Litunga - All Benefits Options | Namibia Health Plan

About Litunga

NHP Litunga is our most affordable offering providing unlimited cover for day-to-day primary care services, at our designated service provider facilities. These service providers can be found on our list of contracted general practitioners and registered nurses here. Litunga is the ideal option for individuals in the lowest income group who have previously lacked access to subsidised private healthcare.

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 Litunga benefit option as your choice of general practitioner, nurse and healthcare facility is restricted. Litunga benefits are not pro-rated with the exception of the optical and dental benefits where sub-limits are applicable.

Compare to other Benefit Options

  • Out of 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
0-25 352 294 143
26-30 360 307 143
31-35 390 315 143
36-40 409 330 143
41-45 426 352 143
46-50 448 367 143
51-55 464 387 143
56-60 470 413 143
61-65 508 436 143
66+ 541 480 143
Age Principal Member Adult / Special dep Child dep
0-25 305 259 125
26-30 324 268 125
31-35 343 278 125
36-40 358 297 125
41-45 373 302 125
46-50 390 313 125
51-55 402 326 125
56-60 408 352 125
61-65 438 373 125
66+ 472 398 125

Downloads

Employer Group Application Form Membership Application Form

Major Medical Benefits NAMAF tariff % Overall Annual Limit (OAL): Unlimited
1 Hospital services - SPA
1.1 Consultations: In-hospital No benefit
1.2 Procedures: In-hospital No benefit
1.3 Admission into the state hospital facility (private wing). Subject to pre-authorisation No benefit
1.4 Selected private hospitals: Limited access benefit for treatment No benefit
1.4.1 Ward fees No benefit
1.5 Routine and scheduled surgical and hospitalisation events No benefit
2 Maternity & Infant
2.1 Antenatal consultations: Gynae / obstetrician / GP or midwife No benefit
2.2 Sonar scans No benefit
3 Preventative Care
3.1 Vaccinations: COVID-19 100%
4 Ambulance services: Medical or trauma emergencies - SPA
4.1 Emergency air evacuation No benefit
4.2 Ambulance services (only in Namibia) No benefit
4.3 Ambulance services: Inter-hospital transfer No benefit
4.4 Other transportation No benefit
5 Back and Neck Rehabilitation Programme: Subject to DBC protocol 100%

Day-to-Day / Out-of-hospital Benefits NAMAF tariff % 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% Main Member N$5,550
or Total Family benefit N$13,875
N$463 per script
1.1.1 Nurse: N$15 per visit: New conditions 100% Main Member N$5,550
or Total Family benefit N$13,875
N$463 per script
1.1.2 General practitioner: N$15 per visit: New conditions 100% Main Member N$5,550
or Total Family benefit N$13,875
N$463 per script
1.1.3 Medical specialist - Upon referral from doctor: N$15 per visit No benefit Main Member N$5,550
or Total Family benefit N$13,875
N$463 per script
1.1.4 Medical specialist: Travel assistance benefit No benefit
1.2 Out-of-hospital services 100%
1.3 After-hour consultations at network doctors: Per family per year. No benefit
2 Medicine and Injections
2.1 Acute medicines: reference pricing applies 100%
2.1.1 - As dispensed or prescribed by network doctors and pharmacies 100% Main Member N$3,136
or Total Family benefit N$7,840
N$261 per script
2.1.2 - Self-medication: Over-the-counter No benefit
2.2 Chronic medicine 100% TOTAL Family benefit: N$3,441
2.2.1 Chronic medicine: Dispensed - As per chronic medicine formulary
Subject to prior registration on chronic care programme
100% TOTAL Family benefit: N$3,441
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 100%
3.1.2 Plastic dentures: Limited to 1 set per family per 24 months 100%
3.1.3 Surgical removal of teeth, root canal treatment and dentures: Subject to pre-authorisation 100%
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. 100% 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 certain 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 HIV programme limits and protocols 100%
9.2 Sexually transmitted diseases 100% 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.
  • International travel benefit.
  • 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.

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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