UHC CERTIFICATION EXAM PAPER 2026
FULL SOLUTION QUESTIONS AND
ANSWERS
◉ Does a PCP need to be selected with a PFFS plan?
Answer: No
◉ What is the only plan to offer non-network PFFS plans?
Answer: UHC
◉ What are SNP's for? ( Dual SNP)
Answer: People who have both medicare and Medicaid
◉ Institutional SNP?
Answer: Nursing homes
◉ Chronic condition SNP?
Answer: people who have certain chronic medical conditions
◉ MSA?
Answer: Medical savings account
,◉ What does a MSA do?
Answer: Combines a high deductible medicare advantage plan and a
bank account
◉ How does MSA plans work?
Answer: the plan deposits money from emdicare in the account
which can then be used to pay for medical expenses until their
deductible is met
◉ Does UHC currently offer a MSA?
Answer: no
◉ MA plans include some key features such as?
Answer: Prescription drug coverage, PCPs and a OOP maxium
◉ In a MA-Part D plan, A member will be disenrolled from their
stand alone PDP upon enrollment in a ?
Answer: MA-PD
◉ in a MA-part D plan, A member will be disenrolled from their MA-
PD upon enrollment in?
Answer: a stand-alone PDP
, ◉ With MA only, a member will be disenrolled from their stand
alone PDP upon enrolling in a?
Answer: Non-PFFS MA-only plan
◉ in MA-only, a member will be disenrolled from their non-PFFS
MA-only plan upon enrolling in a?
Answer: Stand alone PDP
◉ most MA plans require a what? although not all plans require that
the chosen____ cordinate the members care
Answer: PCP selection
◉ If a PCP is required and the customer does not indicate one on the
enrollment application, a _____ will automatically assigned
Answer: PCP
◉ To avoid member complaints, encourage customers to select a
____and make sure the _____ is accepting new patients
Answer: PCP
◉ In which plan ( HMO/POS) are out of network benefits available at
a higher cost?
FULL SOLUTION QUESTIONS AND
ANSWERS
◉ Does a PCP need to be selected with a PFFS plan?
Answer: No
◉ What is the only plan to offer non-network PFFS plans?
Answer: UHC
◉ What are SNP's for? ( Dual SNP)
Answer: People who have both medicare and Medicaid
◉ Institutional SNP?
Answer: Nursing homes
◉ Chronic condition SNP?
Answer: people who have certain chronic medical conditions
◉ MSA?
Answer: Medical savings account
,◉ What does a MSA do?
Answer: Combines a high deductible medicare advantage plan and a
bank account
◉ How does MSA plans work?
Answer: the plan deposits money from emdicare in the account
which can then be used to pay for medical expenses until their
deductible is met
◉ Does UHC currently offer a MSA?
Answer: no
◉ MA plans include some key features such as?
Answer: Prescription drug coverage, PCPs and a OOP maxium
◉ In a MA-Part D plan, A member will be disenrolled from their
stand alone PDP upon enrollment in a ?
Answer: MA-PD
◉ in a MA-part D plan, A member will be disenrolled from their MA-
PD upon enrollment in?
Answer: a stand-alone PDP
, ◉ With MA only, a member will be disenrolled from their stand
alone PDP upon enrolling in a?
Answer: Non-PFFS MA-only plan
◉ in MA-only, a member will be disenrolled from their non-PFFS
MA-only plan upon enrolling in a?
Answer: Stand alone PDP
◉ most MA plans require a what? although not all plans require that
the chosen____ cordinate the members care
Answer: PCP selection
◉ If a PCP is required and the customer does not indicate one on the
enrollment application, a _____ will automatically assigned
Answer: PCP
◉ To avoid member complaints, encourage customers to select a
____and make sure the _____ is accepting new patients
Answer: PCP
◉ In which plan ( HMO/POS) are out of network benefits available at
a higher cost?
