Hospital - All Benefits Options | Namibia Health Plan

About Hospital

NHP Hospital provides adequate cover for any unforeseen events that can have severe financial implications, with no benefits in respect of day-to-day treatment. This offering is well suited for younger individuals whose health risk is very low.

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

Compare to other Benefit Options

  • In-hospital services only
  • 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 1,653 756 483
26-30 1,798 960 483
31-35 2,005 1,110 483
36-40 2,182 1,322 483
41-45 2,339 1,513 483
46-50 2,510 1,623 483
51-55 2,651 1,740 483
56-60 2,787 1,918 483
61-65 2,985 2,104 483
66+ 3,403 2,192 483
Age Principal Member Adult / Special dep Child dep
0-25 1,620 711 437
26-30 1,768 819 437
31-35 1,937 999 437
36-40 2,098 1,194 437
41-45 2,237 1,379 437
46-50 2,375 1,486 437
51-55 2,469 1,567 437
56-60 2,611 1,736 437
61-65 2,750 1,874 437
66+ 3,059 1,934 437

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) 1,270,000 2,830,000
1. Healthcare provider or medical specialists SPA
1.1 Consultations or visits: In-hospital 150%
1.2 Procedures: In-hospital 150%
2. Chronic medicine
2.1 Chronic medicine approved: Min levy of N$ 30 - subject to prior registration on Chronic Care programme No benefit
3. Hospital services SPA
3.1 Accommodation and theatre 100%
3.2 Blood transfusions 100%
3.3 Dialysis 100%
3.4 Medication 100%
3.5 Accommodation: Private wards 100% 13,300 26,400
3.6 Accommodation other than a recognised hospital or medical institution: SA only 100% 875 per day
3.7 Appliances and prosthesis: Surgical 100% 28,800 58,300
3.8 Refractive surgery: Full procedure - a waiting period of 12 months will apply 100% 7,430 9,670
3.9 Organ transplants: Full procedure 100% 121,000
3.10 Private nursing 100% 24,300 24,300
3.11 Oncology 100% 679,000
4. Radiology SPA
4.1 Radiology: Specialised MRI and CT scans - In-and-out of hospital combined 100% 23,300
4.2 Basic Radiology: In-hospital 100%
5. Pathology
5.1 Pathology: In-hospital 100%
6. Dentistry SPA
6.1 Oral surgery: Full procedure 100% 56,000
6.2 Maxillo facial surgery: Non-elective only 100%
6.3 Dental Implants
6.3.1 Hospitalisation No benefit
6.3.2 Implant: Consultation, procedure and cost No benefit
7. Psychiatric treatment 24,800 45,900 SPA
7.1 Hospitalisation or institutionalisation 100%
7.2 Rehabilitation of alcohol and drug addiction or abuse 100%
8. Maternity
8.1 Confinement: Full procedure - subject to pre-authorisation 100% SPA
8.2 Antenatal consultations 100% 12 Visits OAL
8.3 Sonar scans: 2D 100% 2 Scans OAL
8.4 Amniocentesis 100% SPA
8.5 Panorama Prenatal test 100% SPA
9. Preventative care OAL
9.1 Vaccinations: As per list No benefit
10. Specified illness conditions 22,700 OAL
10.1 HIV/AIDS: Including the cost of pathology tests 100% SPA
10.2 Sexually transmitted diseases 100% 3,700 4,890 SPA
11. Ambulance services: Only for medical or trauma emergencies SPA
11.1 Emergency evacuation: Air 100%
11.2 Ambulance services 100%
11.3 Ambulance services: Inter-hospital transfer 100% 5,140 5,140
11.4 Other transportation 80%
12. Artificial limbs or eyes
12.1 Artificial limbs No benefit
12.2 Artificial eyes No benefit
13. Heart surgery: Rehabilitation 100% 18,000 OAL/SPA
14. Insertion Mirena Device: All Inclusive - every 3 years 100% 7,400 OAL/SPA
15. Stoma Care products 100% 34,700 OAL/SPA
16. Back and Neck Rehabilitation Programme 100% Subject to DBC protocol OAL/SPA

NAMAF tarriff or % thereof Principal Member Per Additional Beneficiary Per Family Conditions
Out-of-hospital: Sub-limit
1. Healthcare provider or medical specialists
1.1 Consultations or visits: Out-of-hospital No benefit
1.1.1 Virtual GP Consultations No benefit
1.2 Procedures: Out-of-hospital services No benefit
1.3 Pathology or Radiology: Out-of-hospital No benefit
1.4 Chronic Lifestyle Disease Extender benefit No benefit
2. Medicine and injections
2.1 Acute medicine
2.1.1 Acute medicine: Pharmacy dispensed - min levy of N$ 30 No benefit
2.1.2 Acute medicine: Doctors dispensed - min levy of N$ 30 No benefit
2.1.3 Self medication: Over-the-counter - no levy Subject to acute medicine limit No benefit
2.1.4 Vitamins, homeopathic and phytotherapy medicines: min levy of N$ 30- subject to acute medicine limit" No benefit
3. Dentistry
3.1 Basic dentistry: Subject to sub-limit No benefit
3.2 Dental technicians No benefit
3.3 Advanced dentistry
3.3.1 Orthodontics No benefit
3.3.2 Dental implants: Full procedure No benefit
4. Optical
4.1 Eye tests No benefit
4.2 Spectacles or lenses: Frames every 2nd year No benefit
4.3 Orthoptics No benefit
5. Auxiliary services
5.1 Chiropody No benefit
5.2 Clinical psychology No benefit
5.3 Dietician No benefit
5.4 Homeopathy: Consultation only No benefit
5.5 Occupational therapy No benefit
5.6 Social workers No benefit
5.7 Appliances: Non-surgical No benefit
5.8 Physiotherapy No benefit
5.9 Biokinetics No benefit
5.10 Audiology or speech therapy No benefit
5.11 Chiropractic No benefit
5.12 Podiatry No benefit
6. Smart Saver benefit
6.1 Health Risk Assessment 100% 525
7. Roll-Over benefit No benefit

  • No Day-to-Day benefits are available.
  • 1 COVID-19 vaccine regimen per year is covered as part of the Preventative Care benefit for all beneficiaries older than 16 years.
  • No Roll-Over benefit apart from a Smart Saver benefit that 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.
  • Pre-authorised travelling costs for specialist referrals in Namibia partly covered if residing more than 150km from Windhoek - accommodation included, limited to N$ 875 per night, maximum of 2 nights per family per annum.
  • Intra ocular lenses included in Appliances and Prosthesis Surgical benefit - limited to N$ 7 000 per lens, refer to 3.7.

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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