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Overview for Service Providers

History

BIMAF came into being in August 1968, as a result of intensive bargaining between employers’ organisations and trade unions. The operation of BIMAF was established under Government Notice R.2313 of 20 December 1968, formerly known as the “Port Elizabeth Industry Medical Aid Fund” now “Building Industry Medical Aid Fund, East Cape” (or in short “BIMAF, East Cape”. BIMAF was designed to specially cater for the employees, employers and their staff who work in the building industry.

Objectives

Since the inception of BIMAF, the objectives of BIMAF are, broadly speaking, to receive contributions and make provision for the granting of assistance to members in defraying expenditure incurred by them or their dependants in connection with medical treatment. All income is solely applied to provide benefits stipulated in the rules. BIMAF has no profit motive at all and the contribution levels are kept at the bare minimum taking into account the economics of the country in general and in particular the state of the industry and its employees and employers.  

BIMAF covers members who retire, at a lower contribution level, and also makes provision for widows of ex-members to become continuation members, as well as overage dependants under the age of 25 years who are still studying at a recognised tertiary institution.

Administration

A dedicated department within the “Building Industry Bargaining Council” manages BIMAF’s administration in-house. Internal accounting staff and external auditors [Deloitte & Touché] of good reputation ensure that the necessary controls have been implemented and are adhered to. There can be no doubt that the administration of BIMAF is of a very high standard. 

Audit of financial statements 

BIMAF has an end of February year-end.  

Profile — Administration Team 

Theo Verschuur—Fund Secretary and Council Secretary of the Building Industry Bargaining Council [Southern– and Eastern Cape]. 

Bonnie Fyfe—Financial Manager of the Building Industry Bargaining Council [Southern– and Eastern Cape]

Sonia Erasmus—Senior Assessor who joined BIMAF in 1988 contributes 26 years industry experience. 

Jackie Prins—Assessor, joined BIMAF in 1999, and contributes 22 years industry experience.

Profile — Medical Advisor 

Dr Johan Snyman [MB.Ch.B(Stell.); MFAP(SA); M Prax Med(UP)]

Dr Snyman is BIMAF’s medical advisor since August 1994 and has extensive experience in managed healthcare. 

Postal address:       

Dr AJ Snyman                                   

P O Box 2745                                  

SUNNINGHILL                                  

2745 

Administration — service levels 

Claims processing  

Average claim turnaround time—30 days. Claims are assessed according to the Rules of BIMAF; NHRPL (National Health Reference Price List); benefit limits and YTD benefits etc.  

Payment of claims 

Payments are made monthly by EFT into a service providers bank account. A detailed payment advice is sent to service providers.  BIMAF pays the “fund’s portion” direct to service providers and the difference must be collected from the member. 

Authorisation 

Service providers must contact BIMAF’s office, to acquire an authorisation code for services to be rendered and will get the latest status of a member’s benefits available from our assessors, which will also provide the benefit % payable. 

BIMAF has two different contribution groups. The one contribution group pays monthly in advance and the other monthly in arrears. The assessors will give confirmation to service providers for the industry workers on the last contribution received, provided that the worker is still in employment and therefore service providers should confirm with the worker’s employer that he/she is still currently employed.

Benefits

Providers of healthcare services must please note that BIMAF’s benefit year runs from 1 October of any year to 30 September of the following year.

Although BIMAF is not a “so-called 100% Fund”, it nevertheless provides sound basic healthcare insurance and competitive benefit structures.

Membership cards 

Please note that the only valid membership card will be the blue machine-printed card issued to BIMAF’s members.  

 

 

 


 
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