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Benefits agent for SHA Kenya
The benefits agent for SHA Kenya answers what a member’s plan covers, from the plan guide.
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- Customer: Does my plan cover physio?
- Read the plan guide for the member’s optionSHA Kenya
- 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.
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What it can do with SHA Kenya
- Answers what SHA Kenya plans cover, with the figures for the member’s option
- Match the member to their SHA Kenya option from the 1 on file (Social Health Insurance), with their membership number, from a message or a photo of their card
- Answer general questions about SHA Kenya cover, and send plan-specific ones to the SHA Kenya 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 SHA Kenya?
Answers what SHA Kenya plans cover, with the figures for the member’s option.
Is the SHA Kenya 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 SHA Kenya 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.