Botsogo Health Plan

Name

Botsogo Health Plan

Legal name

Botsogo Health Plan

Website

https://botsogohealthplan.co.bw

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Medical Aid Scheme (Health Insurance)

NAICS

Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)

akta.pro secondary industries

Small Group Health Insurance (2–50/100) (FSAIAFAD), Public Sector & Government Employer Group Health Plans (FSAIAFAF)

Keywords

• Medical aid scheme
• Health insurance plans
• Corporate healthcare coverage
• Employer group medical aid
• Primary healthcare product

Headquarters

HQ city

Gaborone

HQ country

Botswana

HQ region

Africa

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain

Revenue model

1. Medical Aid Scheme Contributions: Botsogo Health Plan operates as a medical aid scheme where employers and employees pay monthly contributions for healthcare coverage. The scheme provides various plan tiers (Diamond, Platinum, Ruby, Bronze, Health4Me) with different coverage levels and family limits, generating revenue through recurring premium contributions from employer groups and individual members.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels8 records

Core offering

Botsogo Health Plan operates as a Botswana-registered medical aid scheme selling tiered health insurance coverage (Diamond, Platinum, Ruby, Bronze, Health4Me) to employer groups and their employees. Membership is accessed through employer group contracts with the scheme, generating revenue through recurring monthly premium contributions. The plan offers inpatient, outpatient, chronic disease management, maternity, oncology, renal care, dental, and extended benefits including funeral cover, travel insurance, and major disease care.

Product overview

Botsogo Health Plan is a Botswana-registered medical aid scheme offering a tiered portfolio of health insurance products. The core product line consists of five health plans differentiated by coverage limits: Diamond (executive, P5,097,000 annual limit), Platinum (premier, P4,077,000), Ruby (comprehensive, P1,788,000), Bronze (entry-level, P547,000), and Health4Me (outpatient-only primary care). All plans except Bronze and Health4Me provide access to both Botswana and South African service providers. Extended benefits at no extra cost include Funeral Benefits, Premium Health Waiver, Major Disease Care, International Travel Insurance, and Accidental Death Benefit. Digital service delivery includes Provider, Employer, and Member Portals, a Mobile Application for claims submission, and Electronic Data Interchange (EDI) for service provider claims. The scheme was established in 2005 and is administered by Metropolitan Health Botswana.

Differentiator

Problem solved

Functional benefit

Brands

• Diamond: Executive health plan with overall family limit of up to P5,097,000.00 per annum covering Inpatient and Outpatient services with access to Botswana and RSA service providers.
• Platinum
• Ruby
• Bronze
• Health4Me

Products and services

• Diamond Plan Executive-level health plan offering an overall family limit of up to P5,097,000.00 per annum, covering both Inpatient and Outpatient services with access to Botswana and South Africa service providers.
• Platinum Plan Premier health plan with an overall family limit of up to P4,077,000.00 per annum, covering both Inpatient and Outpatient services with access to Botswana and South Africa service providers.
• Ruby Plan Comprehensive health plan with an overall family limit of up to P1,788,000.00 per annum, covering both Inpatient and Outpatient services with access to Botswana and South Africa service providers.
• Bronze Plan Entry-level health plan supplemented by government facilities, with an overall family limit of up to P547,000.00 per annum covering both Inpatient and Outpatient services within Botswana only.
• Health4Me Plan Primary healthcare product providing members access to Outpatient services only, available to employer groups of 5 or more employees.
• Funeral Benefits Extended benefit providing P15,000 for principal member and adult dependent, P7,500 for child dependent, and P3,000 for stillborn child.
• Premium Health Waiver Extended benefit allowing dependents to remain covered for 12 months from the date of death of the principal member.
• Major Disease Care Extended benefit offering financial assistance providing a lump sum of up to P20,000 for main member and adult dependent, P10,000 for child dependent upon first diagnosis of specified severe illnesses including Cancer, Stroke, Heart Attack, Coronary Artery Graft, Major Organ Transplant, and Kidney Failure.
• International Travel Insurance Extended benefit covering overseas medical-related expenses, personal assistant services, travel delays, personal baggage, and personal accident, extending up to P5,000,000 for Ruby, Platinum, and Diamond members only.
• Accidental Death Benefit Extended benefit providing an additional P30,000 for the principal member if death occurs by accident.

