UHC Medicare Certification Exam (2026/2027) | Actual Questions
and Answers Latest Updated 2026/2027 (Graded A+)
•
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
- ✔✔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.
- ✔✔Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan.
•
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.
- ✔✔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.
, - ✔✔Mailing a marketing brochure to the consumer via postal mail
•
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
i. - ✔✔The providers they see and medications they take to determine network and
formulary status.
ii. 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.
- ✔✔The consumer/member would not receive plan related correspondence intended for
him/her
•
What is the purpose of the Statement of Understanding?
It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application,
they are acknowledging their understanding of monthly premiums and deductibles.
It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application,
they are acknowledging their understanding of standard enrollment and disenrollment procedures.
It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollment
Application, they are acknowledging their understanding that they are actually enrolling, in which plan
they are enrolling, and standard disclosures.
- ✔✔It ensures that when consumers complete the Medicare Advantage and/or Part D
Enrollment Application, they are acknowledging their understanding that they are actually
enrolling, in which plan they are enrolling, and standard disclosures
•
Which of the following must an agent obtain from the consumer no less than 48 hours (unless an
exception applies) before an in-person, online, or telephonic marketing appointment?
Scope of Appointment
Statement of Understanding
Permission to Call
- ✔✔Scope of Appointment
and Answers Latest Updated 2026/2027 (Graded A+)
•
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
- ✔✔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.
- ✔✔Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan.
•
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.
- ✔✔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.
, - ✔✔Mailing a marketing brochure to the consumer via postal mail
•
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
i. - ✔✔The providers they see and medications they take to determine network and
formulary status.
ii. 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.
- ✔✔The consumer/member would not receive plan related correspondence intended for
him/her
•
What is the purpose of the Statement of Understanding?
It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application,
they are acknowledging their understanding of monthly premiums and deductibles.
It ensures that when consumers sign the Medicare Advantage and/or Part D Enrollment Application,
they are acknowledging their understanding of standard enrollment and disenrollment procedures.
It ensures that when consumers complete the Medicare Advantage and/or Part D Enrollment
Application, they are acknowledging their understanding that they are actually enrolling, in which plan
they are enrolling, and standard disclosures.
- ✔✔It ensures that when consumers complete the Medicare Advantage and/or Part D
Enrollment Application, they are acknowledging their understanding that they are actually
enrolling, in which plan they are enrolling, and standard disclosures
•
Which of the following must an agent obtain from the consumer no less than 48 hours (unless an
exception applies) before an in-person, online, or telephonic marketing appointment?
Scope of Appointment
Statement of Understanding
Permission to Call
- ✔✔Scope of Appointment
