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Frequently Asked Questions

   
         
 

Q. I am unemployed but able to make a living from my farm. Can I join BOMaid as an individual?

A. Yes, you can join BOMaid as an individual. Individuals who wish to subscribe directly with the Society, in their individual capacity, can do so through Schemes DS and DH.

Q. I have opened my own company and would like to register membership under it. What is the minimum number of members allowed under a company?

A. There is no minimum to the number of people that can be registered on a company. Your company can continuously add new members as it continues to grow.

Q. Why are the dependents terminated after the age of 21?

A. Dependants are only allowed under their parents schemes up to the age of twenty-one. This is the age when children now grow into adulthood and may now be joining the world of work and therefore becoming independent. However if your children are still schooling or going for tertiary education you are required to provide the Society with a letter certifying that indeed they are students. They will then continue under their parents’ schemes as tertiary dependants until they are 25 years of age, at which point they are terminated automatically. Alternatively they can move to any of the individual schemes DS or DH. The above condition is in exception of medically challenged dependants whose cases are assessed individually.

Q. I am due to retire this year and have been a BOMaid member through my company. Can I still continue as a member being a pensioner?

A. An employee retiring from a Constituent Body on pension (normal retirement age 65 years) or who terminates his employment on account of early retirement due to ill health (age 55) and who has at the date of retirement paid subscriptions to the Society for a minimum period of ten years shall have the option at the date of retirement of applying for pension membership of the Society.

Q. I would like to apply for membership for my mother who is sixty-five years old. Will she be eligible for cover and what do I need to do to get her registered on the scheme?

A. Yes, it is possible to apply for medical cover for your parents. All you have to do is complete application forms for them.

Q. I am leaving my current employer at the end of the month but have not found a new job as yet. I would like to continue paying for my membership on my own until I find a new job, is this possible?

A. Yes, continuation of membership is available for members in your situation. However, It is important to notify us of your new particulars as soon as possible as well as to ensure that you subscription payments do not elapse.

Q. I am a single gentleman who recently had a baby boy with my long time girlfriend. Can he be registered as my dependant?

A. Absolutely! Any male applicant or male member wishing to register children born out of wedlock can simply attach an affidavit certified by the police for that child to the additional member application form (B3).

Q. I have been to a Chiropractor and have settled the bill. How do I get my money back?

A. In order for you to be reimbursed you need to present original receipts and invoices from the service provider and within four months form the treatment date.

Q. I will be leaving for South Africa next month for an operation. Can I get a letter of guarantee from BOMaid that the claims will be paid.

A. BOMaid will guarantee payment for in-patient hospitalization in foreign hospitals once the hospital guarantee request is received as per our arrangements with the hospital. The hospital communicates with BOMaid at the time of admission of the patient.Members have to ensure before leaving that their membership is up to date in terms of subscription payments as well as check benefit availability so that they have clear indications of what their liability to the hospital may be depending on the hospital charges.

Q. I always have problems making claims for my clinical psychology claims. BOMaid asks for a doctors diagnostic report, referral letter to the psychologist and a psychologist report-why is this so?

A. BOMaid cover for clinical psychology as well as other types of therapy allowed on your benefits is limited to treatments motivated by medical conditions. The medical reports are used to facilitate your claim assessesment.

Q. Why do I have to pay VAT, it increases my bill.

A. Value added tax is a consumption tax that every citizen has to pay. Your medical aid is however, extremely concerned with the effect of VAT on the long-term delivery cost of general healthcare. This in particular in the context of our national vision 2016 which advocates for all Batswana to have access to good quality health facilities. In the meantime BOMaid’s management believes that some assistance is required in one way or another. The society is confident that with ongoing discussions between the medical aid industry and the Ministry responsible for the policy, there may be some positive outcomes in the near future.

 


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