1 through October 31 - CORRECT
| | | | | |
Annual Election Period (AEP) is a time when. . . | | | | | | | | |
Consumers can only disenroll from their Medicare Advantage or | | | | | | | |
Prescription Drug Plan and return to Original Medicare.
| | | | | | | |
Consumers can only enroll in a Medicare Advantage Plan or switch | | | | | | | | | |
to a different Medicare Advantage plan.
| | | | | |
Consumers can elect to switch to a different plan or join a Medicare | | | | | | | | | | | |
Advantage plan or Prescription Drug Plan.
| | | | | |
Only certain Medicare-eligible consumers can make changes. -
| | | | | | |
correct answer- Consumers can elect to switch to a different plan
| | | | | | | | | | |
or join a Medicare Advantage plan or Prescription Drug Plan.
| | | | | | | | | |
,2 | Page
| | | | | |
Which statement regarding Star Ratings is true?
| | | | | |
Medicare uses a 5-star rating system to illustrate a plan's | | | | | | | | |
performance and quality.
| | |
The agent said that the Star Ratings are based on a plan's
| | | | | | | | | | |
performance from two years ago and, therefore, do not accurately
| | | | | | | | | |
reflect a plan's current value.
| | | | |
Star Ratings are based on a plan's performance from the prior
| | | | | | | | | |
year and, therefore, may not accurately reflect a plan's current
| | | | | | | | | |
value.
|
Medicare uses a 5-star rating system to illustrate the plan's | | | | | | | | |
relative popularity in a market as measured by membership and
| | | | | | | | | |
retention rates. - correct answer- Medicare uses a 5-star rating
| | | | | | | | | |
system to illustrate a plan's performance and quality.
| | | | | | | |
Which of the following is not considered unsolicited contact with a
| | | | | | | | | |
Medicare eligible consumer according to CMS regulations and
| | | | | | | |
UnitedHealthcare's rules, policies, and procedures?
| | | | |
Emailing a marketing brochure to a consumer whose email | | | | | | | |
address was obtained on a purchased lead list.
| | | | | | | |
Approaching a consumer in a common area of a senior living | | | | | | | | | |
complex.
|
Placing a marketing brochure on the door handle of the
| | | | | | | | |
consumer's residence.
| |
Mailing a marketing brochure to the consumer via postal mail. -
| | | | | | | | | |
correct answer- Mailing a marketing brochure to the consumer via
| | | | | | | | | |
postal mail
| |
, 3 | Page
| | | | | |
What information should be obtained from the consumer when
| | | | | | | |
conducting a thorough needs assessment? (Select 2)
| | | | | | |
The providers they see and medications they take to determine
| | | | | | | | |
network and formulary status.
| | | |
Their current health care coverage, including what they like about
| | | | | | | | |
it and what they don't.
| | | | |
Their favorite foods and hygiene products to determine if they are
| | | | | | | | | |
covered by a grocery allowance - correct answer- The providers
| | | | | | | | | |
they see and medications they take to determine network and
| | | | | | | | | |
formulary status.
| |
Their current health care coverage, including what they like about
| | | | | | | | |
it and what they don't.
| | | | |
When completing an enrollment application in LEAN, why is an
| | | | | | | | |
agent prohibited from entering his or her own email address in a
| | | | | | | | | | | |
field available for the consumer's email address?
| | | | | | |
The enrollment application may be denied.
| | | | |
The consumer/member would not receive plan related
| | | | | |
correspondence intended for him/her.
| | | |
The agent may experience commission payment processing
| | | | | |
issues. - correct answer- The consumer/member would not
| | | | | | | |
receive plan related correspondence intended for him/her
| | | | | | |
What is the purpose of the Statement of Understanding?
| | | | | | | |
| | | | | |
UHC CERTIFICATION MEDICARE
QUESTIONS AND ANSWERS 2025
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will
| | | | | | | | | | | | | |
be effective on July 1. Using her Initial Election Period
| | | | | | | | | |
(IEP), when can she submit an application for a Medicare
| | | | | | | | |
Advantage or Prescription Drug plan?
