Submit a Claim

When submitting a claim from a provider within Botswana, members are reminded to attach the supporting documents listed below;
1. Detailed invoices (Summary invoices are not acceptable) 
2. Proof of payment for each invoice in any of the following format:
- Payment receipts that have service provider’s logo on it.
- Bank proof of payment (EFT slip).
- Point of sale/swipe slip.
3. Claims for Rehabilitation therapy and/or appliances require a doctor’s referral letter/motivational report and a therapist’s report. 
4. Claims for prescribed medicines require a doctors’ prescription copy attached.

Take Note:
•    The claim should be submitted within 120 days/4 months from date of service.
•    The following services require pre-authorization from Bomaid: hospitalization procedures, appliances, chemotherapy/ radiation therapy, radiology, pathology renal dialysis, specialized dentistry & orthodontic treatment.

When submitting a claim from a provider outside Botswana, members are reminded to attach the supporting documents listed below;

1. Email notification of intent to seek medical services outside (i.e., email notification sent to casemanagement@bomaid.co.bw prior travel).
2. Travel policy submitted r requested for travel insurance cover through bomaid@bomaid.co.bw.
3. Proof of travel (i.e. copy of your passport showing your personal details and the page showing the departure and return dates)
NB: For travel insurance claims, i.e. claims incurred for emergencies while travelling outside Botswana, please send claims directly to tic.co.za within 30 DAYS from date of the incident.
4. Detailed invoices (Summary invoices are not acceptable) 
5. Proof of payment is attached for each invoice in any of the following formats:
- Payment receipts that have service provider’s logo on it.
- Bank proof of payment (EFT slip).
- Point of sale/swipe slip.
- Bank statement clearly showing the transaction.
6. Claims for Rehabilitation therapy and/or appliances require a doctor’s referral letter/motivational report and a therapist’s report. 
7. Claims for prescribed medicines require doctors’ prescription copy attached.
8. Claim invoices written in foreign languages should be translated to English and certified by recognized institutions, preferably Embassies.

Take Note:
•    The claim should be submitted within 120 days/4 months from date of service.
•    The following services require pre-authorization from Bomaid: hospitalization procedures, appliances, chemotherapy/ radiation therapy, radiology, pathology renal dialysis, specialized dentistry & orthodontic treatment.