UHC MEDICARE CERTIFICATION
EXAM QUESTIONS AND CORRECT
ANSWERS VERIFIED 2025/2026.
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?
March 1 through July 31
April 1 through October 31
July 1 through December 30
June 1 through July 31 - ANS Not July 1 - Dec 30 - WRONG
April 1 through October 31 - CORRECT
Annual Election Period (AEP) is a time when. . .
Consumers can only disenroll from their Medicare Advantage or Prescription Drug Plan and
return to Original Medicare.
Consumers can only enroll in a Medicare Advantage Plan or switch to a different Medicare
Advantage plan.
Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan.
Only certain Medicare-eligible consumers can make changes. - ANS Consumers can elect to
switch to a different plan or join a Medicare Advantage plan or Prescription Drug Plan.
Which statement regarding Star Ratings is true?
Medicare uses a 5-star rating system to illustrate a plan's performance and quality.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, The agent said that the Star Ratings are based on a plan's performance from two years ago and,
therefore, do not accurately reflect a plan's current value.
Star Ratings are based on a plan's performance from the prior year and, therefore, may not
accurately reflect a plan's current value.
Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a market as
measured by membership and retention rates. - ANS Medicare uses a 5-star rating system to
illustrate a plan's performance and quality.
Which of the following is not considered unsolicited contact with a Medicare eligible consumer
according to CMS regulations and UnitedHealthcare's rules, policies, and procedures?
Emailing a marketing brochure to a consumer whose email address was obtained on a
purchased lead list.
Approaching a consumer in a common area of a senior living complex.
Placing a marketing brochure on the door handle of the consumer's residence.
Mailing a marketing brochure to the consumer via postal mail. - ANS Mailing a marketing
brochure to the consumer via postal mail
What information should be obtained from the consumer when conducting a thorough needs
assessment? (Select 2)
The providers they see and medications they take to determine network and formulary status.
Their current health care coverage, including what they like about it and what they don't.
Their favorite foods and hygiene products to determine if they are covered by a grocery
allowance - ANS The providers they see and medications they take to determine network and
formulary status.
Their current health care coverage, including what they like about it and what they don't.
When completing an enrollment application in LEAN, why is an agent prohibited from entering
his or her own email address in a field available for the consumer's email address?
The enrollment application may be denied.
The consumer/member would not receive plan related correspondence intended for him/her.
The agent may experience commission payment processing issues. - ANS The
consumer/member would not receive plan related correspondence intended for him/her
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM QUESTIONS AND CORRECT
ANSWERS VERIFIED 2025/2026.
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?
March 1 through July 31
April 1 through October 31
July 1 through December 30
June 1 through July 31 - ANS Not July 1 - Dec 30 - WRONG
April 1 through October 31 - CORRECT
Annual Election Period (AEP) is a time when. . .
Consumers can only disenroll from their Medicare Advantage or Prescription Drug Plan and
return to Original Medicare.
Consumers can only enroll in a Medicare Advantage Plan or switch to a different Medicare
Advantage plan.
Consumers can elect to switch to a different plan or join a Medicare Advantage plan or
Prescription Drug Plan.
Only certain Medicare-eligible consumers can make changes. - ANS Consumers can elect to
switch to a different plan or join a Medicare Advantage plan or Prescription Drug Plan.
Which statement regarding Star Ratings is true?
Medicare uses a 5-star rating system to illustrate a plan's performance and quality.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, The agent said that the Star Ratings are based on a plan's performance from two years ago and,
therefore, do not accurately reflect a plan's current value.
Star Ratings are based on a plan's performance from the prior year and, therefore, may not
accurately reflect a plan's current value.
Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a market as
measured by membership and retention rates. - ANS Medicare uses a 5-star rating system to
illustrate a plan's performance and quality.
Which of the following is not considered unsolicited contact with a Medicare eligible consumer
according to CMS regulations and UnitedHealthcare's rules, policies, and procedures?
Emailing a marketing brochure to a consumer whose email address was obtained on a
purchased lead list.
Approaching a consumer in a common area of a senior living complex.
Placing a marketing brochure on the door handle of the consumer's residence.
Mailing a marketing brochure to the consumer via postal mail. - ANS Mailing a marketing
brochure to the consumer via postal mail
What information should be obtained from the consumer when conducting a thorough needs
assessment? (Select 2)
The providers they see and medications they take to determine network and formulary status.
Their current health care coverage, including what they like about it and what they don't.
Their favorite foods and hygiene products to determine if they are covered by a grocery
allowance - ANS The providers they see and medications they take to determine network and
formulary status.
Their current health care coverage, including what they like about it and what they don't.
When completing an enrollment application in LEAN, why is an agent prohibited from entering
his or her own email address in a field available for the consumer's email address?
The enrollment application may be denied.
The consumer/member would not receive plan related correspondence intended for him/her.
The agent may experience commission payment processing issues. - ANS The
consumer/member would not receive plan related correspondence intended for him/her
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
