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UHC MEDICARE CERTIFICATION PRACTICE EXAM 2026/2027 Edition | Questions
with Verified Answers & Rationales
Question 1
Which of the following is the federal agency responsible for
administering the Medicare program?
A. Centers for Disease Control and Prevention (CDC)
B. Centers for Medicare & Medicaid Services (CMS)
C. Food and Drug Administration (FDA)
D. Health Resources and Services Administration (HRSA)
Answer: B
Rationale: CMS is the federal agency within the Department of
Health and Human Services that administers Medicare,
Medicaid, and related programs.
Question 2
Who is generally eligible for Medicare Part A without paying a
premium?
A. Anyone age 55 and older
B. Individuals age 65 and older who have worked and paid
Medicare taxes for at least 40 quarters
C. All U.S. citizens regardless of work history
D. Only low-income individuals
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Answer: B
Rationale: Individuals age 65+ are eligible for premium-free
Part A if they or their spouse paid Medicare taxes for at least 40
quarters (10 years).
Question 3
Medicare Part A primarily covers which of the following?
A. Outpatient prescription drugs
B. Routine dental care
C. Inpatient hospital stays, skilled nursing facility care, hospice,
and some home health
D. Routine eye exams
Answer: C
Rationale: Part A (hospital insurance) covers inpatient hospital
care, skilled nursing facility care, hospice, and some home
health services.
Question 4
Medicare Part B primarily covers which of the following?
A. Inpatient hospital care
B. Outpatient services, physician visits, preventive services, and
durable medical equipment
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C. Long-term custodial care
D. Dental and vision
Answer: B
Rationale: Part B (medical insurance) covers outpatient care,
physician services, preventive services, and DME.
Question 5
What is the Medicare Initial Enrollment Period (IEP)?
A. 3 months before to 3 months after the month you turn 65
B. 6 months after age 65
C. January 1 through March 31 each year
D. Any time after age 65 without penalty
Answer: A
Rationale: The IEP is a 7-month period: 3 months before the
month of turning 65, the month of, and 3 months after.
Question 6
What is the Medicare Annual Enrollment Period (AEP)?
A. July 1 through September 30
B. October 15 through December 7
C. January 1 through March 31
D. April 1 through June 30
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Answer: B
Rationale: AEP runs October 15–December 7 each year, during
which beneficiaries can join or switch Medicare Advantage or
Part D plans.
Question 7
What is the Medicare Advantage Open Enrollment Period (MA
OEP)?
A. January 1 through March 31
B. October 15 through December 7
C. January 1 through March 31 for MA plan members to switch
or return to Original Medicare
D. April 1 through June 30
Answer: C
Rationale: MA OEP runs January 1–March 31, allowing MA plan
members to switch MA plans or return to Original Medicare
once.
Question 8
Which of the following is a Medicare Advantage plan?
A. Original Medicare only
B. Medicare Part D only
C. Medicare Part C (private plans providing Part A and Part B
UHC MEDICARE CERTIFICATION PRACTICE EXAM 2026/2027 Edition | Questions
with Verified Answers & Rationales
Question 1
Which of the following is the federal agency responsible for
administering the Medicare program?
A. Centers for Disease Control and Prevention (CDC)
B. Centers for Medicare & Medicaid Services (CMS)
C. Food and Drug Administration (FDA)
D. Health Resources and Services Administration (HRSA)
Answer: B
Rationale: CMS is the federal agency within the Department of
Health and Human Services that administers Medicare,
Medicaid, and related programs.
Question 2
Who is generally eligible for Medicare Part A without paying a
premium?
A. Anyone age 55 and older
B. Individuals age 65 and older who have worked and paid
Medicare taxes for at least 40 quarters
C. All U.S. citizens regardless of work history
D. Only low-income individuals
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Answer: B
Rationale: Individuals age 65+ are eligible for premium-free
Part A if they or their spouse paid Medicare taxes for at least 40
quarters (10 years).
Question 3
Medicare Part A primarily covers which of the following?
A. Outpatient prescription drugs
B. Routine dental care
C. Inpatient hospital stays, skilled nursing facility care, hospice,
and some home health
D. Routine eye exams
Answer: C
Rationale: Part A (hospital insurance) covers inpatient hospital
care, skilled nursing facility care, hospice, and some home
health services.
Question 4
Medicare Part B primarily covers which of the following?
A. Inpatient hospital care
B. Outpatient services, physician visits, preventive services, and
durable medical equipment
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C. Long-term custodial care
D. Dental and vision
Answer: B
Rationale: Part B (medical insurance) covers outpatient care,
physician services, preventive services, and DME.
Question 5
What is the Medicare Initial Enrollment Period (IEP)?
A. 3 months before to 3 months after the month you turn 65
B. 6 months after age 65
C. January 1 through March 31 each year
D. Any time after age 65 without penalty
Answer: A
Rationale: The IEP is a 7-month period: 3 months before the
month of turning 65, the month of, and 3 months after.
Question 6
What is the Medicare Annual Enrollment Period (AEP)?
A. July 1 through September 30
B. October 15 through December 7
C. January 1 through March 31
D. April 1 through June 30
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Answer: B
Rationale: AEP runs October 15–December 7 each year, during
which beneficiaries can join or switch Medicare Advantage or
Part D plans.
Question 7
What is the Medicare Advantage Open Enrollment Period (MA
OEP)?
A. January 1 through March 31
B. October 15 through December 7
C. January 1 through March 31 for MA plan members to switch
or return to Original Medicare
D. April 1 through June 30
Answer: C
Rationale: MA OEP runs January 1–March 31, allowing MA plan
members to switch MA plans or return to Original Medicare
once.
Question 8
Which of the following is a Medicare Advantage plan?
A. Original Medicare only
B. Medicare Part D only
C. Medicare Part C (private plans providing Part A and Part B
