General Hospital Rolldown

What must hospitals confirm before submitting a request for an individual policy patient?

• Patient's and doctor's cashless eligibility

• Patient's age

• Patient's corporate insurance policy

• Doctor's specialty

Can patient combine their employee benefit and individual benefit policies?

• Yes

• No

What is the co-insurance percentage for SMART Options members at General Panel Hospitals?

• 25%

• 20%

• 15%

• No co-share

What is the purpose of the ceiling price?

• To limit patient admissions

• To reduce doctor fees

• To ensure cost transparency

• To increase hospital charges

What happens if a patient sees a non-participating specialist?

• They receive a discount

• They must pay and file for expenses

• They are automatically covered

• They can request a Guarantee Letter

Are the non-participating specialist available for Employee benefit members?

• Yes

• No

How many days in advance should hospital submit the information for new doctors joining the hospital?

• 90 days

• 7 days

• 15 days

• 30 days

What is the effective date for the new changes in the AIA Panel?

• 1st August 2025

• 1st October 2025

• 1st September 2025

• 1st July 2025

What is the process for a patient who insists on seeing a non-cashless doctor?

• They will receive a discount

• They will be automatically covered

• They will be required to pay and file

• They can request a Guarantee Letter

What is the role of the AIA Clinician Connect?

• To direct GL and claims-related inquiries from specialists

• To manage hospital admissions

• To provide medical advice

• To handle patient complaints