UHC Medicare Certification Exam
(2026/2027) – Actual Questions & Answers |
Questions and Correct Answers Already
Graded A+
Q1. A consumer is turning 65 and already receives Social Security benefits. How
does she enroll in Original Medicare?
A) She must visit her local Social Security office
B) Her enrollment in Medicare Parts A and B is generally automatic
C) She must apply through a licensed insurance agent
D) She must call the Medicare helpline to enroll
Correct Answer: B
Rationale: For consumers already receiving Social Security benefits, enrollment in
Medicare Parts A and B is automatic when they become eligible. No additional action is
required unless they wish to delay Part B .
Q2. What does Medicare Part A primarily cover?
A) Outpatient medical services and doctor visits
B) Inpatient hospital stays, skilled nursing facility care, hospice care, and some home
health care
C) Prescription drug coverage
D) Dental, vision, and hearing services
Correct Answer: B
Rationale: Medicare Part A covers inpatient hospital stays, care in a skilled nursing
facility, hospice care, and some home health care. Part B covers outpatient services .
Q3. What does Medicare Part B primarily cover?
A) Inpatient hospital stays and hospice care
B) Outpatient medical services, doctor's visits, preventive care, durable medical
,equipment (DME), and some home health services
C) Prescription drug coverage
D) Medicare Advantage plan premiums
Correct Answer: B
Rationale: Medicare Part B covers outpatient medical services, doctor's visits, preventive
care, durable medical equipment (DME), and some home health services .
Q4. How is Medicare Part A primarily funded?
A) Through beneficiary monthly premiums
B) Through payroll taxes paid by employees and employers during working years
C) Through general U.S. Treasury revenues
D) Through state government funding
Correct Answer: B
Rationale: Medicare Part A is primarily funded through payroll taxes (FICA) paid by
employees and employers during their working years. Part B is funded through
beneficiary premiums and general Treasury revenues .
Q5. How is Medicare Part B primarily funded?
A) Through payroll taxes paid during working years
B) Through beneficiary monthly premiums and general U.S. Treasury revenues
C) Through state government funding
D) Through employer contributions only
Correct Answer: B
Rationale: Medicare Part B is funded through beneficiary monthly premiums and
general U.S. Treasury revenues. Part A is funded through payroll taxes .
Q6. What is the standard Medicare Part B premium based on?
A) The beneficiary's age
B) The beneficiary's modified adjusted gross income (MAGI) from two years prior
,C) The beneficiary's state of residence
D) The beneficiary's Medicare Advantage plan choice
Correct Answer: B
Rationale: The standard Medicare Part B premium is based on the beneficiary's
modified adjusted gross income (MAGI) from two years prior, subject to Income-Related
Monthly Adjustment Amount (IRMAA) surcharges for higher-income earners .
Q7. What is the Initial Enrollment Period (IEP) for Medicare?
A) A 3-month period before the 65th birthday only
B) A 7-month period that begins 3 months before the month a person turns 65, includes
the month they turn 65, and ends 3 months after
C) A 6-month period starting on the 65th birthday
D) A 12-month period beginning at age 64
Correct Answer: B
Rationale: The Initial Enrollment Period is a 7-month window that begins 3 months
before the month the individual turns 65, includes the birthday month, and ends 3
months after .
Q8. When is the Annual Election Period (AEP) for Medicare Advantage and Part D?
A) January 1 through March 31
B) April 1 through June 30
C) October 15 through December 7
D) December 8 through December 31
Correct Answer: C
Rationale: The Annual Election Period (AEP) runs from October 15 through December 7
each year. Changes made during this period take effect on January 1 of the following
year .
, Q9. Changes made during the Annual Election Period take effect on:
A) The date of enrollment
B) The first of the month following enrollment
C) January 1st of the following year
D) April 1st of the following year
Correct Answer: C
Rationale: Any changes made during the Annual Election Period (October 15 –
December 7) take effect on January 1 of the following year .
Q10. Aside from a stand-alone Medicare Prescription Drug Plan, how else could a
Medicare-eligible consumer get Part D prescription drug coverage?
A) They could enroll in a Medicare Advantage Plan or other Medicare health plan that
includes prescription drug coverage
B) They could enroll in a Medicare Supplement Insurance Plan
C) They could purchase private health insurance
D) They could enroll in Medicaid
Correct Answer: A
Rationale: A Medicare-eligible consumer can get Part D prescription drug coverage
through a stand-alone Prescription Drug Plan (PDP) or through a Medicare Advantage
Plan (MA-PD) that includes prescription drug coverage .
Q11. Consumers must live in the same _____ as the pharmacy they intend to use for
a Prescription Drug Plan.
A) County
B) Zip code
C) State
D) Region
Correct Answer: B
Rationale: For Medicare Prescription Drug Plans, consumers must live in the same zip
code as the pharmacy they intend to use .
