OCC Induction WCP and KZN

Which of the following does not apply to the ATB?

• When in the ATB claims are paid at 100% of the DHR

• When in the ATB limits apply for certain benefits

• The ATB is unlimited on all plans

• The ATB is a Risk Benefit

What is the reimbursement rate for specialist’s accounts in-hospital on the Classic Core plan?

• 100% of the DHR

• 147% of the DHR

• 200% of the DHR

• 247% of the DHR

Which of the below plans do not have a Hospital Network?

• Essential Dynamic Smart Plan

• Classic Smart Comprehensive Plan

• Classic Priority Plan

• Essential Priority Plan

What is the monthly contribution of the premium to the MSA on the Coastal Core plan?

• 0%

• 15%

• 20%

• 25%

Which of the below is not a related account?

• Pathology

• Hospital Account

• Radiology

• Specialist

What is the non-network deductible on the Classic Smart Plan?

• R11 000

• 30% of the hospital account

• R8 400

• There is no deductible

Which of the below plans do not have a Medical Savings Account?

• Executive Plan

• Essential Saver Plan

• Classic Smart Comprehensive Plan

• Classic Priority Plan

What is the co-payment for GP consults on the Essential Smart Plan?

• R55

• R115

• R100

• No co-payment

Which of the below components apply to the Classic Saver Plan?

• Risk

• MSA

• SPG

• ATB

What is a deductible?

• An amount that is paid from the MSA

• An amount that the member is responsible for paying

• An amount that is deducted from the total claimed amount

• An amount that is paid from Risk