Benefits agent
The benefits agent is a health AI agent that answers what a member’s medical aid or insurance plan covers from the scheme’s own plan guide, with the figures for their option, and says so plainly when the guide does not answer.
Answers what a member’s plan covers, from the plan guide.
Free to start with 1,000 runs a month, no card needed. Then you pay for what agents do: runs, messages, calls and scans.
- Customer: Does my plan cover physio?
- Read the plan guide for the member’s optionDiscovery Health
- Benefits agent: Your plan guide pays that from your day-to-day benefit, up to its annual limit. From the statement you sent on 3 October, you have about R2,300 left. Want the nearest network options?
- Customer: Yes please.
- Found 3 nearbyNearby care finder
What it does, by business
- Medical aids: answers benefit questions from the scheme’s own guide, day and night
- Health insurers: answers cover questions from your plan documents
- Employers: helps staff understand the medical aid you provide
- Dental practices: explains what the patient’s plan guide says about dentistry before the visit
How the benefits agent works
- Knows the member’s scheme and option.
- Reads the plan guide for the question.
- Answers with the figures for their option, and shows the source.
- Gives the service line when the guide does not answer.
Questions
What is the benefits agent?
The benefits agent is a health AI agent that answers what a member’s medical aid or insurance plan covers from the scheme’s own plan guide, with the figures for their option, and says so plainly when the guide does not answer.
Where do the benefits agent’s answers come from?
From the scheme’s own plan guide for the member’s option, or your own plan documents, with the source shown. When the guide does not answer, it says so and gives the service line.
Does it know a member’s balance?
Only from a statement the member sends, with its date. It never guesses a balance.
What does the benefits agent cost?
Free to start with 1,000 runs a month, no card needed. Then you pay for what agents do: runs, messages, calls and scans.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.