(2026/2027) – Actual Questions & Answers |
Questions and Correct Answers Already
Graded A+
Q1. A consumer is turning 65 and already receives Social Security benefits. How
does she enroll in Original Medicare?
A) She must visit her local Social Security office
B) Her enrollment in Medicare Parts A and B is generally automatic
C) She must apply through a licensed insurance agent
D) She must call the Medicare helpline to enroll
Correct Answer: B
Rationale: For consumers already receiving Social Security benefits, enrollment in
Medicare Parts A and B is automatic when they become eligible. No additional action is
required unless they wish to delay Part B .
Q2. What does Medicare Part A primarily cover?
A) Outpatient medical services and doctor visits
B) Inpatient hospital stays, skilled nursing facility care, hospice care, and some home
health care
C) Prescription drug coverage
D) Dental, vision, and hearing services
Correct Answer: B
Rationale: Medicare Part A covers inpatient hospital stays, care in a skilled nursing
facility, hospice care, and some home health care. Part B covers outpatient services .
Q3. What does Medicare Part B primarily cover?
A) Inpatient hospital stays and hospice care
B) Outpatient medical services, doctor's visits, preventive care, durable medical
,equipment (DME), and some home health services
C) Prescription drug coverage
D) Medicare Advantage plan premiums
Correct Answer: B
Rationale: Medicare Part B covers outpatient medical services, doctor's visits, preventive
care, durable medical equipment (DME), and some home health services .
Q4. How is Medicare Part A primarily funded?
A) Through beneficiary monthly premiums
B) Through payroll taxes paid by employees and employers during working years
C) Through general U.S. Treasury revenues
D) Through state government funding
Correct Answer: B
Rationale: Medicare Part A is primarily funded through payroll taxes (FICA) paid by
employees and employers during their working years. Part B is funded through
beneficiary premiums and general Treasury revenues .
Q5. How is Medicare Part B primarily funded?
A) Through payroll taxes paid during working years
B) Through beneficiary monthly premiums and general U.S. Treasury revenues
C) Through state government funding
D) Through employer contributions only
Correct Answer: B
Rationale: Medicare Part B is funded through beneficiary monthly premiums and
general U.S. Treasury revenues. Part A is funded through payroll taxes .
Q6. What is the standard Medicare Part B premium based on?
A) The beneficiary's age
B) The beneficiary's modified adjusted gross income (MAGI) from two years prior
,C) The beneficiary's state of residence
D) The beneficiary's Medicare Advantage plan choice
Correct Answer: B
Rationale: The standard Medicare Part B premium is based on the beneficiary's
modified adjusted gross income (MAGI) from two years prior, subject to Income-Related
Monthly Adjustment Amount (IRMAA) surcharges for higher-income earners .
Q7. What is the Initial Enrollment Period (IEP) for Medicare?
A) A 3-month period before the 65th birthday only
B) A 7-month period that begins 3 months before the month a person turns 65, includes
the month they turn 65, and ends 3 months after
C) A 6-month period starting on the 65th birthday
D) A 12-month period beginning at age 64
Correct Answer: B
Rationale: The Initial Enrollment Period is a 7-month window that begins 3 months
before the month the individual turns 65, includes the birthday month, and ends 3
months after .
Q8. When is the Annual Election Period (AEP) for Medicare Advantage and Part D?
A) January 1 through March 31
B) April 1 through June 30
C) October 15 through December 7
D) December 8 through December 31
Correct Answer: C
Rationale: The Annual Election Period (AEP) runs from October 15 through December 7
each year. Changes made during this period take effect on January 1 of the following
year .
, Q9. Changes made during the Annual Election Period take effect on:
A) The date of enrollment
B) The first of the month following enrollment
C) January 1st of the following year
D) April 1st of the following year
Correct Answer: C
Rationale: Any changes made during the Annual Election Period (October 15 –
December 7) take effect on January 1 of the following year .
Q10. Aside from a stand-alone Medicare Prescription Drug Plan, how else could a
Medicare-eligible consumer get Part D prescription drug coverage?
A) They could enroll in a Medicare Advantage Plan or other Medicare health plan that
includes prescription drug coverage
B) They could enroll in a Medicare Supplement Insurance Plan
C) They could purchase private health insurance
D) They could enroll in Medicaid
Correct Answer: A
Rationale: A Medicare-eligible consumer can get Part D prescription drug coverage
through a stand-alone Prescription Drug Plan (PDP) or through a Medicare Advantage
Plan (MA-PD) that includes prescription drug coverage .
Q11. Consumers must live in the same _____ as the pharmacy they intend to use for
a Prescription Drug Plan.
A) County
B) Zip code
C) State
D) Region
Correct Answer: B
Rationale: For Medicare Prescription Drug Plans, consumers must live in the same zip
code as the pharmacy they intend to use .
