Bronze - All Benefits Options | Namibia Health Plan

About Bronze

NHP Bronze is a flexible option at an affordable rate with limited day-to-day benefits. Enjoy comprehensive cover for major and pooled day-to-day medical expenses, especially by choosing how to allocate an annual amount for your day-to-day expenses. Perfectly suited for those whose health risk can be described as very low.

Note: All services are paid at 100% of the NAMAF benchmark tariff, unless indicated otherwise.

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
Age Principal Member Adult / Special dep Child dep
0-25 2,171 1,323 775
26-30 2,293 1,460 775
31-35 2,412 1,638 775
36-40 2,525 1,810 775
41-45 2,760 1,957 775
46-50 2,787 2,041 775
51-55 2,937 2,188 775
56-60 3,108 2,227 775
61-65 3,834 2,454 775
66+ 4,390 2,672 775
Age Principal Member Adult / Special dep Child dep
0-25 2,020 1,215 704
26-30 2,112 1,333 704
31-35 2,197 1,422 704
36-40 2,288 1,541 704
41-45 2,494 1,620 704
46-50 2,531 1,666 704
51-55 2,659 1,785 704
56-60 2,775 1,883 704
61-65 3,378 2,080 704
66+ 3,731 2,163 704
Principal Adult/Special dependant Child
2,390 490 490

Example Roll-over Benefit: (Principal member + spouse + two children) = N$ 3,860.00 per year.

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
Main member N$777,750
Total family benefit N$1,140,700
1 Hospital services - SPA 150%
1.1 Consultations: In-hospital - Healthcare providers & medical specialists 150%
1.2 Procedures: In-hospital 150%
1.3 Accommodation and theatre 100%
1.4 Accommodation: Private wards 100% Main Member N$6,925
Total Family benefitN$13,828
1.5 Accommodation in SA – non-registered hospital or medical institution 100% N$953 per beneficiary per day
1.6 Medication 100%
1.7 Blood transfusions 100%
1.8 Dialysis 100%
1.9 Appliances and prosthesis: Surgical 100% Main Member N$26,350
Total Family benefit N$53,027
1.10 Refractive surgery: Full procedure - 12 month waiting period applies No benefit
1.11 Pathology: In-hospital 100%
1.12 Organ transplants: Full procedure 100% N$98,759 per family
1.13 Private nursing 100% N$16,758 per family
1.14 Oncology No benefit
1.15 Post- hospitalisation: Related consults and treatment - 30 days after discharge 100%
2 Chronic medicine
2.1 Chronic approved medicine: Reference pricing applies
Subject to prior registration on chronic care programme
100% Main Member N$4,856
Total Family benefit N$7,720
3 Radiology
3.1 MRI / CT / PET scans – In or out of hospital - SPA 100% N$20,906 per family
3.2 Basic Radiology & ultrasound: In-hospital 100%
4 Dentistry - SPA
4.1 Oral surgery - all-inclusive benefit 100% N$45,949 per family
4.2 Maxillo-facial surgery: Non-elective only 100%
4.3 Dental Implants: In or out of hospital No benefit
4.3.1 - Hospitalisation No benefit
4.3.2 - Implant: Consultations, Procedure and implant costs No benefit
5 Mental Health treatment – all-inclusive benefit - SPA
5.1 Mental health hospitalisation or institutionalisation 100% Main Member N$21,777
Total Family benefit N$34,625
5.2 Alcohol & drug rehabilitation – in and out of hospital 100%
6 Maternity & Infant
6.1 Confinement: all inclusive: NVD: 3 days; C/S / elective C/S: 4 days, SPA 100%
6.2 Antenatal consultations: Gynae / obstetrician / GP or midwife 100% 12 per family
6.3 Sonar scans 100% 2 - 2D per pregnancy
6.4 Amniocentesis SPA 100% 1 per pregnancy
6.5 Panorama Prenatal test SPA 100% 1 per pregnancy
6.6 Pathology tests – standard antenatal blood & urine tests 100%
6.7 Infant hearing screening test 100% 1 test up to 8 weeks old with audiologist
6.8 Vision screening for premature neonates if born <1.5kg or <33 weeks gestation 100% 2 tests
6.9 Congenital hypothyroidism screening 100% 1 test for infants < 1 month old
6.10 Post-natal consultations 100% 1 obstetrician / GP &
2 midwife visits within 8 weeks of delivery
7 Childhood
7.1 Childhood immunisations up to 10 years of age – per EPI schedule 100% Subject to Preventative Care benefit
7.2 HPV Vaccine for girls 9 – 16 yrs 100% 2 doses per lifetime.
Subject to Preventative Care benefit
8 Preventative care
8.1 Preventative Care benefits: As per list 100% Protocols & Sublimits apply
9 Specified illness conditions N$34,734 per beneficiary
N$70,449per family
9.1 HIV/AIDS: Consultations, medication & pathology tests SPA 100%
9.2 Sexually transmitted diseases 100% TOTAL Family benefit: N$1,786
10 Ambulance services: Medical or trauma emergencies - SPA
10.1 Emergency air evacuation 100%
10.2 Ambulance services 100%
10.3 Ambulance services: Inter-hospital transfer 100% N$5,597 per beneficiary
10.4 Other transportation 80%
11 Artificial limbs or eyes - SPA
11.1 Artificial limbs 100% Subject to Auxiliary services - Day-to-Day
11.2 Artificial eyes 100% Subject to Auxiliary services - Day-to-Day
12 Heart surgery: Rehabilitation 100% Subject to Auxiliary services - Day-to-Day
13 Insertion Mirena Device: All Inclusive - Every 3 years 100% N$8,057 per beneficiary
14 Stoma Care products 100% N$37,783 per family
15 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
TOTAL Family benefit: N$7,840
+ Per additonal dependant N$2,613
1 Healthcare providers & medical specialists
1.1 Consultations or visits: Out-of-hospital, including 5 VC per beneficiary 100%
1.1.1 Consultations or visits: Out-of-hospital: when 1.1 above depleted 100% 1 per beneficiary.
Subject to registration on Chronic Care programme
1.2 Procedures: Out-of-hospital services 100%
1.3 Pathology & Basic Radiology / Ultrasound: Out-of-hospital 100%
1.4 Chronic Lifestyle disease extender - additional benefits for hypertension, cholesterol & type 2 diabetes - once respective benefits depleted SPA No benefit
2 Medicine and Injections
2.1 Acute medicines: reference pricing applies 80%
2.1.1 - Acute medicine: Doctor or Pharmacy dispensed - Min levy of N$ 30 80%
2.1.2 - Self-medication: Over-the-counter – No levy
subject to day-to-day limit
100% TOTAL Family benefit:N$1,045
+N$179 for each dependant.
N$278per claim max
2.1.3 - Vitamins, homeopathic, Chinese medicine and phytotherapy medicines
Min levy of N$30, subject to day-to-day limit
80% TOTAL Family benefit: N$469
+ N$147 for each dependant.
N$278 per claim max
3 Dentistry Main Member N$3,630
Total Family benefit N$6,741
3.1 Basic dentistry: Subject to sub-limit 100%
3.2 Dental technicians 100%
3.3 Advanced dentistry & Orthodontics 50%
4 Optical TOTAL Family benefit: N$2,712
+N$670or each dependant
4.1 Eye tests 100% Frame limited toN$1,340
4.2 Spectacles or lenses: Frames every 2nd year 100%
4.3 Orthoptics 100%
5 Auxiliary services
5.1

