Welcome to your Broker Assessment Accreditation Q4 2024

1.11 A co-payment is introduced for non-PMB back and neck surgery on the following plans: Access Core, Gold Ascend and Gold Ascend EDO, Value Platinum, Value Platinum Core and Titanium Executive. What is the amount of the co-payment introduced for 2025?

1.20 In-hospital surgical procedures are covered at 300% of the Scheme rate on the Titanium Executive plan

1.19 Titanium Execute Above Threshold Benefit (ATB) has specific sub-limits, identify these in the below table

1.18 What is the self-payment gap (SPG) amount for a member on Value Platinum Plan

1.17 On Titanium Executive, Advanced/Specialised Radiology has a combined limit of R49,936.95 per family per annum and a R1,653.75 co-payment per scan event except for PMBs.

1.16 On Value Platinum and Value Platinum Core Laparoscopic Hospitalisation and Associated Costs, Procedures done in-hospital with exception of diagnostic Laparoscopy, Aspiration/Excision Ovarian Cyst, Lap-Appendicectomy and repair of recurrent or Bilateral Inguinal Hernias – will attract a co-payment of what amount?

1.15 On Gold Ascend and Gold Ascend EDO, the Acute Medication benefit has a sub-limit introduced for Pharmacy Advice Therapy (PAT) Medication. What is the amount that has been introduced for 2025?

1.14 Members may obtain vitamins from their available Acute Medication benefit True or False?

1.13 Product 2025: A list of deductibles has been implemented on Access Saver Plan?

1.12 Product 2025: A limit is introduced for both male and female sterilisation on plan Access Core. What is the amount of the limit introduced on each for 2025?

1.1 How many plan ranges are offered within the Sizwe Hosmed Stable?

1.10 Members registered on the chronic programme for Diabetes may visit a Clicks Pharmacy and receive information and education on the disease.

1.9 Identify the three 2024 plans that will be rationalised \ merged into the Value Platinum Range and Titanium Executive in 2025?

1.8 Which of the below out-of-hospital benefits are paid from risk on the Access Saver savings plan?

1.7 Can a current member of the Plus plan elect to change options within the Scheme and not be part of the merge into Titanium Executive for 2025?

1.6 Value and Value Core plans (for 2024) will be merged into Value Platinum and Value Platinum Core in 2025.

1.5 Conservative Dentistry and Optometry will be paid from a Member Savings Account (MSA) for plans Value Platinum, Value Platinum Core and Titanium Executive in 2025.

1.4 The income bands on the Essential Copper Plan for 2025 have been removed. The option will no longer be income-based?

1.3 Optical benefit limits for 2025 have been enhanced by 8%, what is the overall percentage increase on other benefits?

1.2 Identify the two starter plans designed for young and healthy individuals.