Benefit Structure

The structure provides details of your medical aid benefits and contributions.

Tips & guides for a healthier stronger you. A healthy family is a happier one.

Napotel Medical Aid offers competitive market related contributions.

Browse our FAQ's to find out more about Napotel Medical Aid benefits.

Kindly click on the link below to download the Add-On Medication form.

Download the comprehensive Napotel 2023 Benefit Booklet, for all the information on the benefit structure as well as the procedures of the Fund.

Mar2021

Download the latest newsletter for Napotel members fo rinofrmation on the Fund for 2022. Download Newsletter

Napotel 2022 AGM Booklet

Kindly download the 2022 AGM Booklet for your perusal.

New Benefits Effective 01 January 2023

Hospital Benefits Group (Subject to clinical risk management protocols and pre-authorization)		N$ 799 500 per beneficiary
Private Hospitals includingmedicines, materials, hospital apparatus and 7 days take out medication	100% tariff	Part of the Overall Annual limit
Provincial Hospitals including medicines, materials, hospital apparatus and 7 days take out medication
Step‐down Nursing Facilities in lieu of hospitalization
GP Consultation, treatment & services	225% tariff
Specialist consultations, treatment and services	225% tariff
Blood Transfusion	100% tariff
Pathology	100% tariff	N$ 11 040 pbpa
Radiology		N$ 11 040 pbpa