Silver - All Benefits Options | Namibia Health Plan

About Silver

NHP Silver is the perfect package for comprehensive cover and day-to-day benefits. With this option, you can choose how to allocate an annual amount for day-to-day expenses. This benefit option is best suited for those whose health risk can be described as low.

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

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 2,946 1,987 1,063
26-30 3,242 2,307 1,063
31-35 3,641 2,698 1,063
36-40 4,072 3,012 1,063
41-45 4,429 3,404 1,063
46-50 4,746 3,661 1,063
51-55 4,967 3,895 1,063
56-60 5,507 4,214 1,063
61-65 5,822 4,594 1,063
66+ 6,248 4,773 1,063
Age Principal Member Adult / Special dep Child dep
0-25 2,673 1,651 883
26-30 2,879 1,943 883
31-35 3,178 2,025 883
36-40 3,467 2,226 883
41-45 3,828 2,516 883
46-50 4,076 2,698 883
51-55 4,298 3,034 883
56-60 4,668 3,230 883
61-65 5,007 3,915 883
66+ 5,574 4,112 883
Principal Adult/Special dependant Child
4,460 920 920

Example Roll-over Benefit: (Principal member + spouse + two children) = N$ 7,220.00 per year.

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
Out-of-hospital: Sub-limit 19,740 4,095 OAL
1. Healthcare provider or medical specialists
1.1 Consultations or visits: Out-of-hospital 100% Max 5 virtual consultations Max 5 virtual consultations
1.1.1 Consultations or visits: Out-of-hospital: When day-to-day benefit has been depleted 100% 1 General Practitioner visit per registered beneficiary 1 General Practitioner visit per registered beneficiary
1.2 Procedures: Out-of-hospital services 100%
1.3 Pathology or Radiology: Out-of-hospital 100%
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 80%
2.1.2 Acute medicine: Doctors dispensed - min levy of N$ 30 80%
2.1.3 Self medication: Over-the-counter - No levy. Subject to actute medicine limit 100% 1,271 252 268 per claim
2.1.4 Vitamins, homeopathic and phytotherapy medicines - min levy of N$ 30 - subject to acute medicine limit 80% 625 221 268 per claim
3. Dentistry 10,920 21,630
3.1 Basic dentistry: Subject to sub-limit 100%
3.2 Dental technicians 100%
3.3 Advanced dentistry
3.3.1 Orthodontics 100%
3.3.2 Dental implants: Full procedure 100%
4. Optical 3,749 940
4.1 Eye tests 100%
4.2 Spectacles or lenses: Frames every 2nd year 100% Frame limited to 1 439
4.3 Orthoptics 100%
5. Auxiliary services
5.1 Chiropody 100% 15 Visits, including 5 virtual consultations
5.2 Clinical psychology 100% 15 Visits, including 5 virtual consultations
5.3 Dietician 100% 15 Visits, including 5 virtual consultations
5.4 Homeopathy, Naturopathy and Phytotherapy: Consultation only 100% 15 Visits, including 5 virtual consultations
5.5 Occupational therapy 100% 15 Visits, including 5 virtual consultations
5.6 Social workers 100% 15 Visits, including 5 virtual consultations
5.7 Physiotherapy 100% 15 Visits, including 5 virtual consultations
5.8 Biokinetics 100% 15 Visits, including 5 virtual consultations
5.9 Audiology or speech therapy 100% 15 Visits, including 5 virtual consultations
5.10 Chiropractic 100% 15 Visits, including 5 virtual consultations
5.11 Podiatry 100% 15 Visits, including 5 virtual consultations
5.12 Chinese medicine and acupuncture visits 100% 15 Visits, including 5 virtual consultations
6. Appliances: Non-surgical 100% OAL OAL SPA
6.1 Wheelchair 6 000 every 3 years 9 000 every 3 years
6.2 Hearing aid 27 500 every 3 years 41 250 every 3 years 13 750 per ear
6.3 Other external appliances 5,000 7,500
7. Smart Saver benefit 0%
7.1 Health Risk Assessment 100% 824
7.2 Preventative Care incentives 100% 110 110
8. Roll-over benefit 100% 4,460 920 920

    NAMAF tarriff or % thereof Principal Member Per Additional Beneficiary Per Family Conditions
Out-of-hospital: Sub-limit 18,800 3,900 OAL
1. Healthcare provider or medical specialists
1.1 Consultations or visits: Out-of-hospital 100%
1.1.1 Virtual GP consultations 100% 5 5
1.2 Procedures: Out-of-hospital services 100%
1.3 Pathology or Radiology: Out-of-hospital 100%
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 80%
2.1.2 Acute medicine: Doctors dispensed - min levy of N$ 30 80%
2.1.3 Self medication: Over-the-counter - no levySubject to acute medicine limit 100% 1,210 240 255 per claim
2.1.4 Vitamins, homeopathic and phytotherapy medicines - min levy of N$ 30 - subject to acute medicine limit 80% 595 210 255 per claim
3. Dentistry 10,400 20,600
3.1 Basic dentistry: Subject to sub-limit 100%
3.2 Dental technicians 100%
3.3 Advanced dentistry
3.3.1 Orthodontics 100%
3.3.2 Dental implants: Full procedure 100%
4. Optical 3,570 895
4.1 Eye tests 100% Frame limited to 1 370
4.2 Spectacles or lenses: Frames every 2nd year 100%
4.3 Orthoptics 100%
5. Auxiliary services
5.1 Chiropody 100% 15 Visits 5 VC
5.2 Clinical psychology 100% 15 Visits 5 VC
5.3 Dietician 100% 15 Visits 5 VC
5.4 Homeopathy, Naturopathy and Phytotherapy: Consultation only 100% 15 Visits 5 VC
5.5 Occupational therapy 100% 15 Visits 5 VC
5.6 Social workers 100% 15 Visits 5 VC
5.7 Appliances: Non-surgical 100% SPA
5.8 Physiotherapy 100% 15 Visits 5 VC
5.9 Biokinetics 100% 15 Visits 5 VC
5.10 Audiology or speech therapy 100% 15 Visits 5 VC
5.11 Chiropractic 100% 15 Visits 5 VC
5.12 Podiatry 100% 15 Visits 5 VC
6. Smart Saver benefit
6.1 Health Risk Assessment 100% 785
6.2 Preventative Care incentives 100% 105 105
7. Roll-over benefit 100% 4,250 880 880

  • 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 2.1.4. above, without a prescription.
  • NHP pays for contraceptives (oral and injections) limited to N$268 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$919 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$7 350 per lens. Refer to 3.7.
  • Blood pressure monitor: N$850 per family every 3 years. Subject to registration on the Fund's chronic care programme.
  • Auxiliary services - 15 consultations inclusive of 5 virtual consultations per listed specialities. Subject to available benefits.
  • 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.

NHP Chat

ChatBot

Hi,

My name is ChatBot, I am here to make your web experience with NHP amazing.

May I kindly have your first name?

brought to you by www.asylum.com.na
Namibia Health Plan © 2024, All rights reserved
Another website by Asylum Design and DevelopmentAsylum Design and DevelopmentAsylum Design & Development