Emerald Plus

Affordable in-hospital benefits and day to day cover paid from the backup benefit. The overall annual cover on the Emerald Plus option is limited to N$1 040 000 per Beneficiary and N$1 560 000 per Family. All in-hospital and related expenses are paid up to a maximum of 225% of the NAMAF tariff. The day to day benefit is paid from the backup benefit with 95% of unused benefits rolled over to the next year.

KEY BENEFITS

Hospital: Major Medical Expenses
Day to Day: Paid from Backup Benefit
AHB Cover:
GPs & Specialists in-hospital services paid up to a maximum of 225% of NAMAF Tariff.

Benefit Cover
Accommodation – private wards 100%
Accommodation – other than a recognised hospital 100%
MRI & CT Scans 100%
General Practitioners and Specialists (in-hospital services) 100%
Oncology – (All-inclusive In and Out of Hospital)
Limited to N$600 000 per Beneficiary
Organ Transplant 100%
Refractive Surgery – All-inclusive 100%
Maternity
  • Confinement – Full Procedure
  • 12 Ante-natal Consultations per Beneficiary
  • 6 Sessions, Ante / Post-natal Classes & Education
  • 3 Sonar Scans per Beneficiary per Pregnancy

100%
100%
100%
100%
Day to Day Backup Benefit

Benefit Cover
General Practitioners & Specialists (out-of-hospital including casualties)
100% (Paid from Day to Day Back-up Benefit)
Dentistry
Medicine & Injections
Optical
Primary Health Care Services
Auxiliary Services
Specified Illness Conditions

Contribution Tables

Emerald Plus Group Contributions
Age Band
Main Adult Child
0 25 1 433 941
318
26 30 1 538 1 015 318
31 35 1 603 1 031 318
36 40 1 689 1 036 323
41 45 1 772 1 148 323
46 50 1 880 1 226
323
51 55 1 926 1 266
323
56 60 2 009 1 332
323
61 65 2 136 1 417 323
66+
2 175 1 444 323
Emerald Plus Individual Contributions
Age Band
Main Adult Child
0 25 1,424 935 331
26 30 1,528 1,008 331
31 35 1,635 1,084 331
36 40 1,783 1,178 336
41 45 1,906 1,270 336
46 50 2,019 1,352 336
51 55 2,159 1,455 336
56 60 2,278 1,538 336
61 65 2,394 1,625 336
66+
2,520 1,708 336