UHC CERTIFICATION PAPER 2026 FULL
SOLUTION GRADED A+
● Answer: The consumer must be in a valid MA election or
disenrollment period.
● Which of the following consumers would be eligible for Medicare?
Answer: Consumers age 65 or older, consumers under 65 years of age
with certain disabilities for more than 24 months and consumers of all
ages with ESRD or ALS
● Which of the following defines a Medicare Advantage (MA) Plan?
Answer: MA Plans are health plan options approved by Medicare and
offered by private insurance companies.
● Janice wants to enroll in a 2021 Medicare Advantage plan. What
eligibility requirements must she meet? (Select the two answers that
apply.) Answer: Not have End Stage Renal Disease (permanent kidney
failure)Reside in the plan's service area
● What must be explained to consumers enrolling in an HMO (Health
Maintenance Organization) MA Plan? (Select 3) Answer:
, ● Which of the following are MA Plans that focus on using network
providers to maximize the benefits and reduce out-of-network expenses?
Answer: HMO, POS, PPO
● Which is true about Medicare Supplement Open Enrollment? Answer:
By federal law, Medicare Supplement Open Enrollment is the first 6
months a consumer is 65 or older and enrolled in Medicare Part B.
● How does the Medicare Advantage Out-of-Pocket (OOP) maximum
work? Answer: The OOP maximum is a feature that limits the amount of
money a consumer will have to spend on Medicare-covered health care
services each year.
● A consumer currently has Original Medicare and is enrolled in a
stand-alone Prescription Drug Plan (PDP). What will happen if the
consumer enrolls in an MA Plan that has integrated prescription drug
coverage? Answer: The consumer will be automatically disenrolled from
their stand-alone PDP upon enrollment in the MA Plan that has
integrated prescription drug coverage
● A government program, offered only through a private insurance
company or other private company approved by Medicare, that provides
prescription drug coverage describes which of the following: Answer:
Medicare Parts A and B
SOLUTION GRADED A+
● Answer: The consumer must be in a valid MA election or
disenrollment period.
● Which of the following consumers would be eligible for Medicare?
Answer: Consumers age 65 or older, consumers under 65 years of age
with certain disabilities for more than 24 months and consumers of all
ages with ESRD or ALS
● Which of the following defines a Medicare Advantage (MA) Plan?
Answer: MA Plans are health plan options approved by Medicare and
offered by private insurance companies.
● Janice wants to enroll in a 2021 Medicare Advantage plan. What
eligibility requirements must she meet? (Select the two answers that
apply.) Answer: Not have End Stage Renal Disease (permanent kidney
failure)Reside in the plan's service area
● What must be explained to consumers enrolling in an HMO (Health
Maintenance Organization) MA Plan? (Select 3) Answer:
, ● Which of the following are MA Plans that focus on using network
providers to maximize the benefits and reduce out-of-network expenses?
Answer: HMO, POS, PPO
● Which is true about Medicare Supplement Open Enrollment? Answer:
By federal law, Medicare Supplement Open Enrollment is the first 6
months a consumer is 65 or older and enrolled in Medicare Part B.
● How does the Medicare Advantage Out-of-Pocket (OOP) maximum
work? Answer: The OOP maximum is a feature that limits the amount of
money a consumer will have to spend on Medicare-covered health care
services each year.
● A consumer currently has Original Medicare and is enrolled in a
stand-alone Prescription Drug Plan (PDP). What will happen if the
consumer enrolls in an MA Plan that has integrated prescription drug
coverage? Answer: The consumer will be automatically disenrolled from
their stand-alone PDP upon enrollment in the MA Plan that has
integrated prescription drug coverage
● A government program, offered only through a private insurance
company or other private company approved by Medicare, that provides
prescription drug coverage describes which of the following: Answer:
Medicare Parts A and B
