Benefit Structure

New Benefits Effective 01 January 2022

B1Hospital 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‚Äźdown 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 Benefits Structure 2022