Basic Healthcare Option From Nammed Medical Aid Scheme

Basic Option from Nammed Medical Aid Fund

You deserve quality healthcare.  The Basic option provides reasonably priced primary healthcare services to the lower-income group, who previously could not afford and did not have access to funded-healthcare options. 

The Nammed Healthcare Provider Network

Basic Option provides access to private healthcare for medical treatment provided by our Designated Service providers.  

Any visits to healthcare providers not on our Designated Service Provider list are for the member’s personal account. It is advised that members make appointments before visiting their healthcare providers.

Sign up for the Basic medical aid option today.

In-Hospital benefits

Ward Fees - Hospital
(Private ward accommodation will be covered at General Ward rates unless approved by the Fund		100% of State TariffReimbursement as per DSP contract
Ward Fees - Sub-Acute100% of State TariffReimbursement as per DSP contract
Theatre fees, recovery rooms, Intensive Care & High Care100% of State TariffReimbursement as per DSP contract
Medicine & Materials used in hospital (Subject to agreed reimbursement model)
TTO medicine limited to a seven (7) day supply		100% of State TariffReimbursement as per DSP contract

Doctor visits in hospital

Doctor visits As per DSP contract Reimbursement as per DSP contract 
Surgical procedures in theatre 100% of State Tariff Reimbursement as per DSP contract 

Maternity Benefits

Maternity in hospital100% of State TariffState Facility only


Psychiatric Treatment & Substance Abuse

Psychiatric treatment 100% State Tariff State facility only
Substance abuse 100% State Tariff
 Limited to N$ 4 000 per family per annum (As per contract)


Ambulance Benefit

Non-emergency transport (doctor motivation required) (Subject to available limit)              100% of Cost                                                                                N$ 4 300 per family

Emergency transport                                                                                                                                            Benefit according to Rescue Me Policy                            Y

Unlimited Day-to-Day Doctor consultations

Consultations/Visits (out of hospital)As per DSP agreementUnlimited visits at DSP N$15 co-payment
Procedures/Services (out of hospital)100% of Namaf TariffLimited to available Private Hospital Limit
Radiology & Pathology (out of hospital)100% of Namaf Tariff

Reimbursement as per network contract

(as per agreed formula list)

Medication Benefit

Self-Medication (including selected sunscreens and vitamins)100% of Pricing StructureN$ 400 per family per quarter
Acute/Prescribed Medication

100% of Pricing Structure

N$ 2 200 Per Principal Member Limited to N$ 3 200 per family per annum.

Script limit N$ 300 (No Co-Payment)

Chronic medication - Subject to Fund approval
(Application forms are available on request)		100% of Pricing StructureN$ 3 200 per family per annum.

Script limit N$ 300 (No Co-Payment)

HIV Medication

Anti-retroviral Medication therapy100% of Pricing Structure

N$ 11 300 per family per annum. No co-payment.


Optical Benefit

Consultation by an Optometrist

100% of Cost at DSP

N$ 1 200 per family per annum including frames. N$15 co-payment

6 Month waiting period for private members

Spectacles (frames and lenses), contact lenses
Prescription sunglasses (only on specialist recommendation)

Dental Benefit

Additional basic conservative dentistry

(e.g. comprehensive consultation, root canal, oral hygiene counselling

refinement of restorations, treatment of hypersensitive dentine,

partial & full dentures)

100% of Namaf Tariff

N$ 1 800 per principal member & limited to N$ 3 400 per family per annum.

unlimited at state facility

Side Pannel

Medical Aid Options

Help me find an Option

Compare our Options

Nammed

Basic

The Basic option provides reasonably-priced, primary healthcare services to the lower-income group. (Maximum monthly salary may not exceed N$17 000).

from
N$733
Overall Annual
Benefit of
Unlimited (State Facility)

Nammed

Trauma

The Trauma option offers comprehensive benefits for major medical expenses normally associated with hospitalisation. Ideal for members wishing to cover hospital costs only.

from
N$1744
Overall Annual
Benefit of
N$3 000 000.00

Nammed

Active

The Active option offers benefits associated with hospitalisation and day-to-day medical expenses. This option will cater for young, single people and smaller, healthy families.

from
N$1787
Overall Annual
Benefit of
N$1 500 000.00

Nammed

Essential

The Essential option is generally suited for the healthier person or family between 36 and 55, who seeks greater benefits than the Active option without needing as much as the Standard option offers.

from
N$3041
Overall Annual
Benefit of
N$2 200 000.00

Nammed

Standard

The Standard option offers benefits associated with hospitalisation and day-to-day medical expenses. This option is well-suited for the middle-to-higher-income earners who wish to enjoy peace of mind.

from
N$3497
Overall Annual
Benefit of
Unlimited

Nammed

Comprehensive

The Comprehensive option offers benefits associated with hospitalisation and day-to-day medical expenses. Ideal for members wishing to cover their medical costs to the greatest extent possible or whose health risks may be perceived as high.

from
N$4425
Overall Annual
Benefit of
Unlimited

Life Stages

Age
18-25

Starters

  • Beginning Employment.
  • Low - Medium Income,
  • Low Health needs,
  • For unexpected medical needs. 
Age
26-35

Nest Builders

  • Seek value rather than cheapest option.
  • Need cover for expected medical needs for the young family.. 
Age
36-55

Mid-Lifers

  • Middle to High income levels,
  • Medical Aid is a routine monthly expense,
  • stable health needs,
Age
56-60

Grey Foxes

  • Moving towards retirement,
  • Health risks and prevalence of chronic diseases increasing,
Age
61+

Wise Owls

  • Members approaching or in retirement,
  • Increased prevelance of chronic diseases,
  • Greater importance of extent of cover for major medical events like knee & hip replacements. 

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