Our Benefits - Options and Benefits | NMC

Ruby

Sign in Register Announcements


Key Benefits

Hospital: Major medical expenses

AHB Cover: GPs and specialists in-hospital services payable to a maximum of 150% of the NAMAF tariff

Benefit Cover
Accommodation and Theatre 100%
Physiotherapy and Biokinetics (In-hospital) 100%
Post Rehabilitation
Physiotherapy, Biokinetics and Occupational Therapy
100%
MRI and CT Scans 100%
Internal Appliances and Materials 100% of Cost
Oncology
  • Consultations and Procedures Out-of-Hospital
  • MRI/CT Scans and Other Specialised Radiology Procedures In and Out-of-Hospital
  • Radiation Oncology (Referral from a medical specialist only)
  • Oncology Medication (Chemotherapy, radiotherapy and hormone therapy)
  • Hospitalisation and Related Procedures In-Hospital
100%
Dialysis/Organ Transplant 100%
Corrective Eye Surgery – All-inclusive
  • Refractive Surgery
  • Cataract Surgery and Lens Implants
100%
Maternity - Confinement – Full Procedure
  • Confinement – full procedure
  • 12 Ante-natal consultations per Beneficiary
  • Six sessions, ante-/post-natal classes and education
  • Three sonar scans per Beneficiary per pregnancy
100%

Day-to-Day Benefits


Benefit Cover
General Practitioners and Specialists 100%
Medicine and Injections
  • Acute and Chronic
  • Essential Vaccination/Immunisation (As per WHO guidelines)
  • Self-Medication
100%
Primary Health Care Services 100%
Dentistry 100%
Optical 100%
Auxiliary Services 100%
Specified Illness Conditions 100%

Contributions


Individuals
Age Band Main
Adult Child
0 25 2,869 1,962
893
26 30 3,199
2,240
893
31 35 3,520
2,480 893
36 40 3,970
2,825
893
41 45 4,357
3,135
893
46 50 4,708 3,414
911
51 55 5,151
3,729 911
56 60 5,507
4,017
911
61
65 5,886
4,307
911
66+
6,255 4,616
911
Groups
Age Band Main Adult Child
0 25 2,619 1,714
756
26 30 2,902 1,911 756
31 35 3,101 2,089 756
36 40 3,388 2,310
756
41 45 3,736 2,586 756
46 50 3,977 2,769
800
51 55 4,291
3,034
800
56 60 4,597
3,261 800
61
65 4,873 3,480
800
66+
4,896 3,500
800