Broker Accreditation Assessment Q3 2024

Welcome to your Broker Accreditation Assessment Q3 2024

1.1 How many plans are offered within the Sizwe Hosmed Stable?

A: 5

B: 7

C: 11

None

1.2 Identify the plans that fall within the medium to rich benefit range

A: Value & Value Core EDO, Gold Ascend & EDO, Access Saver

B: Access Core, Gold Ascend & EDO, Platinum Enhanced & EDO

C: Plus, Value & Value Core EDO, Essential Copper

None

1.3 What is the maximum number of child dependants that a member will pay for on all plans?

A: 3

B: 2

C: All child dependents

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1.4 From what age will proof of dependency be required annually to continue paying at the child rate?

A: 18

B: 21

C: 16

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1.5 Until turning what age (Birth date month) may a child rate be applied provided the relevant annual documents are supplied by members?

A: 18

B: 22

C: 26

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1.6 What out-of-hospital benefits are provided for from Scheme risk on the savings plans – Savings plans with a difference

A: GP Consultations, Pathology

B: Optical, Conservative Dentistry

C: Optical, Specialists

None

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?

A: 300%

B: 100%

C: 200%

None

1.8 Identify the plans that provide chronic benefits for additional non-CDL conditions

A: Essential Copper, Gold Ascend & EDO, Access Saver

B: Access Core, Gold Ascend & EDO, Access Saver

C: Plus, Value & Value Core EDO, Platinum Enhanced & EDO

None

2.1 Sizwe Hosmed has extended care coordination initiatives to encompass additional services such as home healthcare through trusted partners. Name these partners

A: Cure Vida, Quro Medical, Global Case Management

B: Hospital Management, Global Case Management, Isoleso

C: PMB Management, Quro Medical, GP Network

None

2.2 Care coordination partners can improve a patient’s outcome and experience because?

A: A patient can recuperate in the warmth and familiarity of their own home, with support from loved ones., There is a decreased risk of hospital-related infections

B: They drive the ambulance to collect a person

C: There are no available beds in the hospital

None

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?

A: True

B: False

None

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.

A: True

B: False

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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

A: Biokinetics

B: X-rays

C: Physiotherapy

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2.6 Sizwe Hosmed has introduced an initiative called VOP – what does this abbreviation stand for?

A: Verified Out Patients

B: Voice of the Provider

C: Voice of the Patient

None

3.1 Sizwe Hosmed offers access to walk-in centres nationally and a member may access a centre to request a membership card.

A: True

b: False

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3.2 A Corporate Accounts Manager (CAM) is allocated to employer groups if there are more than 20 memberships in that group

A: True

B: False

None

3.3 The Scheme provides for employer corporate wellness days to be requested where there is an employer group of more than 50 employees.

A: True

B: False

None

3.4 The brokerage overview reports are available on request from what date of each month

A: 1ST

B: 25TH

C: 18TH

None

3.5 What three key indicators will reflect on the broker overview reports

A: A List of client names, Broker Contract Details, Number of Members

B: Membership plan distribution, Average age, CVB Ratio

C: Regional membership, A list of client names, Option change listing

None

2.7 How would a member patient receive the request to participate in the VOP survey?

A: Via a Phone Call

B: Via an E-Mail link

C: Via a Face to Face or teams meeting request

None

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