Titanium - All Benefits Options | Namibia Health Plan

About Titanium

NHP Titanium is aimed at your young family that prefers the security a structured benefit package offers. It is ideally suited for those whose health risk can best be described as low to moderate. The Titanium option provides a generous overall annual limit that applies benefits on a “per-family” basis, when necessary, as benefits are not solely allocated on a per-beneficiary basis.

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 3,405 2,300 1,231
26-30 3,743 2,668 1,231
31-35 4,208 3,118 1,231
36-40 4,707 3,484 1,231
41-45 5,115 3,934 1,231
46-50 5,486 4,232 1,231
51-55 5,740 4,501 1,231
56-60 6,365 4,868 1,231
61-65 6,729 5,311 1,231
66+ 7,223 5,518 1,231
Age Principal Member Adult / Special dep Child dep
0-25 3,095 1,909 1,018
26-30 3,330 2,251 1,018
31-35 3,676 2,338 1,018
36-40 4,012 2,578 1,018
41-45 4,429 2,912 1,018
46-50 4,716 3,121 1,018
51-55 4,968 3,512 1,018
56-60 5,398 3,739 1,018
61-65 5,791 4,529 1,018
66+ 6,446 4,756 1,018
Principal Adult/Special dependant Child
4,620 950 950

Example Roll-over Benefit: (Principal member + spouse + two children) = N$ 7,470.00 per year.

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 - 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$13,720
Total Family benefit N$26,895
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$61,084
Total Family benefit N$70,557
1.10 Refractive surgery: Full procedure - 12 month waiting period applies 100% Main Member N$12,444
Total Family benefit N$15,037
1.11 Pathology: In-hospital 100%
1.12 Organ transplants: Full procedure 100% N$131,751 per family
1.13 Private nursing 100% N$37,044 per family
1.14 Oncology 100% N$701,219 per family
1.15 Post- hospitalisation: Related consults and treatment - 30 days after discharge
2 Chronic medicine
2.1 Chronic approved medicine: Reference pricing applies
Subject to prior registration on chronic care programme
100% Main Member N$9,820
Total Family benefit N$15,451
3 Radiology
3.1 MRI / CT / PET scans - In or out of hospital SPA 100% N$25,370 per family
3.2 Basic Radiology & ultrasound: In-hospital 100%
4 Dentistry - SPA
4.1 Oral surgery - all-inclusive benefit 100% N$60,976 per family
4.2 Maxillo-facial surgery: Non-elective only 100%
4.3 Dental Implants: In or out of hospital 100%
4.3.1 - Hospitalisation 100% Subject to Advanced dentistry - Day-to-Day
4.3.2 - Implant: Consultations, Procedure and implant costs 100% Subject to Advanced dentistry - Day-to-Day
5 Mental Health treatment - all-inclusive benefit - SPA
5.1 Mental health hospitalisation or institutionalisation 100% Main Member N$30,592
5.2 Alcohol & drug rehabilitation - in and out of hospital 100% or Total Family benefit N$49,978
6 Maternity & Infant
6.1 Confinement: all inclusive: NVD: 3 days; C/S / elective C/S: 4 days, SPA 100% Private ward
6.2 Elective Caesarean Section 100% Included
6.3 Antenatal consultations: Gynae / obstetrician / GP or midwife 100% 12 per family
6.4 Sonar scans 100% 2 - 2D per pregnancy
6.5 Amniocentesis SPA 100% 1 per pregnancy
6.6 Panorama Prenatal test SPA 100% 1 per pregnancy
6.7 Pathology tests - standard antenatal blood & urine tests 100%
6.8 Infant hearing screening test 100% 1 test up to 8 weeks old with audiologist
6.9 Vision screening for premature neonates if born <1.5kg or <33 weeks gestation 100% 2 tests
6.10 Congenital hypothyroidism screening 100% 1 test for infants < 1 month old
6.11 Post-natal consultations 100% 1 obstetrician / GP &
midwife visits within 8 weeks of delivery
7 Childhood - Additional benefits - Day-to-day benefits apply once depleted
7.1 GP / Specialist consults for children < 2 yrs 100% 1 visit
7.2 GP / Specialist consults for children 2-12 yrs 100% 1 visit
7.3 Childhood immunisations up to 10 years of age - per EPI schedule 100% Subject to Preventative Care benefit
7.4 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 100% N$46,603 per beneficiary
9.1 HIV/AIDS: Consultations, medication & pathology tests SPA 100%
9.2 Sexually transmitted diseases 100% Main Member N$4,029
Total Family benefit N$5,325
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% N$32,339 per beneficiary
11.2 Artificial eyes 100% N$16,224 per beneficiary
12 Heart surgery: Rehabilitation 100% N$19,599 per family
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%

Day-to-Day / Out-of-hospital Benefits NAMAF tariff % Sub-limits
1 Healthcare providers & medical specialists TOTAL Family benefit: N$10,584 +
N$2,298 for each dependant
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%
1.4 100% Chronic Lifestyle disease extender - additional benefits for hypertension, cholesterol & type 2 diabetes - once respective benefits depleted SPA OAL
2 Medicine and Injections TOTAL Family benefit: N$6,015 +
N$747 for each dependant
2.1 Acute medicines: reference pricing applies 90%
2.1.1 - Acute medicine: Doctor or Pharmacy dispensed - Min levy of N$ 30 90%
2.1.2 - Self-medication: Over-the-counter - No levy
subject to acute medicine limit
100% TOTAL Family benefit: N$1,265
N$249 for each dependant.
$278 per claim max
2.1.3 - Vitamins, homeopathic, Chinese medicine and phytotherapy medicines
Min levy of N$30, subject to acute medicine limit
90% TOTAL Family benefit: N$700
N$228 for each dependant
N$278 per claim max
3 Dentistry Main Member N$12,631
Total Family benefit N$22,757
3.1 Basic dentistry: Subject to sub-limit 100% TOTAL Family benefit: N$7,186
N$1,797 for each dependant
3.2 Dental technicians 100%
3.3 Advanced dentistry & Orthodontics 100%
4 Optical TOTAL Family benefit: N$4,399 +
N$1,318 for each dependant
4.1 Eye tests 100% Frame limited to N$1,590
4.2 Spectacles or lenses: Frames every 2nd year 100%
4.3 Orthoptics 100%
5 Auxiliary services TOTAL Family benefit: N$14,264
N$795 for each dependant
5.1 Audiology & speech therapy
Homeopathy consultations
Biokinetics
Naturopathy consultations
Chinese medicine & acupuncture visits
Occupational therapy
Chiropody
Physiotherapy
Chiropractic
Phytotherapy consultations
Clinical psychology
Podiatry
Dietician
Social workers
100% Subject to Auxiliary services limit
6 Appliances: External / Non-surgical SPA
6.1 Wheelchair - every 3 years 100% Main Member N$10,889
or Total Family benefit N$16,333
6.2 Hearing aid - every 3 years 100% Main Member N$31,110
or Total Family benefit N$46,665
N$15,555 per ear max
6.3 Other external appliances 100% Main Member N$7,778
or Total Family benefit N$11,666
7 Diabetic Devices
7.1 Insulin Pumps / Glucose Monitoring System / Glucose Reader 80% N$41,485 per family
7.2 Diabetes related Consumables for Insulin Pumps / Glucose Monitoring System / Glucose Reader 100% N$51,850 per beneficiary
8 Smart Saver benefit
8.1 Health Risk Assessment 100% N$854 per family
8.2 Preventative Care Incentives 100% N$114 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.
  • 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 Auxiliary services 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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