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Chronic medicine agent for health insurers

A ready-made Health Loops agent that reminds members to collect, and explains the chronic benefit on their plan.

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Harbour Health CoverChronic medicine agentWhatsApp
  1. Chronic medicine agent: Hi Grace, your chronic medicine is due on Thursday. Shall I ask the pharmacy to get it ready?
  2. Customer: Yes. And is it still paid by my medical aid?
  3. Read the chronic medicine section of the plan guideBupa
  4. Chronic medicine agent: Your plan guide says registered chronic medicine is paid from the chronic benefit, and a network pharmacy avoids a co-payment. Your scheme confirms the final amount.
  5. Repeat request sentPharmacy
Sample conversation. People, brands and figures are made up.

What it does with your systems

  • Explains what the Bupa plan says about chronic medicine and registration
  • Sends collection reminders on WhatsApp
  • Answers label questions about a chronic medicine from Medicine reference
  • Shows the published price of a chronic medicine and its generics

Tools.

BupaLiveWhatsAppLiveMedicine referenceLiveSouth African medicine pricesLiveDiscovery HealthLiveAXA HealthLive

Questions

What is a chronic medicine agent for health insurers?

A ready-made Health Loops agent that reminds members to collect, and explains the chronic benefit on their plan.

Does the chronic medicine agent change doses?

Never.

Where do the benefit answers come from?

From the scheme’s own plan guide where Ollie has it indexed, or your own plan documents, with the source shown.

Are scan results or chats used to price cover?

No.

Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.

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