1.
2.3. Emergency medical service (EMS) and ambulance response (Europ Assist) require members to contact the 24hr Europ Assistance service centre for authorisation and assistance from the nearest service provider. True or False?
2.
2.4 EMS personnel are available to the Sizwe Hosmed membership 24/7/365 and the emergency contact number is displayed on member’s card.
3.
2.7 How would a member patient receive the request to participate in the VOP survey?
4.
2.5 The back and neck programme will provide a preauthorised managed care treatment plan from Scheme risk for qualifying and enrolled members. Select from the below list a benefit excluded in the treatment plan
5.
2.1 Sizwe Hosmed has extended care coordination initiatives to encompass additional services such as home healthcare through trusted partners. Name these partners
6.
2.6 Sizwe Hosmed has introduced an initiative called VOP – what does this abbreviation stand for?
7.
2.2 Care coordination partners can improve a patient’s outcome and experience because?
1 out of 3
8.
3.4 The brokerage overview reports are available on request from what date of each month
9.
3.2 A Corporate Accounts Manager (CAM) is allocated to employer groups if there are more than 20 memberships in that group
10.
3.5 What three key indicators will reflect on the broker overview reports
11.
3.3 The Scheme provides for employer corporate wellness days to be requested where there is an employer group of more than 50 employees.
12.
3.1 Sizwe Hosmed offers access to walk-in centres nationally and a member may access a centre to request a membership card.
2 out of 3
13.
1.5 Until turning what age (Birth date month) may a child rate be applied provided the relevant annual documents are supplied by members?
14.
1.4 From what age will proof of dependency be required annually to continue paying at the child rate?
15.
1.6 What out-of-hospital benefits are provided for from Scheme risk on the savings plans – Savings plans with a difference
16.
1.7 The Titanium Executive Plan offers an additional Scheme rate of cover for in-hospital procedures. What is the total rate of cover on this plan?
17.
1.8 Identify the plans that provide chronic benefits for additional non-CDL conditions
18.
1.1 How many plans are offered within the Sizwe Hosmed Stable?
19.
1.3 What is the maximum number of child dependants that a member will pay for on all plans?
20.
1.2 Identify the plans that fall within the medium to rich benefit range
3 out of 3
Member Information and Education
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