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 1,751 801 511
26-30 1,904 1,017 511
31-35 2,123 1,175 511
36-40 2,311 1,400 511
41-45 2,477 1,602 511
46-50 2,658 1,719 511
51-55 2,807 1,843 511
56-60 2,951 2,031 511
61-65 3,161 2,228 511
66+ 3,604 2,321 511
Age Principal Member Adult / Special dep Child dep
0-25 1,716 753 463
26-30 1,872 867 463
31-35 2,051 1,058 463
36-40 2,222 1,264 463
41-45 2,369 1,460 463
46-50 2,515 1,574 463
51-55 2,615 1,659 463
56-60 2,765 1,838 463
61-65 2,912 1,985 463
66+ 3,239 2,048 463

Downloads

Employer Group Application Form Membership Application Form Benefit Guide 2025 User Guide 2025

    NAMAF tarriff or % thereof Principal Member Per Additional Beneficiary Per Family Conditions
Overall Annual Limit (OAL) 1,800,000 2,971,500
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% 13,965 27,720
3.6 Accommodation other than a recognised hospital or medical institution: SA only 100% 919 per day
3.7 Appliances and prosthesis: Surgical 100% 30,240 61,215
3.8 Refractive surgery: Full procedure - a waiting period of 12 months will apply 100% 12,000 14,500
3.9 Organ transplants: Full procedure 100% 127,050
3.10 Private nursing 100% 25,515 25,515
3.11 Oncology 100% 712,950
4. Radiology SPA
4.1 Radiology: Specialised MRI and CT scans - In-and-out of hospital combined 100% 24,465
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% 58,800
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 29,500 48,195 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 23,835 OAL
10.1 HIV/AIDS: Including the cost of pathology tests 100% SPA
10.2 Sexually transmitted diseases 100% 3,885 5,135 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% 5,397 5,397
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% 18,900 OAL
14. Insertion Mirena Device: All Inclusive - every 3 years 100% 7,770 OAL
15. Stoma Care products 100% 36,435 OAL
16. Back and Neck Rehabilitation Programme 100% Subject to DBC protocol OAL

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% 551
7. Roll-Over benefit No benefit

  • No Day-to-Day Expenses are available.
  • 1 COVID-19 vaccine regimen per year are 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$919 per night, maximum of 2 nights per family per annum.
  • Intra ocular lenses included in Appliances and prosthesis surgical benefit - limited to N$7 350 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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