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OnePlan Health for AI agents

The OnePlan Health connector lets Health Loops agents work with OnePlan Health, a health insurer in South Africa.

Start free with this agent

Ridgeway LogisticsBenefits agentWhatsApp

Customer: Does my plan cover physio?
Read the plan guide for the member’s optionOnePlan 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

Sample conversation. People, brands and figures are made up.

What an agent can do with OnePlan Health

Match the member to their OnePlan Health option from the 4 on file (Core, Blue, Professional and 1 more), with their membership number, from a message or a photo of their card
Answer general questions about OnePlan Health cover, and send plan-specific ones to the OnePlan Health service line rather than guess
Read a claims or benefit statement the member sends and explain each line still owed, in plain words
Find network hospitals, clinics and GPs near the member, then give the OnePlan Health service line to confirm before an admission

Tools.

OnePlan HealthLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Health insurance
Options on file (4): Core, Blue, Professional, Executive

Questions

What can an AI agent do with OnePlan Health?

Match the member to their OnePlan Health option from the 4 on file (Core, Blue, Professional and 1 more), with their membership number, from a message or a photo of their card.

Is the OnePlan Health connector live?

Yes.

Which OnePlan Health options does the agent know?

4 options: Core, Blue, Professional, Executive.

Does the agent quote OnePlan Health benefits?

Not from memory.

Does the agent decide OnePlan Health claims or authorisations?

No.

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