UHC CERTIFICATION EXAM 2024
QUESTIONS & ANSWERS WITH
COMPLETE SOLUTIONS GRADED A+
QUESTIONS AND ANSWERS
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 ANSWER - 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. ANSWER - 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. ANSWER - 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. ANSWER - 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.
QUESTIONS & ANSWERS WITH
COMPLETE SOLUTIONS GRADED A+
QUESTIONS AND ANSWERS
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 ANSWER - 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. ANSWER - 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. ANSWER - 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. ANSWER - 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.
