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About Blue Diamond
NHP Blue Diamond offers unlimited coverage for day-to-day primary healthcare services at designated service provider facilities. These service providers can be found on our list of contracted general practitioners and registered nurses here. Blue Diamond gives individuals in the lower income group access to subsidised private healthcare with added access to our maternity benefit.
Note: If you are currently a member of any of the other NHP benefit options and not used to primary healthcare, we strongly recommend that you do not “buy down” to the Blue Diamond benefit option as your choice of general practitioner, nurse and healthcare facility is restricted. Blue Diamond benefits are not pro-rated apart from optical and dental benefits where sub-limits are applicable.
Compare to other Benefit Options
- In-hospital & out of hospital services
- Chronic and acute medicine
- Basic and specialised radiology – in and out-hospital
- Dentistry
- Psychiatric treatment
- Maternity
- Preventative Care
- Optical
- Pathology and auxiliary services
- Diabetic Devices Benefit
- Back and Neck rehabilitation programme
- Ambulance services
Contributions for Individual Members For Individuals, all family members use the eldest member’s age category
| Age | Principal Member | Adult / Special dep | Child dep |
|---|---|---|---|
| 0-25 | 756 | 628 | 306 |
| 26-30 | 784 | 661 | 306 |
| 31-35 | 848 | 682 | 306 |
| 36-40 | 880 | 716 | 306 |
| 41-45 | 923 | 762 | 306 |
| 46-50 | 962 | 793 | 306 |
| 51-55 | 1,004 | 836 | 306 |
| 56-60 | 1,014 | 895 | 306 |
| 61-65 | 1,100 | 946 | 306 |
| 66+ | 1,178 | 1,044 | 306 |
Contributions for Employer Group For Employer Groups, all family members use principal member’s age category
| Age | Principal Member | Adult / Special dep | Child dep |
|---|---|---|---|
| 0-25 | 670 | 561 | 268 |
| 26-30 | 700 | 577 | 268 |
| 31-35 | 745 | 599 | 268 |
| 36-40 | 777 | 642 | 268 |
| 41-45 | 806 | 664 | 268 |
| 46-50 | 836 | 672 | 268 |
| 51-55 | 863 | 704 | 268 |
| 56-60 | 880 | 760 | 268 |
| 61-65 | 946 | 806 | 268 |
| 66+ | 1,022 | 861 | 268 |
Downloads
Employer Group Application Form Membership Application Form Benefit Guide 2024 User Guide 2024
| NAMAF tarriff or % thereof | Principal Member | Per Additional Beneficiary | Per Family | Conditions | ||||
|---|---|---|---|---|---|---|---|---|
| Overall Annual Limit (OAL) | Unlimited | |||||||
| 1. | Doctors and specialists | SPA | ||||||
| 1.1 | Consultations and visits: In-hospital | 100% | ||||||
| 1.2 | Procedures: In-hospital | 100% | ||||||
| 2. | Hospital services | SPA | ||||||
| 2.1 | You can be admitted into the state hospital facility (private wing) but it has to first be approved by NHP - subject to pre-authorisation | 100% | ||||||
| 2.2 | Selected private hospitals: Limited access benefit for treatment | 100% | ||||||
| 2.2.1 | Ward fees | 60% | ||||||
| 2.3 | Routine and scheduled surgical and hospitalisation events | 100% | ||||||
| 3. | Ambulance services: Only for medical or trauma emergencies | SPA | ||||||
| 3.1 | Air evacuation | 100% | ||||||
| 3.2 | In an emergency you are covered for ambulance services but only in Namibia | 100% | ||||||
| 3.3 | You are covered for transport between 2 hospitals | 100% | 5 140 | 5 140 | ||||
| 3.4 | Other transportation | No benefit | ||||||
| 4. | Maternity | SPA | ||||||
| 4.1 | When you are pregnant, you can go visit certain doctors 12 times per pregnancy - subject to pre-authorisation | 100% | 12 Visits | |||||
| 4.2 | 2D Sonar scans | 100% | 2 Scans | |||||
| 5. | Back and Neck Rehabilitation Programme | 100% | Subject to DBC protocol | OAL | ||||
| 6. | Preventative care | OAL | ||||||
| 6.1 | Vaccinations: COVID-19 | 100% | ||||||
| NAMAF tarriff or % thereof | Principal Member | Per Additional Beneficiary | Per Family | Conditions | ||
|---|---|---|---|---|---|---|
| Out-of-hospital: Sub-limit | Unlimited | |||||
| 1. | Doctors and specialists | DSP | ||||
| 1.1 | Consultations and visits: Obtained from certain doctors, during normal working hours - N$ 15 per visit | 100% | ||||
| 1.1.1 | Virtual GP consultations | 5 | 5 | |||
| 1.1.2 | Nurse: N$ 15 per visit - new conditions | Limited to 2 visits p/m and 12 p/a | Limited to 2 visits p/m and 12 p/a | |||
| 1.1.3 | General practitioner: N$ 15 per visit - new conditions | Limited to 2 visits p/m and 12 p/a | Limited to 2 visits p/m and 12 p/a | 425 per visit | ||
| 1.1.4 | Medical specialist: Upon referral from doctor - N$ 15 per visit | 100% | ||||
| 1.1.5 | Medical specialist: Travel assistance benefit - Windhoek or Swakopmund | 100% | 765 per visit | |||
| 1.2 | Out-of-hospital services | 100% | ||||
| 1.3 | Limited to 2 after-hour consultations at certain doctors: Per family per year | 100% | ||||
| 2. | Medicine and injections | Unlimited | DSP | |||
| 2.1 | Acute medicine | |||||
| 2.1.1 | As dispensed or prescribed by certain doctors and pharmacies | 100% | Limited to 2 scripts p/m and 12 p/a | Limited to 2 scripts p/m and 12 p/a | 240 per script | |
| 2.1.2 | Self medication: Over-the-counter | 100% | 860 | 245 per claim | ||
| 2.2 | Chronic medicine | |||||
| 2.2.1 | Chronic medicine: Dispensed - as per chronic medicine formulary - subject to prior registration on Chronic Care programme | 100% | 3,950 | No benefit with- out registration | ||
