UHC MEDICARE CERTIFICATION EXAM
2026/2027 · Actual Questions & Answers · Already Graded A+
TABLE OF CONTENTS
Exam Overview
Medicare Eligibility &
Basics Enrollment [Date]
Periods &
Timelines Medicare Parts A,
B, C, D Medicare Advantage
(Part C) Medicare Part D
CMS Marketing Guidelines
Compliance & Fraud, Waste,
Abuse UHC-Specific Policies
Conclusion
EXAM OVERVIEW
Exam: UnitedHealthcare (UHC) Medicare Certification Exam 2026/2027
Purpose: Required for agents and brokers to sell UHC Medicare Advantage and Prescription Drug Plans
Topics: Medicare Eligibility, Enrollment Periods, Parts A/B/C/D, Medicare Advantage, Prescription Drug
Plans, CMS Marketing Guidelines, Compliance, Fraud/Waste/Abuse, UHC-Specific Policies
On
,MEDICARE ELIGIBILITY & BASICS
1. Which individuals are eligible for Medicare?
A. Only individuals age 65 and older
B. Individuals age 65 and older, and those under 65 with certain disabilities
C. Only individuals receiving Social Security benefits
D. All U.S. citizens regardless of age
Correct Answer: B
Rationale: Medicare provides coverage for consumers who are age 65 and older, under 65 with certain
disabilities (receiving SSDI for more than 24 months), and any age with End-Stage Renal Disease (ESRD) or
Amyotrophic Lateral Sclerosis (ALS) .
2. Medicare is administered by which federal agency?
A. Department of Health and Human Services (HHS)
B. Social Security Administration (SSA)
C. Centers for Medicare & Medicaid Services (CMS)
D. Food and Drug Administration (FDA)
Correct Answer: C
Rationale: The Centers for Medicare & Medicaid Services (CMS) is the federal agency that administers the
Medicare program .
3. What does Medicare Part A cover?
A. Doctor visits and outpatient care
B. Prescription drugs
C. Inpatient hospital stays, skilled nursing facility care, hospice, and some home health services
D. Routine dental and vision care
Correct Answer: C
Rationale: Medicare Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home
health services .
4. What does Medicare Part B cover?
A. Hospital stays
B. Doctor visits, outpatient care, lab tests, preventive services, and some medical equipment
C. Prescription drugs
D. Routine dental and vision care
Correct Answer: B
Rationale: Medicare Part B is medical insurance that covers doctor visits, outpatient care, lab tests, preventive
services, and durable medical equipment .
, 5. What does Original Medicare NOT typically cover?
A. Hospital stays
B. Doctor visits
C. Routine dental, eye care, and hearing exams
D. Skilled nursing facility care
Correct Answer: C
Rationale: Original Medicare (Parts A and B) does not cover routine dental care, eye exams for prescription
glasses, or hearing exams and hearing aids .
6. What is Medicare Part C commonly known as?
A. Medicare Supplement Insurance (Medigap)
B. Medicare Advantage Plans
C. Prescription Drug Plans (PDP)
D. Original Medicare
Correct Answer: B
Rationale: Medicare Part C is commonly known as Medicare Advantage. These plans are offered by private
insurance companies approved by Medicare and provide Part A and Part B coverage .
7. Medicare Part D provides coverage for:
A. Hospital stays
B. Prescription drugs
C. Doctor visits
D. Dental and vision care
Correct Answer: B
Rationale: Medicare Part D provides prescription drug coverage through private insurance companies approved
by Medicare .
8. What is the Initial Enrollment Period (IEP) for Medicare?
A. A 3-month period before turning 65
B. A 7-month period that includes the 3 months before, the month of, and the 3 months after turning 65
C. A 6-month period after turning 65
D. A 12-month period after turning 65
Correct Answer: B
Rationale: The Initial Enrollment Period (IEP) is a 7-month window that includes the 3 months before the
month you turn 65, your birth month, and the 3 months after .
9. In which two parts of Medicare is enrollment generally automatic for eligible consumers?
A. Part A and Part B
B. Part B and Part C
C. Part C and Part D
D. Part A and Part D
Correct Answer: A
Rationale: Consumers who already receive Social Security or Railroad Retirement benefits are automatically
enrolled in both Medicare Part A and Part B .