Named customers1 record

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Five partnerships are on record, tiered minor and core.

• ElevateHER Mentorship ProgramminorStrategic or Co-development Partner · 6 July 2024Metropolitan and Botsogo Health Plan partnered with the ElevateHER Mentorship Program for leadership development and health awareness. The partnership aims to integrate health awareness into leadership development and equip emerging leaders with holistic skills. Metropolitan's CEO serves as a mentor in the program.
• Metropolitan Health BotswanacoreImplementation/ SI/ Consulting Partner · 1 January 2005Metropolitan Health Botswana (MHB) administers Botsogo Health Plan. MHB was launched in October 2004 to cater for the medical insurance market in Botswana with the vision to use innovative products to provide affordable healthcare cover. MHB forms part of Momentum Group in South Africa, a recognized financial service provider listed on the JSE.
• Momentum Group (South Africa)coreOthersMomentum Group is the parent company of Metropolitan Health Botswana, which administers Botsogo Health Plan. Momentum Group is a recognized financial service provider listed on the JSE (Johannesburg Stock Exchange) in South Africa, providing operational scale and financial stability.
• Non-Bank Financial Institution Regulatory Authority (NBFIRA)coreOthersBotsogo Health Plan is accredited by NBFIRA (Non-Bank Financial Institution Regulatory Authority), the regulatory body overseeing medical schemes and non-bank financial institutions in Botswana.
• Health Funders Association of Botswana (HFAB)coreOthersBotsogo Health Plan is a member of the Health Funders Association of Botswana (HFAB), representing the interests of those engaged in the medical scheme industry of Botswana.

Scale indicators4 records

Recent moves8 records

Expansion highlights5 records

Broad incumbents

• Discovery Health (South Africa): Largest private medical scheme administrator in South Africa under the Discovery Group, offering tiered health plans with international coverage and wellness incentives. A scaled regional incumbent with potential to expand into Botswana given its Discovery Holdings cross-border ambitions.
• Momentum Health (South Africa): The sister brand of Botsogo's administrator (Metropolitan Health Botswana is part of Momentum Group). Operates a major medical scheme administrator in South Africa with comparable tiered plan structures, providing a direct internal reference point for Botsogo's product and operating model.
• Government Employees Medical Aid Scheme (GEMS): South Africa's largest restricted medical scheme for government employees, operating as a closed employer-group scheme with multiple benefit options. Comparable employer-group B2B model and tiered product portfolio, though restricted to public-sector employees.

Regional players

• Bonitas Medical Fund: One of South Africa's largest open medical schemes serving corporate employer groups across multiple plan options. Closely comparable in product structure (tiered plans, employer-group distribution) and target market, though operating in South Africa only.
• Medihelp Medical Scheme: South African medical scheme offering tiered health insurance plans for employer groups and individuals. Comparable tiered plan architecture and B2B employer distribution model, though operating only in South Africa.
• Hygia Healthcare (Namibia): Namibian medical aid fund administrator offering employer-group and individual health insurance products in a Southern African market. Comparable scheme operating in a neighbouring SADC country under a similar regulatory paradigm.

Others

• Medical Aid Schemes Regulatory Authority (Namibia): Namibia's NAMAF (Namibia Association of Medical Aid Funds) — a representative body for medical schemes in Namibia. Provided as a thematic comparator of regional industry associations that Botsogo's HFAB membership is analogous to.
• Metropolitan Health Corporate (South Africa): The South African arm of Metropolitan Health that administers Botsogo; also provides administration services to other African medical schemes. Closely comparable in operating model and a key operational reference point for Botsogo's service delivery.

Direct peers

• Pula Medical Aid Fund: Botswana-registered medical aid fund providing tiered health insurance coverage to employer groups and individuals. Competes head-to-head with Botsogo across corporate, SMME, and individual plan segments within the same regulatory framework (NBFIRA).
• Botswana Medical Aid Society (BOMAID): Botswana's largest open medical aid scheme offering similar employer-group and individual health insurance products domestically. Directly competes with Botsogo on the same corporate group and SMME segments within Botswana.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/BzoTech
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• Facebookfacebook.com/botsogohealthplan
• LinkedInlinkedin.com/company/botsogo-health-plan
• Instagraminstagram.com/bzotech
• Pinterestpinterest.com/Bzo_Tech

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Botsogo Health Plan