Audiology & speech therapy
Biokinetics
Chinese medicine & acupuncture visits
Chiropody
Chiropractic
Clinical psychology
Dietician
Homeopathy consultations
Naturopathy consultations
Occupational therapy
Physiotherapy
Phytotherapy consultations
Podiatry
Social workers

100% Subject to day to day limit
6 Appliances: External / Non-surgical SPA 100% Subject to day-to-day limit
7 Smart Saver benefit
7.1 Health Risk Assessment 100% N$571 per family
7.2 Preventative Care Incentives N$87 per beneficiary

  • Flu vaccines are covered as part of the preventative care benefit.
  • 1 COVID-19 vaccine regimen per year are covered as part of the preventative care benefit for all beneficiaries older than 16 years.
  • Vitamins under specific conditions to be authorised from the chronic medication benefit.
  • Limited benefit for vitamins available under 2.1.3. above, without a prescription.
  • NHP pays for contraceptives (oral and injections) limited to N$278 per claim.
  • Sunblock may be purchased at pharmacies under the self-medication benefit.
  • Pre-authorised travelling costs for specialist referrals in Namibia partly covered if residing more than 150km from Windhoek - Accommodation included, limited to N$953 per night, maximum of 2 nights per family per annum.
  • No basic dentistry will be covered under the oral surgery benefit.
  • All day-to-day benefits are subject to availability of pooled Day-to-Day Expenses.
  • Intra ocular lenses included in Appliances and prosthesis surgical benefit - limited to N$7 622 per lens. Refer to 1.9.
  • Blood pressure monitor: N$881 per family every 3 years. Subject to registration on the Fund's chronic care programme.
  • Auxiliary services - Subject to day to day limit.
  • "A Smart Saver benefit is added to a family's Accumulated Roll-Over benefit on completion of:
    • - A health risk assessment by the principal member or an adult dependent at any of the Fund's Wellness Days or at a qualifying pharmacy;
    • - Any of the preventative care benefits offered by the Fund by a qualifying beneficiary."

Forms

Select and download all application, registration and request forms as well as information on NHP’s designated service providers, tariffs and travel insurance.

See all forms

Information and Services

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.

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