UHC Medicare Certification Exam (2024/2025) | Actual Questions and Answers Latest Updated 2024/2025 (Graded A+)

UHC Medicare Certification Exam (2024/2025) |
Actual Questions and Answers Latest Updated
2024/2025 (Graded A+)


1. Cynthia is turning 65 on July 5. Her Medicare Part A and Part B will be effective ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji




onJuly1.UsingherInitialElectionPeriod(IEP),whencanshesubmit an application
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji




for a Medicare Advantage or Prescription Drug plan?
ji ji ji ji ji ji ji ji




March1 throughJuly 31 ji ji ji ji




April 1 through October 31 ji ji ji ji




July 1 through December 30
ji ji ji ji




June 1 through July 31 ANS:Not July 1 - Dec 30 -WRONG
ji ji ji ji ji ji ji ji ji ji ji ji ji




April 1 through October 31 - CORRECT
ji ji ji ji ji ji




2. Annual Election Period (AEP) is a time when... ji ji ji ji ji ji ji ji ji




ConsumerscanonlydisenrollfromtheirMedicareAdvantageorPrescription Drug ji ji ji ji ji ji ji ji ji ji




Plan and return to Original Medicare.
ji ji ji ji ji ji




Consumers can onlyenroll in a Medicare Advantage Plan or switch toa different ji ji ji ji ji ji ji ji ji ji ji ji ji




Medicare Advantage plan.
ji ji ji




ConsumerscanelecttoswitchtoadifferentplanorjoinaMedicareAdvantage plan o ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji




Prescription Drug Plan.
ji ji ji




Only certain Medicare-eligible consumers can make changes. ANS: Consumers
ji ji ji ji ji ji ji ji




can elect to switch to a different plan or join a Medicare Advantage plan or Prescription
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji




Drug Plan.
ji ji




3. Which statement regarding Star Ratings is true? ji ji ji ji ji ji





ji ji

,Medicare uses a 5-star rating system to illustrate a plan's performance and quality
ji ji ji ji ji ji ji ji ji ji ji ji




The agent said that the Star Ratings are based on a plan's performance from two
ji ji ji ji ji ji ji ji ji ji ji ji ji ji




years ago and,therefore,do not accurately reflect a plan's current value. Star
ji ji ji ji ji ji ji ji ji ji ji ji ji




Ratings are based on a plan's performance from the prior year and, therefore, ma
ji ji ji ji ji ji ji ji ji ji ji ji ji ji




not accurately reflect a plan's current value.
ji ji ji ji ji ji ji




Medicare uses a 5-star rating system to illustrate the plan's relative popularity in a
ji ji ji ji ji ji ji ji ji ji ji ji ji




market as measured by membership and retention rates. ANS: Medicare uses a 5-
ji ji ji ji ji ji ji ji ji ji ji ji ji




star rating system to illustrate a plan's performance and quality.
ji ji ji ji ji ji ji ji ji




4. Which of the following is not considered unsolicited contact with a Medicare
ji ji ji ji ji ji ji ji ji ji ji




eligible consumer according to CMS regulations and UnitedHealthcare's rules,
ji ji ji ji ji ji ji ji ji




policies, and procedures?
ji ji ji




Emailing a marketing brochure to a consumer whose email address was obtained
ji ji ji ji ji ji ji ji ji ji ji




on a purchased lead list.
ji ji ji ji ji




Approaching a consumer in a common area of a senior living complex. ji ji ji ji ji ji ji ji ji ji ji




Placing a marketing brochure on the door handle of the consumer's resi-
ji ji ji ji ji ji ji ji ji ji ji ji




dence.
ji




Mailing a marketing brochure to the consumer via postal mail. ANS:Mailing a
ji ji ji ji ji ji ji ji ji ji ji ji




marketing brochure to the consumer via postal mail
ji ji ji ji ji ji ji ji





ji ji

, 5. What information should be obtained from the consumer when conducting a
ji ji ji ji ji ji ji ji ji ji




thorough needs assessment? (Select 2)
ji ji ji ji ji




The providers they see and medications they take to determine network and
ji ji ji ji ji ji ji ji ji ji ji




formulary status.
ji ji




Their current health care coverage, including what they like about it and what they
ji ji ji ji ji ji ji ji ji ji ji ji ji




don't.
ji




Their favorite foods and hygiene products to determine if they are covered by a
ji ji ji ji ji ji ji ji ji ji ji ji ji




grocery allowance ANS: The providerstheysee and medicationstheytake to determine
ji ji ji ji ji ji ji ji ji ji ji ji ji




network and formulary status.
ji ji ji ji




Theircurrenthealthcarecoverage,includingwhattheylikeaboutitandwhatthey don't.
ji ji ji ji ji ji ji ji ji ji ji ji ji ji




6. When completing an enrollment application in LEAN, why is an agent pro-
ji ji ji ji ji ji ji ji ji ji ji




hibited from entering his or her own email address in a field available for the
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji




consumer's email address?
ji ji ji




The enrollment application may be denied.
ji ji ji ji ji




The consumer/member would not receive plan related correspondence in-
ji ji ji ji ji ji ji ji




tended for him/her.
ji ji ji




Theagentmayexperiencecommissionpaymentprocessingissues. ANS:Thecon-
ji ji ji ji ji ji ji ji ji ji




sumer/memberwouldnotreceiveplanrelatedcorrespondenceintendedforhim/her
ji ji ji ji ji ji ji ji ji ji




7. What is the purpose of the Statement of Understanding?ji ji ji ji ji ji ji ji




It ensures that when consumers sign the Medicare Advantage and/or Part D
ji ji ji ji ji ji ji ji ji ji ji




Enrollment Application,they are acknowledging their understanding of
ji ji ji ji ji ji ji ji




monthly premiums and deductibles.
ji ji ji ji




It ensures that when consumers sign the Medicare Advantage and/or Part D
ji ji ji ji ji ji ji ji ji ji ji




Enrollment Application,they are acknowledging their understanding of
ji ji ji ji ji ji ji ji




standard enrollment and disenrollment procedures.
ji ji ji ji ji




It ensures that when consumers complete the Medicare Advantage and/or Part D
ji ji ji ji ji ji ji ji ji ji ji




Enrollment Application, they are acknowledging their understanding thatthey
ji ji ji ji ji ji ji ji ji




areactuallyenrolling,inwhichplantheyareenrolling,andstandard disclosures.
ji ji ji ji ji ji ji ji ji ji ji ji





jij jij