Benefit Structure
New Benefits Effective 01 January 2023
| B1 | 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 |
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| Step‐down Nursing Facilities in lieu of hospitalization | |||
| GP Consultation, treatment & services | 225% tariff | ||
| Specialist consultations, treatment and services | |||
| Blood Transfusion | 100% tariff | ||
| Pathology | N$ 11 040 pbpa | ||
| Radiology | N$ 11 040 pbpa |
Download Main Benefits Structure 2023