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Chronic medicine agent for OnePlan Health

The chronic medicine agent for OnePlan Health reminds people to collect chronic medicine and helps with the admin.

Riverside Family ClinicChronic medicine agentWhatsApp
  1. Chronic medicine agent: Hi Johan, 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 guideOnePlan Health
  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 can do with OnePlan Health

  • Explains what the OnePlan Health plan says about chronic medicine and registration
  • 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

Questions

What does the chronic medicine agent do with OnePlan Health?

Explains what the OnePlan Health plan says about chronic medicine and registration.

Is the OnePlan Health connector live?

Yes.

Does the chronic medicine agent change doses?

Never.

Does the agent decide OnePlan Health claims or authorisations?

No.

Does the agent triage or diagnose patients?

No.

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