UHC CERTIFICATION EXAM PREP QUESTIONS
AND ANSWERS 2026 GUARANTEED TO PASS
◉ Which of the following statements is true about a Medicare
Supplement Insurance Plan member who wants to enroll in an MA
Plan?
Answer: Medicare Supplement Insurance cannot be used in
conjunction with an MA Plan; therefore, after receiving confirmation
of enrollment into the MA Plan, the member must cancel their
Medicare Supplement Insurance policy according to their carrier's
rules.
◉ Which of the following best defines Medicare Part D?
Answer: It is a government program, offered only through a private
insurance company or other private company approved by
Medicare, which provides prescription drug coverage.
◉ Which of the following is a fact about Medicare Prescription Drug
Plans?
Answer: To enroll, member must be in plans service area
◉ What are two options for Medicare consumers to get Part D
prescription drug coverage (assuming they meet all eligibility
requirements)? (Select 2)
,Answer: Enroll in a stand-alone Medicare Prescription Drug Plan
(PDP)
Enroll in a Medicare Advantage Plan or other Medicare health plan
that includes prescription drug coverage
◉ Which of the following statements does NOT correctly define
prescription drug stages?
Answer: A deductible is the amount the member must pay for every
prescription medication, regardless of what stage they are in.
◉ Which of these statements is NOT true about the drug utilization
management (UM) rules?
Answer: (INCORRECT) Prior authorization, quantity limit, and step
therapy are some examples of UM rules
◉ What is the amount added to the member's monthly plan
premium if they did NOT enroll in a Medicare Advantage plan with
Part D benefits or stand-alone prescription drug plan when they
were first eligible for Medicare Parts A and/or B or went without
creditable prescription drug coverage for 63 or more continuous
days?
Answer: Late Enrollment Penalty (LEP)
, ◉ Can a consumer who qualifies for Low Income Subsidy receive
financial assistance for their part of Medicare Part D costs?
Answer: Yes, through subsidies such as lower or no monthly plan
premiums and lower or no copayments
◉ Formulary is defined as:
Answer: A list of medications covered within the benefit plan, based
on CMS guidelines and developed in collaboration with physicians
and pharmacists.
◉ Which of the following is true about Medicare Supplement
Insurance underwriting criteria in states where underwriting
applies?
Answer: Underwriting is required if the consumer is not in their
Medicare Supplement Open Enrollment period or does not meet
Guaranteed Issue criteria.
◉ The Medicare Access and CHIP Reauthorization Act of 2015
(MACRA), which went into effect January 1, 2020, applies to all
carriers offering Medicare supplement plans.
Answer: True
◉ Which of the following is NOT true of Medicare Supplement
Insurance Plans?
AND ANSWERS 2026 GUARANTEED TO PASS
◉ Which of the following statements is true about a Medicare
Supplement Insurance Plan member who wants to enroll in an MA
Plan?
Answer: Medicare Supplement Insurance cannot be used in
conjunction with an MA Plan; therefore, after receiving confirmation
of enrollment into the MA Plan, the member must cancel their
Medicare Supplement Insurance policy according to their carrier's
rules.
◉ Which of the following best defines Medicare Part D?
Answer: It is a government program, offered only through a private
insurance company or other private company approved by
Medicare, which provides prescription drug coverage.
◉ Which of the following is a fact about Medicare Prescription Drug
Plans?
Answer: To enroll, member must be in plans service area
◉ What are two options for Medicare consumers to get Part D
prescription drug coverage (assuming they meet all eligibility
requirements)? (Select 2)
,Answer: Enroll in a stand-alone Medicare Prescription Drug Plan
(PDP)
Enroll in a Medicare Advantage Plan or other Medicare health plan
that includes prescription drug coverage
◉ Which of the following statements does NOT correctly define
prescription drug stages?
Answer: A deductible is the amount the member must pay for every
prescription medication, regardless of what stage they are in.
◉ Which of these statements is NOT true about the drug utilization
management (UM) rules?
Answer: (INCORRECT) Prior authorization, quantity limit, and step
therapy are some examples of UM rules
◉ What is the amount added to the member's monthly plan
premium if they did NOT enroll in a Medicare Advantage plan with
Part D benefits or stand-alone prescription drug plan when they
were first eligible for Medicare Parts A and/or B or went without
creditable prescription drug coverage for 63 or more continuous
days?
Answer: Late Enrollment Penalty (LEP)
, ◉ Can a consumer who qualifies for Low Income Subsidy receive
financial assistance for their part of Medicare Part D costs?
Answer: Yes, through subsidies such as lower or no monthly plan
premiums and lower or no copayments
◉ Formulary is defined as:
Answer: A list of medications covered within the benefit plan, based
on CMS guidelines and developed in collaboration with physicians
and pharmacists.
◉ Which of the following is true about Medicare Supplement
Insurance underwriting criteria in states where underwriting
applies?
Answer: Underwriting is required if the consumer is not in their
Medicare Supplement Open Enrollment period or does not meet
Guaranteed Issue criteria.
◉ The Medicare Access and CHIP Reauthorization Act of 2015
(MACRA), which went into effect January 1, 2020, applies to all
carriers offering Medicare supplement plans.
Answer: True
◉ Which of the following is NOT true of Medicare Supplement
Insurance Plans?
