The Best Medical Aids
The Best Hospital Plans
Overall, the Nammed Trauma Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and subacute facilities procedures to up to 3 Family Members. The Nammed Trauma Medical Aid Plan starts from RN$2,535 ZAR.
🔎 Medical Aid Plan | 🥇 Nammed Trauma |
🌎 International Cover | ✅ Yes |
👤 Main Member Contribution | N$2,535 – N$5,554 |
👥 Adult Dependent Contribution | $N1,727 – N$3,787 |
🍼 Child Dependent Contribution | N$1,122 |
🔁 Gap Cover | None |
👶 Pre- and Postnatal Care | None |
🏥 Hospital Cover | Unlimited |
💙 Medical Savings Account | None |
💚 Maternity Benefits | ✅ Yes |
The Nammed Trauma is one of 6 plans, starting from N$2,535. Trauma is a hospital plan that covers hospitalization, subacute facilities, organ transplants, internal prostheses, and more. Gap Cover is not available on the Nammed Trauma Plan. However, Nammed has 24/7 medical emergency assistance.
🔎 Age Bracket | 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
1️⃣ Under 25 | $N2,535 | $N1,727 | N$1,122 |
2️⃣ 25 – 29 | $N2,789 | $N1,898 | N$1,122 |
3️⃣ 30 – 34 | $N3,013 | $N2,049 | N$1,122 |
4️⃣ 35 – 39 | $N3,313 | $N2,259 | N$1,122 |
5️⃣ 40 – 45 | $N3,643 | $N2,486 | N$1,122 |
6️⃣ 46 – 50 | $N3,936 | $N2,681 | N$1,122 |
7️⃣ 51 – 55 | $N4,325 | $N2,953 | N$1,122 |
8️⃣ 56 – 60 | $N4,676 | $N3,189 | N$1,122 |
9️⃣ 61 – 65 | $N5,144 | $N3,510 | N$1,122 |
🔟 65> | $N5,554 | $N3,787 | N$1,122 |
🔎 Age Bracket | 👤 Main Member | 👥 Adult Dependent | 🍼 Child Dependent |
1️⃣ Under 25 | $N1,744 | $N1,221 | N$556 |
2️⃣ 25 – 29 | $N1,900 | $N1,335 | N$556 |
3️⃣ 30 – 34 | $N2,090 | $N1,465 | N$556 |
4️⃣ 35 – 39 | $N2,284 | $N1,575 | N$556 |
5️⃣ 40 – 45 | $N2,512 | $N1,756 | N$556 |
6️⃣ 46 – 50 | $N2,711 | $N1,896 | N$556 |
7️⃣ 51 – 55 | $N2,985 | $N2,086 | N$556 |
8️⃣ 56 – 60 | $N3,278 | $N2,292 | N$556 |
9️⃣ 61 – 65 | $N3,609 | $N2,524 | N$556 |
🔟 65> | $N3,972 | $N2,781 | N$556 |
🟥 Overall Annual Limit | There is an overall annual limit (OAL) of N$3 million. |
☑️ Hospitalization and Subacute Facilities | – |
🟧 Ward Fees – Hospital | Covered up to 100% of the Namaf tariff. |
🟨 Ward Fees – Sub-acute facilities | Covered up to 100% of the Namaf tariff. |
🟩 Theatre Fees, recovery rooms, Intensive Care, High Care | Covered up to 100% of the Namaf tariff. |
🟦 Medicine and Materials used in the hospital, including take-home medicine for 7 days. | Covered up to 100% of the Pricing Structure. |
☑️ Medical Specialists and General Practitioners | – |
🟪 Hospital Visits | Covered up to 200% of the Namaf tariff. |
🟥 Surgical procedures are done in theatre | Covered up to 200% of the Namaf tariff. |
☑️ Organ Transplants | – |
🟧 Supply and transportation of organs (including accommodation) | Covered up to 100% of the Namaf tariff. Limited to N$886,500 per family per year. |
🟨 Immuno-suppressant drugs | Covered up to 100% of the Namaf tariff. Limited to N$117,500 per family. Subject to the organ transplant benefit. |
🟩 Renal Dialysis | Covered up to 100% of the Namaf tariff. Limited to N$236,000 per family. |
☑️ Internal Prostheses | – |
🟦 Unspecified internal prostheses | Covered up to 100% of the cost. Limited to N$52,700 per family. |
🟪 Cardiac stents | Covered up to 100% of the cost. Limited to N$30,500 per stent. Limited to 3 stents per year. |
🟥 Cardiac Pacemakers | Covered up to 100% of the cost. Limited to N$75,600 per family. |
🟧 Cardiac Valves | Covered up to 100% of the cost. Limited to N$41,400 per valve. Limited to two valves per year. |
🟨 Complete hip replacement | Covered up to 100% of the cost. Limited to N$49,700 per hip. Limited to two hips per year. |
🟩 Complete knee replacement | Covered up to 100% of the cost. Limited to N$49,700 per knee. Limited to two knees per year. |
🟦 Complete shoulder replacement | Covered up to 100% of the cost. Limited to N$49,700 per shoulder. Limited to two shoulders per year. |
🟪 Spinal instrumentation | Covered up to 100% of the cost. Limited to N$44,900 per family. |
☑️ Radiotherapy and Oncology | – |
🟥 All services, including chemicals | Subject to the OAL. Covered up to 100%of the Namaf tariff. Limited to N$661,400 per family per year. |
☑️ Dental Surgery | – |
🟧 Trauma Surgery | Subject to the OAL. Covered up to 200% of the Namaf tariff. |
🟨 Maxillofacial and oral surgery – Hospital Visits | Subject to the OAL. Covered up to 200% of the Namaf tariff. |
🟩 Maxillofacial and oral surgery – elective procedures performed in theatre | Hospitalization is covered by up to 100% of the Namaf tariff. Anesthetists are covered by up to 200% of the Namaf tariff. Limited to N$10,800 per family. |
🅰️ Specialized Radiology | – |
🔴 MRI, CT, and Bone Density Scans | Covered up to 100% of the cost. Limited to N$21,000 per family. A 10% copayment applies. |
🟠 US Scans and Mammograms | According to the Specialised Radiology Benefit. |
🟡 Radiology and Pathology In-Hospital | Covered up to 100% of the cost. |
