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Benefits agent for Affinity Health
The benefits agent for Affinity Health answers what a member’s plan covers, from the plan guide.
Ridgeway LogisticsBenefits agentWhatsApp
- Customer: Does my plan cover physio?
- Read the plan guide for the member’s optionAffinity 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 can do with Affinity Health
- Answers what Affinity Health plans cover, with the figures for the member’s option
- Match the member to their Affinity Health option from the 3 on file (Day-to-Day, Hospital and Combined), with their membership number, from a message or a photo of their card
- Answer general questions about Affinity Health cover, and send plan-specific ones to the Affinity Health service line rather than guess
- Read a claims or benefit statement the member sends and explain each line still owed, in plain words
Questions
What does the benefits agent do with Affinity Health?
Answers what Affinity Health plans cover, with the figures for the member’s option.
Is the Affinity Health connector live?
Yes.
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.
Does the agent decide Affinity Health claims or authorisations?
No.
Can HR see what staff say to the agent?
No.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.