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Benefits agent for Sizwe Hosmed

The benefits agent for Sizwe Hosmed answers what a member’s plan covers, from the plan guide.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionSizwe Hosmed
  3. 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?
  4. Customer: Yes please.
  5. Found 3 nearbyNearby care finder
Sample conversation. People, brands and figures are made up.

What it can do with Sizwe Hosmed

  • Answers what Sizwe Hosmed plans cover, with the figures for the member’s option
  • Match the member to their Sizwe Hosmed option from the 5 on file (Access, Ascend, Ultimate and 2 more), with their membership number, from a message or a photo of their card
  • Answer general questions about Sizwe Hosmed cover, and send plan-specific ones to the Sizwe Hosmed service line (0860 100 871) 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 Sizwe Hosmed?

Answers what Sizwe Hosmed plans cover, with the figures for the member’s option.

Is the Sizwe Hosmed 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 Sizwe Hosmed 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.