| | | | |
March 1 through July 31 | | | |
April 1 through October 31 | | | |
July 1 through December 30
| | | |
June 1 through July 31 - correct answer- Not July 1 - Dec 30 -
| | | | | | | | | | | | | |
WRONG
|
April 1 through October 31 - CORRECT
| | | | | |
Annual Election Period (AEP) is a time when. . . | | | | | | | | |
Consumers can only disenroll from their Medicare Advantage or | | | | | | | |
Prescription Drug Plan and return to Original Medicare.
| | | | | | | |
Consumers can only enroll in a Medicare Advantage Plan or switch | | | | | | | | | |
to a different Medicare Advantage plan.
| | | | | |
Consumers can elect to switch to a different plan or join a Medicare | | | | | | | | | | | |
Advantage plan or Prescription Drug Plan.
| | | | | |
Only certain Medicare-eligible consumers can make changes. -
| | | | | | |
correct answer- Consumers can elect to switch to a different plan
| | | | | | | | | | |
or join a Medicare Advantage plan or Prescription Drug Plan.
| | | | | | | | | |
,2 | Page
| | | | | |
Which statement regarding Star Ratings is true?
| | | | | |
Medicare uses a 5-star rating system to illustrate a plan's | | | | | | | | |
performance and quality.
| | |
The agent said that the Star Ratings are based on a plan's
| | | | | | | | | | |
performance from two years ago and, therefore, do not accurately
| | | | | | | | | |
reflect a plan's current value.
| | | | |
Star Ratings are based on a plan's performance from the prior
| | | | | | | | | |
year and, therefore, may not accurately reflect a plan's current
| | | | | | | | | |
value.
|
Medicare uses a 5-star rating system to illustrate the plan's | | | | | | | | |
relative popularity in a market as measured by membership and
| | | | | | | | | |
retention rates. - correct answer- Medicare uses a 5-star rating
| | | | | | | | | |
system to illustrate a plan's performance and quality.
| | | | | | | |
Which of the following is not considered unsolicited contact with a
| | | | | | | | | |
Medicare eligible consumer according to CMS regulations and
| | | | | | | |
UnitedHealthcare's rules, policies, and procedures?
| | | | |
Emailing a marketing brochure to a consumer whose email | | | | | | | |
address was obtained on a purchased lead list.
| | | | | | | |
Approaching a consumer in a common area of a senior living | | | | | | | | | |
complex.
|
Placing a marketing brochure on the door handle of the
| | | | | | | | |
consumer's residence.
| |
Mailing a marketing brochure to the consumer via postal mail. -
| | | | | | | | | |
correct answer- Mailing a marketing brochure to the consumer via
| | | | | | | | | |
postal mail
| |
, 3 | Page
| | | | | |
What information should be obtained from the consumer when
| | | | | | | |
conducting a thorough needs assessment? (Select 2)
| | | | | | |
The providers they see and medications they take to determine
| | | | | | | | |
network and formulary status.
| | | |
Their current health care coverage, including what they like about
| | | | | | | | |
it and what they don't.
| | | | |
Their favorite foods and hygiene products to determine if they are
| | | | | | | | | |
covered by a grocery allowance - correct answer- The providers
| | | | | | | | | |
they see and medications they take to determine network and
| | | | | | | | | |
formulary status.
| |
Their current health care coverage, including what they like about
| | | | | | | | |
it and what they don't.
| | | | |
When completing an enrollment application in LEAN, why is an
| | | | | | | | |
agent prohibited from entering his or her own email address in a
| | | | | | | | | | | |
field available for the consumer's email address?
| | | | | | |
The enrollment application may be denied.
| | | | |
The consumer/member would not receive plan related
| | | | | |
correspondence intended for him/her.
| | | |
The agent may experience commission payment processing
| | | | | |
issues. - correct answer- The consumer/member would not
| | | | | | | |
receive plan related correspondence intended for him/her
| | | | | | |
What is the purpose of the Statement of Understanding?
| | | | | | | |
