Managed Care

The Managed Care Program is designed to give members access to quality healthcare services at affordable costs. The program comprises Chronic Ailment Benefit and the Special Benefit Fund for HIV/Aids assistance.

Components of the Programme

Disease Management

This involves clinical/medical management of the affected members through a network of preferred Medical Practitioners.

Laboratory Monitoring

As guided by the National HIV/AIDS Treatment Guidelines as well as the Bomaid HIV/AIDS Treatment Protocol, members are monitored through periodical laboratory tests and these are undertaken at preferred Laboratory Service Provider.

Drug Dispensing

This is done directly from the designated service providers. Members residing in and around Gaborone collect their medications from the designated service providers, whereas those residing far from Gaborone receive their medications through a courier service to their designated Service Providers (Doctors or Pharmacies).

Treatment Adherence Counselling

This is done at the Bomaid Managed Care Unit by qualified and experienced counselors and is directed at the various needs of the member. Treatment defaulting, laboratory monitoring defaulting and other clinical or social problems are addressed by the counselors. Strict follow – up procedures are put in place to assist members.

Reporting, Monitoring and Evaluation

Reporting, monitoring and evaluating of the programme’s progress is undertaken continuously and reports are made available to the relevant stakeholders. Reports are statistical and no specific and confidential information about the member is divulged.

Oncology and Dialysis

Content to be provided

Chronic Ailment Benefit

The Chronic Ailment Benefit provides for the management of the specific chronic ...

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HIV / AIDS Assistance Program

The HIV/AIDS Assistance Program was established in 1998 as a response to the nat...

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