UHC CERTIFICATION EXAM 10/03/2026
UHC certification exam Latest 2026-2027
100% Correct Questions with Correct
Answers GRADED A+
Medicare
Federal health insurance program
Medicare is administered by whom?
CMS ( Centers for medicare and medicaid services)
Parts A & B of medicare are
Federal health insurance program referred to as original medicare
Part A?
Hospital insurance
Part B?
Medical insurance
10/3/2026
What doesnt medicare cover?
1
, UHC CERTIFICATION EXAM 10/03/2026
Routine dental, eye care hearing exam,deductibles, coinsurance and copayments
Part C?
Medicare Advantage Plans
MA covers?
Part A &B coverage, and some part D coverage
MA plans are not?
Medicare supplement insurance plans
What offers lower monthly premiums MADP or supplement?
MADP
Do MAP's have a annual maximum OOP maximum that limits the amount of money a member must
spend every year for covered services?
YES
MA plans integrate what type of additonal coverage?
Part D prescription drug coverage
10/3/2026
2
, UHC CERTIFICATION EXAM 10/03/2026
If a customer wants to keep their stand alone prescription drug plan, what may the customer want to
enroll in?
MA-only PFFS plan
What is a stand alone drug plan called?
PDP
What is PFFS?
Private Fee for Service (PFFS) - Plans that allow you to go to any doctor or hospital that accepts their
terms
If a customer lives in a rural area, what type of plan may they want because it gives them freedom to
access doctors that may not be in their network?
PFFS plan
Do HMO's require referals?
Yes
Do PPO's require a referal?
No
When a member enrolls in a MA plan, they receive their coverage from medicare or the MA plan?
10/3/2026
MA plan
3
UHC certification exam Latest 2026-2027
100% Correct Questions with Correct
Answers GRADED A+
Medicare
Federal health insurance program
Medicare is administered by whom?
CMS ( Centers for medicare and medicaid services)
Parts A & B of medicare are
Federal health insurance program referred to as original medicare
Part A?
Hospital insurance
Part B?
Medical insurance
10/3/2026
What doesnt medicare cover?
1
, UHC CERTIFICATION EXAM 10/03/2026
Routine dental, eye care hearing exam,deductibles, coinsurance and copayments
Part C?
Medicare Advantage Plans
MA covers?
Part A &B coverage, and some part D coverage
MA plans are not?
Medicare supplement insurance plans
What offers lower monthly premiums MADP or supplement?
MADP
Do MAP's have a annual maximum OOP maximum that limits the amount of money a member must
spend every year for covered services?
YES
MA plans integrate what type of additonal coverage?
Part D prescription drug coverage
10/3/2026
2
, UHC CERTIFICATION EXAM 10/03/2026
If a customer wants to keep their stand alone prescription drug plan, what may the customer want to
enroll in?
MA-only PFFS plan
What is a stand alone drug plan called?
PDP
What is PFFS?
Private Fee for Service (PFFS) - Plans that allow you to go to any doctor or hospital that accepts their
terms
If a customer lives in a rural area, what type of plan may they want because it gives them freedom to
access doctors that may not be in their network?
PFFS plan
Do HMO's require referals?
Yes
Do PPO's require a referal?
No
When a member enrolls in a MA plan, they receive their coverage from medicare or the MA plan?
10/3/2026
MA plan
3
