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STANDARD OPTION | DE-LUXE OPTION

This Option offers a comprehensive cover of P 800 000 in benefits per family per financial year.

The cover is split into two: P 300 000 Annual Basic Limit & P 500 000 Dread Disease Cover

The Dread Disease benefit covers hospitalization and maintenance treatment. Diseases covered include the following; cancer, heart attack, coronary heart disease, kidney failure, organ transplant, paraplegia (loss of use of the lower limbs), blindness, multiple sclerosis (disease of the central nervous system), stroke and road traffic accidents. The following are the contributions for the De-Luxe Option;

deluxe card

Current Deluxe Option Contribution Tables (Effective 01 July 2007)

Stratum 1: (applicable to companies with 1 - 10 members)

Basic Pay Income
Category
Class Beneficiaries

 

 

00

01
02

03

04

P

P

P
P

P

P

0 < 1000

100

325

489
574

653

736

1001 < 2000

200
408
653
779
904
1025
2001 < 3000
300
489
819
986
1149
1275
3001 < xxxx
999
576
986
1191
1393
1521
Key: 00 = single member, 01 = Member plus 1 dependant, 02 = Member plus 2 dependants and so on

Stratum 2: (applicable to companies with 11 - 39 members)
Basic Pay Income
Category
Class Beneficiaries

 

 

00

01
02

03

04

P

P

P
P

P

P

0 < 1000

100

270

406
475

540

609

1001 < 2000

200
338
540
645
747
848
2001 < 3000
300
406
678
816
950
1055
3001 < xxxx
999
476
816
985
1153
1258
Key: 00 = single member, 01 = Member plus 1 dependant, 02 = Member plus 2 dependants and so on

Stratum 3: (applicable to companies with 40 - 74 members)
Basic Pay Income
Category
Class Beneficiaries

 

 

00

01
02

03

04

P

P

P
P

P

P

0 < 1000

100

258

389
455

517

584

1001 < 2000

200
324
517
617
717
813
2001 < 3000
300
388
648
783
912
1010
3001 < xxxx
999
456
783
944
1105
1206
Key: 00 = single member, 01 = Member plus 1 dependant, 02 = Member plus 2 dependants and so on

Stratum 4: (applicable to companies with 75 - 99 members)
Basic Pay Income
Category
Class Beneficiaries

 

 

00

01
02

03

04

P

P

P
P

P

P

0 < 1000

100

245

369
434

493

555

1001 < 2000

200
308
493
587
681
772
2001 < 3000
300
369
617
743
866
960
3001 < xxxx
999
435
743
897
1050
1145
Key: 00 = single member, 01 = Member plus 1 dependant, 02 = Member plus 2 dependants and so on

Stratum 5: (applicable to companies with 100 or more members)
Basic Pay Income
Category
Class Beneficiaries

 

 

00

01
02

03

04

P

P

P
P

P

P

0 < 1000

100

190

286
336

355

430

1001 < 2000

200
239
382
455
527
598
2001 < 3000
300
286
477
576
672
744
3001 < xxxx
999
336
576
695
814
888
Key: 00 = single member, 01 = Member plus 1 dependant, 02 = Member plus 2 dependants and so on

Funeral Benefits
Members and their dependants are entitled to the Fund’s agreed funeral benefits which are payable to a member, a surviving spouse or some other nominees as certified by Tribal Authority, District Commissioner or a similar authority. Members are required to submit notice of death within six months of the occurrence of death. Any of the following documents is required to facilitate processing of the claim; a) Death certificate or b) Death notification from a registered medical practitioner or any such authorised person c) Letter from Tribal Authority or District Commissioner or a certified copy thereof

 


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Pula Medical Aid Fund | AFA House Plot 61918 Showgrounds Office Park | P.O. Box 1212 , Gaborone, Botswana | marketing@pulamed.co.bw
Phone: +267 395 1166 | Fax: +267 395 1165

Pula Medical Aid Fund - Francistown | AFA – Autolot House Plot 2074 Suite 104 Blue Jacket Street, Francistown (between Ellerines and Wesbank)
marketing@pulamed.co.bw | Phone: +267 241 2390 or 241 2290

 

 

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