Pulamed is a Fund registered in terms of Notarial Deed of Trust: MA 22/91 and was subsequently re-registered under the Trust Property Control Act (2018) bearing Trust No: TUHGB-000071-20. It is a not-for-profit open medical aid scheme, registered as a Trust and regulated by the Non-Bank Financial Institutions Regulatory Authority (NBFIRA). Any member of the public can join the medical aid subject to the Fund Rules.
Pulamed’s purpose is to provide ease of access to affordable, equitable and high-quality healthcare to our members through innovative means. The Fund belongs to its members and an independent Board of Trustees oversees its activities. The Fund outsources its administration, managed care, and health risk management to specialised independent service providers. Pulamed is the second largest open medical scheme in Botswana covering 22,259 Principal Members with 55,667 total lives covered.
Our value proposition to our members is access to affordable quality healthcare as espoused in our key strategic priorities of smart product offerings, managing costs, and leveraging ICT. The Fund derives its income from member contributions and returns on investments. In setting member contributions, the Fund tries to ensure that there is sufficient contributions income to pay all claims with a little surplus to add to reserves to cushion future unexpected cost increases. The remainder of the income is used to fund administration, health risk management and managed care costs.
Pulamed Benefit Options
We offer the following benefit options to members during the period under review. Members are liable for 10% co-payment for out of hospital benefits and the Fund pays VAT on behalf of Members and their dependants*. The Fund has removed the 10% co-payment for in-hospital expenses
Values
- Agility
- Compassion
- Innovation
- Integrity
- Transparency
