UHC CERTIFICATION EXAM SCRIPT 2026
COMPLETE QUESTIONS AND ANSWERS
ALREADY PASSED
◉ When a member is enrolled in a MA plan, they are automatically
disenrolled from any other MA plan or PDP( prescription drug plan)
in which they are enrolled as of the new plans_____?
Answer: effective date
◉ An exception exisits for MA-only PFFS plans as a member can also
be enrolled in a what?
Answer: Stand alone PDP
◉ If a member enrolls in a MA plan, what must the member do?
Answer: Cancel in writing their medicare supplement insurance
policy with the carrier after their request to enroll in MA plan has
been approved.
◉ Medicare supplement insurance policies cannot be used in
conjunction with what type of plan?
Answer: MA plan
,◉ A medicare supplement insurance plan helps to cover some of the
OOP costs associated with?
Answer: original medicare.
◉ A medicare supplement insurance plan does NOT pay the cost-
sharing of what type of plan?
Answer: MA plan
◉ when a client enrolls in a MA plan, will it automatically terminate
their MA plan?
Answer: NO
◉ Can a customer call to terminate their Med Sup plan?
Answer: no it must be done in writing
◉ What are the different types of MA plans?
Answer: HMO, POS, PPO, RPPO, PFFS, SNP, and MSA
◉ For an HMO, they customer must us IN network providers, what
are the exceptions to their rule?
Answer: Emergencies, Urgent care, and renal dialysis services.
, ◉ In a HMO plan, does a member have to choose a PCP? and do they
require referrals to see a specialist?
Answer: Yes
◉ In a POS plan, does a member need a referral from their PCP to
see a specialist?
Answer: yes
◉ Can a member with a POS plan see a specialist?
Answer: Yes, but they may have to pay a higher cost, and there
coverage limits
◉ With a PFFS plan, can a member seek treatment from any
medicare eligible provider who agrees to accept the plans conditions
and payment rates?
Answer: Yes
◉ Does a PCP need to be selected with a PFFS plan?
Answer: No
◉ What is the only plan to offer non-network PFFS plans?
Answer: UHC
COMPLETE QUESTIONS AND ANSWERS
ALREADY PASSED
◉ When a member is enrolled in a MA plan, they are automatically
disenrolled from any other MA plan or PDP( prescription drug plan)
in which they are enrolled as of the new plans_____?
Answer: effective date
◉ An exception exisits for MA-only PFFS plans as a member can also
be enrolled in a what?
Answer: Stand alone PDP
◉ If a member enrolls in a MA plan, what must the member do?
Answer: Cancel in writing their medicare supplement insurance
policy with the carrier after their request to enroll in MA plan has
been approved.
◉ Medicare supplement insurance policies cannot be used in
conjunction with what type of plan?
Answer: MA plan
,◉ A medicare supplement insurance plan helps to cover some of the
OOP costs associated with?
Answer: original medicare.
◉ A medicare supplement insurance plan does NOT pay the cost-
sharing of what type of plan?
Answer: MA plan
◉ when a client enrolls in a MA plan, will it automatically terminate
their MA plan?
Answer: NO
◉ Can a customer call to terminate their Med Sup plan?
Answer: no it must be done in writing
◉ What are the different types of MA plans?
Answer: HMO, POS, PPO, RPPO, PFFS, SNP, and MSA
◉ For an HMO, they customer must us IN network providers, what
are the exceptions to their rule?
Answer: Emergencies, Urgent care, and renal dialysis services.
, ◉ In a HMO plan, does a member have to choose a PCP? and do they
require referrals to see a specialist?
Answer: Yes
◉ In a POS plan, does a member need a referral from their PCP to
see a specialist?
Answer: yes
◉ Can a member with a POS plan see a specialist?
Answer: Yes, but they may have to pay a higher cost, and there
coverage limits
◉ With a PFFS plan, can a member seek treatment from any
medicare eligible provider who agrees to accept the plans conditions
and payment rates?
Answer: Yes
◉ Does a PCP need to be selected with a PFFS plan?
Answer: No
◉ What is the only plan to offer non-network PFFS plans?
Answer: UHC
