Opal

Opal covers 100% of NAMAF tariffs and is the only option that provides for income-based tables for employer groups (20 members or more). Opal further promotes the use of primary healthcare facilities (clinics) for treatment, allows for limited individual benefit amounts and private hospitalisation. Monthly contributions are affordable and fair compared to the available benefits.

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 a recognised hospital 100% of cost
MRI & CAT Scans 100%
Internal Appliances & Materials 100% of cost
Oncology – Active Therapy (Surgery, Chemotherapy and Radiotherapy) 100%
Organ Transplant 100%
Refractive Surgery 100%
Maternity - Confinement – Full Procedure
  • 12 Ante-natal Consultations
  • 2 Sonars per Beneficiary per pregnancy
100%

Ambulance and Evacuation Services

Benefit Cover
Emergency Ambulance & Flights 100%
Ambulance/Inter-hospital transfer 100%
Other Transport 80% of cost

International Medical Travel Insurance

Benefit Cover
Medical cover when travelling to foreign countries. For emergency cases only 100% of cost

Contributions

Individuals
Age Band Main Adult Child
0 25 1 331 829 370
26 30 1 474 933 370
31 35 1 606 1 047 370
36 40 1 799 1 183 375
41 45 1 971 1 299 375
46 50 2 110 1 419 375
51 55 2 297 1 565 375
56 60 2 449 1 679 375
60 65 2 608 1 796 375
66+ 2 767 1 925 375