Hospital

starting from

N$ 1,375

per individual principal member

Help me choose

Applying as
Principal Member Age
Spouse Age
How many children
comprehensive hospital plan

Adequate cover for unforeseen events that can have severe financial implications. No benefits in respect of day-to-day treatment, thus best suited to members who are younger and whose health risk is very low

For Employer Groups, all family members use principal member’s age category

For Individuals, all family members use the eldest member’s age category

Contributions for employer group
Age Principal
Member
Adult/
Special dep
Child
dep
Contributions for individual members
Age Principal
Member
Adult/
Special dep
Child
dep

The Hospital benefit option offers comprehensive benefits for hospitalisation and related major medical expenses. The Hospital benefit option is ideal for members wishing to self-insure their day-to-day medical expenses while enjoying adequate cover for unforeseen events that can have severe financial implications. This benefit option offers no benefits in respect of day-to-day treatment, thus best suited to members who are younger and whose health risk is very low, thereby enabling them to pay their day-to-day accounts out of their pocket.

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

  • In-hospital services only
  • Accommodation and theatre
  • Blood transfusions
  • Refractive surgery
  • Oncology
  • Basic and specialised radiology – In-hospital
  • Oral surgery
  • Rehabilitation of alcohol and drug addiction
  • Back and Neck rehabilitation programme
  • Maternity
  NAMAF tarriff or % thereofPrincipal MemberPer Additional BeneficiaryPer FamilyConditions
Overall Annual Limit 1,220,000 2,710,000 
1.Healthcare provider and medical specialistsSPA
1.1Consultations and visits: In-hospital225 %
1.2Procedures: In-hospital225 %
2.Chronic Medication
2.1Chronic approved – Min levy of N$30: Subject to prior registrationNo benefit
3.Hospital servicesSPA
3.1Accommodation and theatre100 %
3.2Blood transfusions100 %
3.3Dialysis100 %
3.4Medication100 %
3.5Accommodation in private wards100 %12,70025,300
3.6Accommodation other than a recognised hospital or medical institution: SA only100 %835 per day
3.7Appliances and prosthesis: Surgical100 %27,60055,800
3.8Refractive surgery: Full procedure – A waiting period of 12 months will apply100 %7,1109,250
3.9Organ transplants: Full procedure100 %116,000
3.10Private nursing100 %23,30023,300
3.11Oncology100 %650,000
4.RadiologySPA
4.1Radiology: Specialised MRI and CT scans in-and-out of hospital combined100 %22,300
4.2Basic radiology: In-hospital100 %
5.Pathology
5.1Pathology: In-hospital100 %
6.DentistrySPA
6.1Oral surgery: Full procedure100 %53,600
6.2Maxillo facial surgery: Non-elective only100 %
6.3Dental implants
6.4HospitalisationNo Benefits
6.5Consultation, procedure and cost of implantsNo Benefits
7.Psychiatric treatment23,70043,900SPA
7.1Hospitalisation or institutionalisation100 %
7.2Rehabilitation: Alcohol and drug addiction or abuse100 %
8.Maternity
8.1Confinement: Full procedure100 %SPA
8.2Antenatal consultations (total consultations)100 %12 visitsOAL
8.32D Sonar scans (total scans)100 %2 ScansOAL
8.4Amniocentesis100 %SPA
8.5Panorama Prenatal test100 %SPA
9.Preventative careOAL
9.1Vaccinations: As per listNo Benefits
10.Specified illness conditions21,700OAL
10.1HIV/AIDS: Including the cost of pathology tests100 %SPA
10.2Sexually transmitted diseases100 %3,5404,680SPA
11.Ambulance services: Only for medical or trauma emergenciesSPA
11.1Air evacuation100 %
11.2Ambulance services100 %
11.3Ambulance services: Inter-hospital transfer100 %4,9204,920
11.4Other transportation80 % 1st transfer and subsequent
12.Artificial limbs and eyes
12.1Artificial limbsNo Benefits
12.2Artificial eyesNo Benefits
13.Heart surgery rehabilitation100%17,200
14.Insertion Mirena Device: All Inclusive – Every 3 years100 %7,080OAL
15.Stoma Care products100 %33,200OAL
16.Back and Neck Rehabilitation Programme100 %Subject to DBC protocolSubject to DBC protocolSubject to DBC protocolOAL
  NAMAF tarriff or % thereofPrincipal MemberPer Additional BeneficiaryPer FamilyConditions
Out-of-hospital: Sub-limit No BenefitNo Benefit  
1.Healthcare provider and medical specialistsNo BenefitNo BenefitNo Benefit
1.1Consultations or visits: Out-of-hospitalNo BenefitMax 5 virtual GP consultationsMax 5 virtual GP consultations
1.2Out-of-hospital servicesNo Benefit
1.3Pathology or radiology: Out-of-hospitalNo Benefit
1.4Chronic Lifestyle disease extender benefitNo benefit
2.Medicine and injectionsNo BenefitNo BenefitNo Benefit
2.1Acute medicineNo Benefit
2.1.1Acute: Pharmacy dispensed – Min. levy of N$ 30No Benefit
2.1.2Acute: Doctors dispensed – Min. levy of N$ 30No Benefit
2.1.3Self medication: Over-the-counter – No levy: Subject to acute medication limitNo Benefit
2.1.4Vitamins, homeopathic and phytotherapy medication – Min levy of N$30No Benefit
2.2Chronic medicineNo Benefit
2.2.1Chronic approved: Subject to prior registration – Min. levy of N$ 30No Benefit
3.DentistryNo BenefitNo BenefitNo Benefit
3.1Basic dentistry: Subject to sub-limitNo Benefit
3.2Dental techniciansNo Benefit
3.3Advanced dentistryNo Benefit
3.3.1OrthodonticsNo Benefit
3.3.2Dental Implants: Full procedureNo Benefit
4.OpticalNo BenefitNo BenefitNo Benefit
4.1Eye testsNo Benefit
4.2Spectacles and lenses: Frames every 2nd yearNo Benefit
4.3OrthopticsNo Benefit
5.Auxiliary servicesNo BenefitNo BenefitNo Benefit
5.1ChiropodyNo Benefit
5.2Clinical psychologyNo Benefit
5.3DieticianNo Benefit
5.4Homeopathy: Consultation onlyNo Benefit
5.5Occupational therapyNo Benefit
5.6Social workersNo Benefit
5.7Appliances: Non-surgicalNo Benefit
5.8PhysiotherapyNo Benefit
5.9BiokineticsNo Benefit
5.10Audiology and speech therapyNo Benefit
5.11ChiropracticNo Benefit
5.12PodiatryNo 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.

  • Pre-authorised travelling costs for specialist referrals in Namibia partly covered if residing more than 150km

    from Windhoek – accommodation included, limited to N$ 835 per night, maximum of 2 nights per family per annum.

  • Intra ocular lenses included in Appliances and Prosthesis Surgical benefit – limited to N$ 6 700 per lens, refer to 3.7.