UHC FAST TRACK CERTIFICATION EXAM 2026 – 200+ PRACTICE QUESTIONS & ANSWERS WITH RATIONALES

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UHC Fast Track Certification EXAM

2026|NEW UPDATE WITH

100Qs&As|GRADED A+

1. Which of the following is a correct statement about in-

network provider services?

 A) HMO Plans cover both in-network and out-of-network

services equally.

 B) HMO Plans generally cover only in-network services;

members typically pay full cost for out-of-network services.

 C) PPO Plans never cover out-of-network services.

 D) All Medicare plans cover out-of-network services without

additional cost.

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Answer: B – HMO Plans generally cover only in-network

services. In most cases, members pay the full cost of any out-of-

network services received, with a few important exceptions.




2. What costs count toward the out-of-pocket maximum for

Medicare Advantage (MA) Plans?

 A) Monthly plan premiums.

 B) Copayments, coinsurance, and deductibles for covered

services.

 C) Over-the-counter medications.

 D) Dental and vision services not included in the plan.

Answer: B – The Out-of-Pocket Maximum includes costs the

member pays for any Medicare-covered Part A or B services but

does not include the cost of any plan premiums.

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3. Which of the following best describes eligibility to enroll in

a stand-alone Prescription Drug Plan (PDP)?

 A) Must be enrolled in Medicare Part C only.

 B) Must be entitled to Part A and/or enrolled in Part B and

reside in the plan service area.

 C) Must have a chronic condition diagnosis.

 D) Must be under age 65.

Answer: B – To enroll in a stand-alone PDP, a consumer must be

entitled to Part A and/or enrolled in Part B and reside in the

plan service area.




4. What is a formulary?

 A) A list of preferred providers in a network.

 B) A list of medications covered within the benefit plan,

based on CMS guidelines.

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 C) A schedule of monthly premiums.

 D) A document outlining appeal rights.

Answer: B – A formulary is a list of medications covered within

the benefit plan, based on CMS guidelines, and developed in

collaboration with providers and pharmacists.




5. Step Therapy, Prior Authorization, Quantity Limit, 7-day

limit, Dispensing Limit and Limited Access are all examples of

what?

 A) Plan enrollment requirements.

 B) Utilization Management Rules.

 C) Medicare Part A benefits.

 D) Preventive care services.