Added Value Benefits

Below is a list of all the Added Value Benefits available at NHP. Click on a link below for more information, or simply scroll down.

Preventative Care benefit

The Preventative Care benefit has been extended to include various diagnostics and will be available to members on the Gold, Platinum, Titanium, Silver, and Bronze benefit options. This benefit is subject to the members’ overall annual limit (OAL) and will not affect their available day-to-day benefits and limits. The vaccinations listed under the Preventative Care benefit also do not affect the day-to-day benefits and limits

Please note: Members on the Hospital, Blue Diamond, and Litunga benefit options do not qualify for the preventative care benefits as listed.

The Preventative Care benefit on the aforementioned benefit options consists of the following:

  • Vaccinations
    • Members older than 50 years: 1 flu vaccination per beneficiary per year.
    • Children younger than 6 years of age, which include:
      • Polio;
      • Diphtheria;
      • Pertussis;
      • Tetanus;
      • Haemophilus influenza type B;
      • Measles;
      • Mumps;
      • Rubella;
      • Varicella (chickenpox);
      • Pneumococcal disease;
      • Rotavirus;
      • Hepatitis A and B;
      • Meningococcal disease.
         
  • Preventative Care screening:
    • Women's health:
      • Breast cancer screening with mammography for females older than 40 years: 1 screening every 3 years.
      • Cervical cancer screening for females between 21 years of age up to 65 years: 1 pap smear every 2 years. Cervarix vaccination available.
    • Sexual health:
      • HIV screening for all lives: 1 every year.
    • Men’s health:
      • PSA test for men aged 50 years and older: 1 test every 2 years
    • Cardiac health:
      • Cholesterol screening with full lipogram for all lives for members older than 20 years: 1 screening every 5 years.
    • Geriatric health:
      • Bone densitometry test for females aged 65 years and older: 1 scan per beneficiary per annum.
    • General health:
      • Colonoscopy for all lives for members aged 50 years and older.


Please note:  Vaccinations for diseases not on the list above are covered by your Acute Medication benefit. Identification of high risk members for intervention is done through the NHP Wellness Programme, where members can form part of the NHP Beneficiary Risk Management (BRM) Programme, if they agree to enrol.

NHP Wellness Programme

A rapid increase in chronic conditions fueled by lifestyle choices has resulted in an increased focus on preventative strategies to counteract their negative effects. NHP has identified preventative care as a key focus area going into the future and has incorporated a preventative care benefit into the benefit design without influencing your day-today benefit or impacting on your Roll-Over Benefit. The intention is to shift the focus from curative, to primary and preventative care. The NHP Wellness Programme forms part of a greater effort to support the focus on preventative treatment.

 

Becoming aware of your health risks can lead to specific goals and planning to reduce the risks of certain diseases and sicknesses, enhance health, improve productivity in the organisation, increase job satisfaction and reduce absenteeism.

 

Our NHP Wellness Programme is a practical programme aimed at empowering you to take ownership of your own health and well-being. The Beneficiary Risk Management (BRM) Programme targets key lifestyle factors that influence your healthcare risks. These lifestyle factors include stress, weight control, smoking, diet, nutrition and exercise. The BRM Programme is a tool to manage your healthcare risk in order to start early intervention and active engagement. NHP provides clinical expertise and guidance that equips you with vital information necessary to benchmark your health. The NHP Wellness Programme set of services are based on the following principles:

  • Face-to-face interaction with onsite screenings;
  • Identification of high risk members;
  • Communication with high risk members;
  • Active enrollment and intervention via case management;
  • Monitoring member compliance to treatment;
  • Updating beneficiary data;
  • Measuring of outcome;
  • Tailored (Individualised) feedback .

For more information contact NHP.

International Travel

This benefit provides cover for up to N$10,000,000 per dependant for medical emergencies whilst travelling outside the borders of Namibia including overseas. Cover includes costs related to medical and related expenses, emergency medical assistance, medical evacuation and repatriation, return of child dependants and emergency assistance.

The cover is limited to a maximum travel period of 90 days and 30 days if there is a pre-existing condition. Cover is also only available to people between the ages of 3 months to 80 years. For more information on pre-existing conditions where cover is limited to 30 days and N$ 500,000 per case, please contact our NHP Call Centre.

To qualify for benefits, you must:

  • Register yourself and those accompanying you before you leave Namibia.
  • Obtain a cover letter and a copy of the policy document from NHP, which shows the policy number and emergency contact details as well as the conditions of cover.
  • Obtain an embassy letter for extended travel.
  • Always obtain a reference number if you have a medical emergency or claim.
  • Obtain a comprehensive medical report with diagnosis from the treating healthcare provider.
  • Keep all invoices and submit all proof of the medical costs paid for and a copy of the airline ticket(s).
  • When you return, complete and submit a claim form attaching all supporting documents.
  • If there is a pre-existing medical condition obtain a report from the local healthcare provider, providing details of treatment 12 months before your travel date.


Please note: Failure of members to do full disclosure in respect of any pre-existing illnesses prior to departure may result in treatment of a possible illness or injury being rejected by the insurer.

Repatriation

Should something unexpected happen to a member or dependant, usually a medical emergency a long distance from where you live the Fund will cover the costs of transporting a member or dependant back home. The Fund will either pay the transport costs in cash or through an agreement with a preferred transport company.

For all repatriation enquiries, please contact NHP, tel+264 61 285 5400 directly.

The repatriation benefit will cover the cost of repatriation in case of:

  • Emergency transportation in South Africa and Namibia whether by means of either bus transport or commercial flight, where a patient is still alive after an emergency treatment.
  • Emergency transportation in South Africa and Namibia where the patient passed away and the mortal remains are repatriated to the town of residence in Namibia.
  • Mortal remains repatriation inclusive from the place of death in Namibia to the mortuary or nearest residence within Namibian borders will be paid to a maximum of N$15,000 per event.
  • The Fund will pay ONE commercial flight ticket or refund any fuel costs for repatriation in South Africa and Namibia after a medical emergency evacuation per annum.
  • Repatriation of mortal remains in Namibia or South Africa is covered if a member or a dependant receives authorized treatment but subsequently pass away.


For assistance with the repatriation of mortal remains, please contact your NHP Call Centre.

Please note: The benefit payment is subject to provision of the following documentation:

  • Valid claim form of the insurer; and
  • Certified copy of the death certificate of the insured.

Premium waiver

All NHP members are provided with a group indemnity insurance cover which, upon the death of the principal member, will pay the monthly contributions to allow members’ dependants to remain on the Fund for up to 3 months. This group indemnity insurance cover is compulsory and does not require any additional monthly contributions from the member.

The risk of this product is fully underwritten by a registered insurer as required by the Medical Aid and Insurance Acts.

To qualify for benefits, the remaining dependant(s) must:

  • Download the claim application form by clicking on the link below,
  • Complete the application form and fax to +264 61 223 904 or email info@nhp.com.na,
  • Submit a death certificate in respect of the deceased, and
  • Submit proof of paid up membership with the Fund.

For more information, contact NHP, tel +264 61 285 5400

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