Emerald

New generation cover for those who need affordable in-hospital benefits. All in-hospital and related expenses are paid out of the Fund’s pool, which consists of all the individual members’ basic contributions.

Key Benefits

Hospital: Major Medical Expenses
AHB Cover: GP & Specialist in-hospital services payable to a maximum of 225% of NAMAF Tariff

Benefit Cover
Accommodation – private wards 100%
Accommodation – other than recognised hospital 100% of cost
MRI & CT Scans 100%
Internal Appliances & Materials 100% of cost
Oncology – Active Therapy (Surgery, Chemotherapy, Radiotherapy and Hormone Therapy) 100%
Organ Transplant 100%
Refractive Surgery 100%
Maternity - Confinement – Full Procedure
  • 12 Ante-natal Consultations
  • 3 Sonar Scans per Beneficiary per Pregnancy
100%


Contribution Cover
Emerald Group Contributions Applicable Major Medical Expenses - Hospitalisation

*As per NAMFISA directive, the savings option on Amber for day-to-day medical expenses has been removed by the Fund.


Contributions

Individuals
Age Band Main Adult Child
0 25 872 552 218
26 30 970 621 218
31 35 1 071 692 218
36 40 1 210 781 223
41 45 1 326 868 223
46 50 1 433 945 223
51 55 1 565 1 042
223
56 60 1 677 1 121 223
61 65 1 787 1 203 223
66+
1 906 1 281 223
Groups
Age Band Main Adult Child
0 25 876 555 205
26 30 975 624 205
31 35 1 036
639 205
36 40 1 116 682 209
41 45 1 194 749 209
46 50 1 296 823 209
51 55 1 339 860 209
56 60 1 417 922 209
61 65 1 536 1 002 209
66+
1 573 1 027
209