| 2.3 | Antiretroviral therapy: Dispensed - patient needs to enrol in the AfA Programme | 100% | ||||
| 3. | Primary care dentistry: N$15 per visit - new conditions | 1,840 | 3,670 | DSP | ||
| 3.1 | Subject to the use of certain dentists: According to a list of approved dental codes | 100% | ||||
| 3.1.1 | Consultations, primary extractions, fillings level 1 to 3, fluoride treatment, instructions on oral hygiene scaling and polishing | |||||
| 3.1.2 | Plastic dentures: Limited to 1 set per family per 24 months | |||||
| 3.1.3 | Surgical removal of teeth, root canal treatment and dentures: Subject to pre-authorisation | |||||
| 3.2 | Specialised dentistry | No benefit | ||||
| 4. | Radiology | Unlimited | DSP | |||
| 4.1 | Black and white x-rays as requested by certain doctors: According to a list of approved radiology codes | 100% | ||||
| 5. | Pathology | Unlimited | DSP | |||
| 5.1 | Basic blood tests as requested by certain doctors: According to a list of approved pathology codes | 100% | ||||
| 6. | Optical: N$15 per visit - new conditions | 1,075 | DSP | |||
| 6.1 | Optical test | 100% | Limited to 110 | |||
| 6.2 | Spectacles and lenses: Limited to 1 pair of glasses per family per 24 months - when joining NHP, you cannot claim for glasses for the first 6 months | 100% | Claim limited to 965 | |||
| 7. | Mother and child healthcare services | DSP | ||||
| 7.1 | Family planning, immunisation, pre- and post- antenatal care | 100% | ||||
| 8. | Counselling and health education | DSP | ||||
| 8.1 | Instruction of prevention of certain illnesses, oral hygiene, poisons, HIV/AIDS, etc. | 100% | ||||
| 9. | Specified illness conditions | DSP | ||||
| 9.1 | HIV/AIDS: Aids and HIV Positivity, Pathology, HIV councelling and testing, Prophylactic medicine for prevention of HIV, transmission in the case of needle-prick, rape or infection of mother (mother-to-child prevention) | 100% | Unlimited | |||
| 9.2 | Sexually transmitted diseases | 100% | 1,580 | |||
| 10. | Rehabilitation: Alcohol and drug addiction or abuse | 100% | 1,580 | DSP |
- Travel assistance for specialist visits in Namibia only, limited to 2 per family per year.
- 1 COVID-19 vaccine regimen per year is covered as part of the Preventative Care benefit for all beneficiaries older than 16 years.
- International Travel benefit.
- NHP pays for contraceptives (oral and injections) limited to N$ 245 per claim.
- Immunisations are only available from designated service providers, subject to the formulary.
- No Roll-Over benefit.
- No Preventative Care benefit, including Cervarix, apart from the COVID-19 vaccine and a health risk assessment at any of the Fund’s Wellness Days or at a qualifying pharmacy.
- No Mirena benefit available.
- No contact lenses benefit available.
- Acute medication script limit is N$ 240.
- The Out-of-Hospital (OOH) benefit in respect of consultations with doctor’s/specialists and nurses will be limited to 2 per beneficiary per month (p.b.p.m) up to a maximum of 12 per beneficiary per annum (p.b.p.a), and scripts for medicines and injection materials also limited to 2 per beneficiary per month (p.b.p.m) up to a maximum of 12 per beneficiary per annum (p.b.p.a).
Forms
Select and download all application, registration and request forms as well as information on NHP’s designated service providers, tariffs and travel insurance.
Information and Services
BMI Calculator
BMI is the abbreviation for your Body Mass Index. In order to calculate your BMI, you need to know your height and weight.
Chronic Lifestyle Diseases
This benefit is only available to NHP Gold, Platinum and Titanium members.
Babyline
Babyline is a 24-hour children’s health advice line manned by paediatric trained registered nurses.
The NHP mobile app
Keep track of benefits, process claims and do much more.
Back and Neck Rehabilitation
The back and neck programme helps members living with chronic back and neck pain.
Benefit suggestions
These life stages aim to illustrate the thoughtful consideration given to the evolving healthcare needs of individuals at different points in their lives. By aligning medical aid benefits with these life stages, we ensure that our members receive targeted and effective healthcare support throughout their journey.
Young Adults
18-30 years young
- Comprehensive preventive care coverage for routine check-ups and vaccinations.
- Access to virtual health consultations for convenient healthcare support.
- Basic dental and vision coverage for early preventive measures.
- Wellness programmes and resources to promote a healthy lifestyle.
Suggested options:
Establishing Families
31-45 years young
- Enhanced maternity benefits including prenatal and postnatal care.
- Pediatric coverage for vaccinations, well-child visits, and common childhood illnesses.
- Expanded family planning and fertility treatment options.
- Comprehensive coverage for routine and preventive care.
Suggested options:
Mid-Life Professionals
46-60 years young
- Comprehensive coverage for chronic conditions management.
- Specialised screenings for age-related health concerns.
- Access to specialists for managing mid-life health challenges.
- Mental health support and counseling services.
Suggested options:
Seniors
61+ years young
- Back and neck rehabilitation
- Comprehensive coverage for Chronic conditions management
- Specialised screenings for age-related health concerns
- Access to Specialists for managing mid-life health challeneges
