How to Join?

In order to be a member you must complete the prescribed Application Form. This form must be counter-signed by your department / ministry before submission to the Scheme for processing. The turnaround time for applications is a week after receipt by the administrators (AFA).Doctor

Who is Eligible?

  • Membership is available to ALL Botswana Government employees (Junior and Senior Staff).
  • Dependants of members employed by Botswana Government (wife/Husband and children below the age of 21 years and or a member’s child above 21 years with mental or physical disability or still at school).
  • Pensioners: members who previously have been employed by the Botswana Government are eligible to continue with their membership.
  • Pensioners are required to notify the scheme about their intention to retire and continue with membership upon retirement.
  • Provide changes in details e.g address, banking details.

Membership Card

Members will be issued a card within 14 working days of receipt of a fully completed membership application form. The card will state the effective date. In instances where a member has a medical emergency and they haven’t received their card due to the membership card being delayed or lost in the post, the BPOMAS Client Services office can issue a letter of confirmation of membership and this can be used in place of the card, until a membership card is received.

  • Card is issued to principal member; if member is married two cards will be issued.
  • Additional cards for dependants not living with member are available on written request.
  • Membership cards may only be used by member and their registered dependants.
  • Always present your card to healthcare service providers at all times. Failure to do so may result in 100% payment by you.

Don’t do’s

  • Lend card to relatives and friends
  • Use card to treat extend family members and unregistered dependants. If a member is found to have illegally used card, the scheme will require reimbursement of all funds used in treatment, terminate your membership and take legal action against you.
  • If you cancel your membership you and your dependants should not use the card. Claims submitted after you have cancelled your membership will not be paid by BPOMAS.
  • If your dependant resigns from the Scheme they may not use the card after the resignation date.
  • Certificates of membership are available once a member terminates membership from BPOMAS.
  • ALWAYS KEEP YOUR CARD SAFE AND REPORT LOST CARDS!

Waiting periods

There are ONLY Four (4) applicable waiting periods for new members:

  • Maternity - 9 months
  • Specialised/Limited dentistry - 12 months
  • Pre-existing conditions- 36 months.
  • Infants not registered within 30 days of birth - 3 months

However the waiting periods do not apply to anyone who has been a registered member or dependant of a recognised medical aid Scheme for a continuous period of at least one (1) year and the application to join BPOMAS is made within three (3) months of termination with previous medical aid provider.