Hospital Plan - Quiz
Does the Hopital Plan cover regular GP visits?
Yes, as long as the GP is on the network.
No, the Hopital Plan covers in hospital needs only.
Only if your GP works at a hospital.
Yes as long as you get Pre-Authorization.
Can members be covered in any hospital?
Yes if they go outside of business hours.
No, only Life hospitals.
Yes but they need to pay the admission fees.
Yes members are covered by any Private or Semi Private hospital that accepts our GOP.
Does the Accident Hospital Cover benefit cover car accidents only?
No the Accident Hopsital Cover covers any unplanned physical injuries.
Yes only if it involves a taxi.
Yes only if the driver has a valid SA drivers license.
No the Accident Hospital Cover only covers accidents that are caused by hospital staff.
Is the Serious Illness Hospital Benefit available to everyone?
No its only available for people who already have cancer or heart conditions.
Yes even to people who are not members of Affinity Health.
Only with the main members.
The Serious Illness Hospital Benefit is available on Standard & Junior Hospital Plans only.
Does the Major Trauma benefit give members R 1 100 000 annually?
Yes members get R 1.1 Million every year for severe injuries.
The members have to pay R 1.1 Million first before Major Trauma events get covered.
The Major Trauma benefit only pays out a maximum of R 300 000 per event, the benefit is a once off amount set for the life span of the policy.
Yes but only if its due to an illness.
Does the Maternity benefit cover Home Births only?
The Maternity benefit covers Natural, Home, Water Births and C-sections.
Yes but only if the home is less than a kilometer from the hospital
Yes so long as a relative is part of the birthing team.
No, this is only if the baby is born before the date of expectancy.
Does the Workmen’s Compensation benefit only cover members who are part of a union?
Yes all members must be employed and be part of a union.
No any member who is employed can access the Workmen’s Compensation benefit.
Only members who work in construction can access this benefit.
No all members need to do is get Pre-Authorization.
The Day Clinic Procedures benefit is only for procedures that are performed during the night?
The benefit is available for people who stay indoors most of time.
Yes and this can be done at any clinic
The Day Clinic Procedures benefit is for slightly minor procedure where the member often leaves the same day.
Yes from 18:00 - 23:00
Can you get covered by the Diagnostic Procedures benefit as a replacement for the In-Room GP Procedures benefit?
Yes you can.
Yes but only on the Combined Plan.
No but you can visit a GP.
No the Diagnostic Procedures benefit is to cover the costs of Diagnostic Procedures that are performed in hospital.
Are the Intensive Care Benefit & Hospital Accident Booster are manditory benefits?
Yes they are all members need to pay extra for them.
No these are optional benefits that are available at an extra cost to the member.
Only one of the two is mandatory.
These are not optional benefits but rather seperate cheaper plans.
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