2026/2027 · Actual Questions & Answers · Already Graded A+
TABLE OF CONTENTS
Exam Overview
Medicare Eligibility &
Basics Enrollment [Date]
Periods &
Timelines Medicare Parts A,
B, C, D Medicare Advantage
(Part C) Medicare Part D
CMS Marketing Guidelines
Compliance & Fraud, Waste,
Abuse UHC-Specific Policies
Conclusion
EXAM OVERVIEW
Exam: UnitedHealthcare (UHC) Medicare Certification Exam 2026/2027
Purpose: Required for agents and brokers to sell UHC Medicare Advantage and Prescription Drug Plans
Topics: Medicare Eligibility, Enrollment Periods, Parts A/B/C/D, Medicare Advantage, Prescription Drug
Plans, CMS Marketing Guidelines, Compliance, Fraud/Waste/Abuse, UHC-Specific Policies
On
,MEDICARE ELIGIBILITY & BASICS
1. Which individuals are eligible for Medicare?
A. Only individuals age 65 and older
B. Individuals age 65 and older, and those under 65 with certain disabilities
C. Only individuals receiving Social Security benefits
D. All U.S. citizens regardless of age
Correct Answer: B
Rationale: Medicare provides coverage for consumers who are age 65 and older, under 65 with certain
disabilities (receiving SSDI for more than 24 months), and any age with End-Stage Renal Disease (ESRD) or
Amyotrophic Lateral Sclerosis (ALS) .
2. Medicare is administered by which federal agency?
A. Department of Health and Human Services (HHS)
B. Social Security Administration (SSA)
C. Centers for Medicare & Medicaid Services (CMS)
D. Food and Drug Administration (FDA)
Correct Answer: C
Rationale: The Centers for Medicare & Medicaid Services (CMS) is the federal agency that administers the
Medicare program .
3. What does Medicare Part A cover?
A. Doctor visits and outpatient care
B. Prescription drugs
C. Inpatient hospital stays, skilled nursing facility care, hospice, and some home health services
D. Routine dental and vision care
Correct Answer: C
Rationale: Medicare Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home
health services .
4. What does Medicare Part B cover?
A. Hospital stays
B. Doctor visits, outpatient care, lab tests, preventive services, and some medical equipment
C. Prescription drugs
D. Routine dental and vision care
Correct Answer: B
Rationale: Medicare Part B is medical insurance that covers doctor visits, outpatient care, lab tests, preventive
services, and durable medical equipment .
, 5. What does Original Medicare NOT typically cover?
A. Hospital stays
B. Doctor visits
C. Routine dental, eye care, and hearing exams
D. Skilled nursing facility care
Correct Answer: C
Rationale: Original Medicare (Parts A and B) does not cover routine dental care, eye exams for prescription
glasses, or hearing exams and hearing aids .
6. What is Medicare Part C commonly known as?
A. Medicare Supplement Insurance (Medigap)
B. Medicare Advantage Plans
C. Prescription Drug Plans (PDP)
D. Original Medicare
Correct Answer: B
Rationale: Medicare Part C is commonly known as Medicare Advantage. These plans are offered by private
insurance companies approved by Medicare and provide Part A and Part B coverage .
7. Medicare Part D provides coverage for:
A. Hospital stays
B. Prescription drugs
C. Doctor visits
D. Dental and vision care
Correct Answer: B
Rationale: Medicare Part D provides prescription drug coverage through private insurance companies approved
by Medicare .
8. What is the Initial Enrollment Period (IEP) for Medicare?
A. A 3-month period before turning 65
B. A 7-month period that includes the 3 months before, the month of, and the 3 months after turning 65
C. A 6-month period after turning 65
D. A 12-month period after turning 65
Correct Answer: B
Rationale: The Initial Enrollment Period (IEP) is a 7-month window that includes the 3 months before the
month you turn 65, your birth month, and the 3 months after .
9. In which two parts of Medicare is enrollment generally automatic for eligible consumers?
A. Part A and Part B
B. Part B and Part C
C. Part C and Part D
D. Part A and Part D
Correct Answer: A
Rationale: Consumers who already receive Social Security or Railroad Retirement benefits are automatically
enrolled in both Medicare Part A and Part B .
