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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 | 801 | 665 | 324 |
| 26-30 | 830 | 700 | 324 |
| 31-35 | 898 | 722 | 324 |
| 36-40 | 932 | 758 | 324 |
| 41-45 | 977 | 807 | 324 |
| 46-50 | 1,019 | 840 | 324 |
| 51-55 | 1,063 | 885 | 324 |
| 56-60 | 1,074 | 948 | 324 |
| 61-65 | 1,165 | 1,002 | 324 |
| 66+ | 1,248 | 1,106 | 324 |
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 | 710 | 594 | 284 |
| 26-30 | 741 | 611 | 284 |
| 31-35 | 789 | 634 | 284 |
| 36-40 | 823 | 680 | 284 |
| 41-45 | 854 | 703 | 284 |
| 46-50 | 885 | 712 | 284 |
| 51-55 | 914 | 746 | 284 |
| 56-60 | 932 | 805 | 284 |
| 61-65 | 1,002 | 854 | 284 |
| 66+ | 1,082 | 912 | 284 |
Downloads
Employer Group Application Form Membership Application Form
OAL = Overall Annual Limit
SPA = Subject to pre-authorisation
| Major Medical Benefits | NAMAF tarriff | Overall Annual Limit (OAL): Unlimited | |
|---|---|---|---|
| 1 | Hospital services - SPA | ||
| 1.1 | Consultations: In-hospital | 100% | |
| 1.2 | Procedures: In-hospital | 100% | |
| 1.3 | Admission into the state hospital facility (private wing). Subject to pre-authorisation | 100% | |
| 1.4 | Selected private hospitals: Limited access benefit for treatment | 100% | |
| 1.4.1 | Ward fees | 60% | |
| 1.5 | Routine and scheduled surgical and hospitalisation events | 100% | |
| 2 | Maternity & Infant | ||
| 2.1 | Antenatal consultations: Gynae / obstetrician / GP or midwife | 100% | 12 per family |
| 2.2 | Sonar scans | 100% | 2-2D per pregnancy |
| 2.3 | Pathology tests – standard antenatal blood & urine tests | 100% | |
| 3 | Preventative Care | ||
| 3.1 | Vaccinations: COVID-19 | 100% | |
| 4 | Ambulance services: Medical or trauma emergencies - SPA | ||
| 4.1 | Emergency air evacuation | 100% | |
| 4.2 | Ambulance services (only in Namibia) | 100% | |
| 4.3 | Ambulance services: Inter-hospital transfer | 100% | N$5,597 per beneficiary |
| 4.4 | Other transportation | No benefit | |
| 5 | Back and Neck Rehabilitation Programme: Subject to DBC protocol | 100% |
OAL = Overall Annual Limit
SPA = Subject to pre-authorisation
| Day-to-Day / Out-of-hospital Benefits | NAMAF tarriff | Sub-limits | |
|---|---|---|---|
| 1 | Healthcare providers & medical specialists | ||
| 1.1 | Consultations and visits: Obtained from network doctors, during normal working hours - N$15 per visit, including 5 VC per beneficiary | 100% | |
| 1.1.1 | Nurse: N$15 per visit: New conditions | Main Member N$5,887 | |
| 1.1.2 | General practitioner: N$15 per visit: New conditions | Total Family benefit N$14,718 | |
| 1.1.3 | Medical specialist - Upon referral from doctor: N$15 per visit | N$491 per visit | |
| 1.1.4 | Medical specialist: Travel assistance benefit | 100% | N$883 per visit |
| 1.2 | Out-of-hospital services | ||
| 1.3 | Limited to 2 after-hour consultations at network doctors: Per family per year. | ||
| 2 | Medicine and Injections | ||
| 2.1 | Acute medicines: reference pricing applies | 100% | |
| 2.1.1 | As dispensed or prescribed by network doctors and pharmacies | Main Member N$3,326 Total Family benefit N$8,316 N$277 per script max |
|
| 2.1.2 | Self-medication: Over-the-counter | N$993 | N$993 per fmaily N$283 per script |
| 2.2 | Chronic medicine | ||
| 2.2.1 | Chronic medicine: Dispensed - Subject to prior registration on chronic care programme | TOTAL Family benefit: N$4,301 | |
| 2.3 | Antiretroviral therapy: Dispensed - Patient needs to enrol in the HIV Programme | Subject to Programme limits and protocols | |
| 3 | Primary care dentistry: N$15 per visit - New conditions | Main Member N$2,003 Total Family benefit N$3,997 |
|
| 3.1 | Subject to the use of network dentists: According to a list of approved dental codes | 100% | |
| 3.1.1 | Consultations, primary extractions, fillings level 1 to 3, fluoride teatment, 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 | ||
| 4.1 | Black and white x-rays as requested by network doctors: According to a list of approved radiology codes | 100% | |
| 5 | Pathology | ||
| 5.1 | Basic blood tests as requested by network doctors: According to a list of approved pathology codes | 100% | |
| 6 | Optical: N$15 per visit - New conditions | N$1,176 per family | |
| 6.1 | Optical test | 100% | Claim limited to N$119 |
| 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 | Claim limited to N$1,050 | |
| 7 | Mother and child healthcare services | ||
| 7.1 | Family planning, immunisation, pre- and post- antenatal care. Subject to medicine, injections, maternity and consultation limits | 100% | |
| 8 | Counselling and health education | ||
| 8.1 | Instruction of prevention of network illnesses, oral hygiene, poisons, HIV/AIDS, etc. Subject to consultation limits | 100% | |
| 9. | Specified illness conditions | ||
| 9.1 | HIV/AIDS: Aids and HIV Positivity, Pathology, HIV councelling and testing, PrEP and PEP medicine for prevention of HIV virus, transmission in the case of needle-prick, rape or infection of mother (mother-to-child prevention). Subject to Programme limits and protocols | 100% | |
| 9.2 | Sexually transmitted diseases | N$1,720 per family | |
| 10 | Rehabilitation: Alcohol and drug addiction or abuse | 100% | N$1,720 per family |
- 1 COVID-19 vaccine regimen per year are covered as part of the preventative care benefit for all beneficiaries older than 16 years.
- Travel assistance for specialist visits in Namibia only, limited to 2 per family per year.
- International travel benefit.
- NHP pays for contraceptives (oral and injections) limited to N$283 per claim.
- Immunisations are only available from designated service providers, subject to the formulary.
- Members do not qualify for the Lifestyle Programme.
- 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.
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 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
