2025 UHC United Healthcare Certifications
Actual Test With 100% Verified Answers &
Explanations
What program is available to support members of a C-SNP and D-SNP who may have
unique health care needs?
A care management program that varies depending upon the level of the member's
health risk
It is very important for consumers enrolling in a C-SNP to know the following about
accessing providers:
Some C-SNPs are Preferred Provider Organization (PPO) or Point of Service (POS) Plans
that allow members to see out-of-network providers for covered services, generally
with higher cost-sharing.
Which statement is true about the Medicaid program?
Benefits vary from state to state.
You must advise Full Dual-Eligible consumers enrolling in a D-SNP that:
Generally, they are not required to pay copayments for Medicare-covered services
received from a D-SNP in-network provider if they are Full Dual-Eligible in the state in
which they live.
How long do plans that use the C-SNP pre-enrollment verification process have to
verify the qualifying chronic condition until they must deny the enrollment request?
Within 21 days of the request for additional information or the end of the month in
which the enrollment request is made (whichever is longer)
, A D-SNP member loses his eligibility due to a change or loss of Medicaid status. What
cost-sharing is he responsible for while in the grace period?
Loss of Medicaid eligibility generally means the member will have to pay premiums,
deductibles, copayments, and coinsurance during the grace period.
On October 20, Aries decides talks with an agent to switch his PDP that he has had
since January 1 to a Medicare Advantage plan. What election period will Aries need to
use (if eligible) to get a November 1 effective date?
He can use a Special Election Period (SEP) if he qualifies for one.
Which election periods apply to the UHC SCO? (select all that apply)
1. Medicare Initial Enrollment Period
2. Medicare Advantage Open Enrollment Period (MA OEP)
3. SEP - Integrated Care once per month throughout the year
4. Annual Election Period (AEP)
What sales support tools are available to agents for questions about SCO related
materials?
1. UHC Agent Toolkit
2. Producer Help Desk
3. JarvisWrap
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on
July 1. Using her Initial Election Period (IEP), when can she submit an application for
a Medicare Advantage or Prescription Drug Plan?
April 1 through October 31
Actual Test With 100% Verified Answers &
Explanations
What program is available to support members of a C-SNP and D-SNP who may have
unique health care needs?
A care management program that varies depending upon the level of the member's
health risk
It is very important for consumers enrolling in a C-SNP to know the following about
accessing providers:
Some C-SNPs are Preferred Provider Organization (PPO) or Point of Service (POS) Plans
that allow members to see out-of-network providers for covered services, generally
with higher cost-sharing.
Which statement is true about the Medicaid program?
Benefits vary from state to state.
You must advise Full Dual-Eligible consumers enrolling in a D-SNP that:
Generally, they are not required to pay copayments for Medicare-covered services
received from a D-SNP in-network provider if they are Full Dual-Eligible in the state in
which they live.
How long do plans that use the C-SNP pre-enrollment verification process have to
verify the qualifying chronic condition until they must deny the enrollment request?
Within 21 days of the request for additional information or the end of the month in
which the enrollment request is made (whichever is longer)
, A D-SNP member loses his eligibility due to a change or loss of Medicaid status. What
cost-sharing is he responsible for while in the grace period?
Loss of Medicaid eligibility generally means the member will have to pay premiums,
deductibles, copayments, and coinsurance during the grace period.
On October 20, Aries decides talks with an agent to switch his PDP that he has had
since January 1 to a Medicare Advantage plan. What election period will Aries need to
use (if eligible) to get a November 1 effective date?
He can use a Special Election Period (SEP) if he qualifies for one.
Which election periods apply to the UHC SCO? (select all that apply)
1. Medicare Initial Enrollment Period
2. Medicare Advantage Open Enrollment Period (MA OEP)
3. SEP - Integrated Care once per month throughout the year
4. Annual Election Period (AEP)
What sales support tools are available to agents for questions about SCO related
materials?
1. UHC Agent Toolkit
2. Producer Help Desk
3. JarvisWrap
Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective on
July 1. Using her Initial Election Period (IEP), when can she submit an application for
a Medicare Advantage or Prescription Drug Plan?
April 1 through October 31
