Silver [2018]

Contributions start from
N$ 1,984.00
for an individual principal member

The Silver benefit option is a "new generation" type of benefit option providing pooled benefits in respect of day-to-day expenses with no sub-limits in respect of the various disciplines thereby allowing the member greater flexibility in deciding how to allocate available funds. However benefits are still allocated on a "per family" basis which allows that benefits are not reserved on a per beneficiary basis, but rather enable members of the family to access the overall family benefit should he or she need it.

The Silver benefit option offers reasonably priced, yet comprehensive benefits for both major and pooled day-to-day medical expenses. The Silver benefit option offers an annual monetary amount allowing members to choose how to allocate these funds for day-to-day expenses. This benefit option is best suited to members whose health risk can be described as low.

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

Roll-Over Benefit

For diligent management of your healthcare expenditure:
PrincipalN$ 3,250.00
Adult/Special dependantN$ 670.00
ChildN$ 670.00

Example Roll-over Benefit:
(Principal member + spouse + two children) = N$ 5,260.00 per year

Spec dep           Special dependant

Notes

  • Legend:
    • OAL = Overall annual limit
    • SPA = Subject to prior approval
  • Flu vaccines are covered as part of the preventative care benefit.
  • Vitamins under specific conditions to be authorised from the Chronic benefit.
  • Limited benefit for vitamins available under 2.1.4. above, without a prescription.
  • NHP pays for contraceptives (oral and injections) limited to N$205 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 - No accommodation costs are covered.
  • No basic dentistry will be covered under the oral surgery benefit.
  • All benefits are subject to availability of pooled Day-to-Day Expenses.

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Silver Benefits

Click on the link below to view the for the 2019 option benefits.

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