UHC - UNITED HEALTHCARE - 2026
CERTIFICATIONS QUESTIONS AND
ANSWERS 100% PASS
1. Consumer John provides his cell phone number on agent Mark's Permission to
Contact (PTC) mechanism and indicates he wants to be called as a means of contact.
What does that mean? (select all that apply)
Answer: 1.Agent Mark may only call John, not text him.
2. Agent Mark may only speak to John, the person who provided the PTC.
2. Agent Charlie receives a Business Reply Card from consumer Rebecca. Rebec- ca
has provided her email address only and wants information about stand- alone
Prescription Drug Plans. What can Charlie do?
Answer: Charlie may only email Rebecca marketing material related to Prescription Drug Plans.
3. From the list below, select the items that should be confirmed or obtained when
conducting a thorough needs assessment. (select all that apply)
,Answer: 1. Eligibility
2. Current coverage
3. Current providers
4. Current prescription medications
5. Daily living needs such as transportation, fitness, travel
6. Other wish list items such as network restrictions, premium amounts, national network needs
4. Match the election period to the correct definition.
Answer: 1. MA-OEP: Consumers can switch or disenroll from their MA Plan & obtain Original Medicare
2. IEP: Newly eligible consumers can enroll 3 months prior, month of, & 3 months after turning 65
3. AEP: Annual period when any Medicare consumer can enroll in or disenroll from an MA or PDP
4. SEP: Opportunity to change plans for specific scenarios such as newly dual-eligible (Medicare and Medicaid) or new
chronic condition
5. 5-star: One-time opportunity to enroll in a plan with a 5 star rating (if available)
5. What should you do if the consumer is interested in an MA Plan that has a 2-
star rating?
Answer: You should inform the consumer that the plan has received a "below average" rating.
6. A member can voluntarily disenroll from an MA Plan or PDP or they can be
involuntarily disenrolled by the plan. Select the reasons below for involuntary
, disenrollment. (select all that apply): 1. Member moves out of the plan's service area
2. Member loses entitlement to either Part A or Part B
7. Can you identify these terms associated with enrollment and disenrollment
basics? Read each statement and then drag the matching term to the state- ment.
Answer 1. Appeal: Action members take if they disagree with coverage or payment decision
CERTIFICATIONS QUESTIONS AND
ANSWERS 100% PASS
1. Consumer John provides his cell phone number on agent Mark's Permission to
Contact (PTC) mechanism and indicates he wants to be called as a means of contact.
What does that mean? (select all that apply)
Answer: 1.Agent Mark may only call John, not text him.
2. Agent Mark may only speak to John, the person who provided the PTC.
2. Agent Charlie receives a Business Reply Card from consumer Rebecca. Rebec- ca
has provided her email address only and wants information about stand- alone
Prescription Drug Plans. What can Charlie do?
Answer: Charlie may only email Rebecca marketing material related to Prescription Drug Plans.
3. From the list below, select the items that should be confirmed or obtained when
conducting a thorough needs assessment. (select all that apply)
,Answer: 1. Eligibility
2. Current coverage
3. Current providers
4. Current prescription medications
5. Daily living needs such as transportation, fitness, travel
6. Other wish list items such as network restrictions, premium amounts, national network needs
4. Match the election period to the correct definition.
Answer: 1. MA-OEP: Consumers can switch or disenroll from their MA Plan & obtain Original Medicare
2. IEP: Newly eligible consumers can enroll 3 months prior, month of, & 3 months after turning 65
3. AEP: Annual period when any Medicare consumer can enroll in or disenroll from an MA or PDP
4. SEP: Opportunity to change plans for specific scenarios such as newly dual-eligible (Medicare and Medicaid) or new
chronic condition
5. 5-star: One-time opportunity to enroll in a plan with a 5 star rating (if available)
5. What should you do if the consumer is interested in an MA Plan that has a 2-
star rating?
Answer: You should inform the consumer that the plan has received a "below average" rating.
6. A member can voluntarily disenroll from an MA Plan or PDP or they can be
involuntarily disenrolled by the plan. Select the reasons below for involuntary
, disenrollment. (select all that apply): 1. Member moves out of the plan's service area
2. Member loses entitlement to either Part A or Part B
7. Can you identify these terms associated with enrollment and disenrollment
basics? Read each statement and then drag the matching term to the state- ment.
Answer 1. Appeal: Action members take if they disagree with coverage or payment decision