🅱️ Medical Appliances and External Prostheses | – |
🟢 Unspecified External Prostheses | Covered up to 100% of the cost. Limited to N$21,000 per family. |
🔵 Artificial Leg – partial or complete | Covered up to 100% of the cost Limited to N$55,900 per family. |
🟣 Artificial Arm – partial or complete | Covered up to 100% of the cost Limited to N$55,900 per family. |
🔴 Artificial Eyes | Covered up to 100% of the cost. Limited to N$19,100 per family. |
☑️ Ambulance Services | – |
❤️ Emergency transport | According to the agreement between Nammed and LifeLink. |
🧡 Non-emergency transport | Covered up to 100% of the cost. Limited to N$8,000 per family. Doctor motivation is required. Subject to the available limit. |
☑️ Other Services | – |
💛 Physiotherapy in hospital | Covered up to 100% of the Namaf tariff. |
💚 Blood Transfusions | Covered up to 100% of the cost. |
💙 Radial Keratotomy/Excimer Laser Procedures | Covered up to 100% of the cost. Limited to N$14,700 per family. |
💜 Hyperbaric Oxygen therapy | Covered up to 100% of the cost. |
❤️ Psychiatric in-hospital treatment | Covered up to 100% of the Namaf tariff. Limited to N$37,900 per family. |
🧡 Private nursing, hospice service, and frail care services | Covered up to 100% of the cost. Limited to N$35,800 per family. |
☑️ Maternity Benefit | – |
💛 Medical Practitioner visits in the hospital | Covered up to 200% of the Namaf tariff. |
💚 Medical Practitioner – Surgical procedures in theatre | Covered up to 200% of the Namaf tariff. |
💙 Labor and ward fees | Covered up to 100% of the Namaf tariff. Length of stay limited to the following: Natural birth – 3 days Cesarean – 4 days |
💜 Midwife services | Covered up to 100% of the Namaf tariff. Limited to N$14,700 per case. |
✅ Exclusions
No cover is provided for any insured person who is 66 years of age or older for any of the following:
✅ Eligible Insured Persons
All scheme members are covered while traveling from their country of permanent or temporary residence to a destination outside the borders of Namibia or that specific residency, as agreed upon in the Policy Certificate.
✅ Cover Scope
The scope of cover is 24 hours for the period of international travel.
✅ Specific Conditions
☑️ Overseas Medical Expenses – Automatically covered | – |
⚠️ Unexpected Illness Serious Injury unrelated to sporting activities Serious Injury while participating in a listed snow sport Serious Injury while participating in a listed sport activity | Eligible expenses authorized by Nammed are limited to N$10,000,000. Eligible expenses not authorized by Nammed are limited to N$10,000. Passive war and terrorism are covered up to N$5,000,000. |
☑️ Overseas Medical Expenses declared to Nammed | – |
😷 Infectious and contagious diseases – declared and approved by Nammed | Eligible expenses authorized by Nammed are limited to N$10,000,000. Eligible expenses not authorized by Nammed are limited to N$10,000. |
✈️ Medical Evacuation or Repatriation arranged by Nammed | Included in Overseas Medical Expenses. |
🦷 Dental | Limited to N$2,000. |
📌 Pre-Existing Medical Conditions – Inpatient 48 hours> | Limited to N$1 000,000. |
☠️ Cremation Overseas or Repatriation of Mortal Remains | Included in Overseas Medical Expenses when arranged by Nammed. |
👶 Return of Children | Economy airfare when Nammed arranges it. |
❤️ Assistance Services | Included |
According to a Member’s medical history and the Rules of Nammed, a member can be subject to exclusions concerning a pre-existing specific illness or condition. This means no benefit will be paid for any expenses directly or indirectly related to this illness or condition. Consequently, any medical expenses arising from the pre-existing condition will be the Member’s sole responsibility.
However, there are exceptions to this waiting period. For example, a new member will not be subject to a waiting period if they have been a member of another registered Namibian Medical Aid Fund for at least two years and joined Nammed within three months of resigning from that fund or they are moving from another registered Namibian Fund to Nammed.
🔎 Medical Aid Plan | 🥇 Nammed Trauma | 🥈 KeyCare Start Regional | 🥉 Medimed Alpha |
🌎 International Cover | ✅ Yes | None | None |
👤 Main Member Contribution | N$2,353 – N$5,554 | R1,102 | R1,680 |
👥 Adult Dependent Contribution | $N1,727 – N$3,787 | R1,102 | R1,680 |
🍼 Child Dependent Contribution | N$1,122 | R664 | R660 |
🔁 Gap Cover | None | ✅ Yes | ✅ Yes |
👶 Pre- and Postnatal Care | None | ✅ Yes | Only Prenatal |
🏥 Hospital Cover | Unlimited | Network Hospital in the member’s region only – Unlimited | Unlimited |
💙 Medical Savings Account | None | None | None |
💚 Maternity Benefits | ✅ Yes | ✅ Yes | ✅ Yes |
Nammed offers a range of healthcare plans to suit the needs and budgets of its members. One such plan is the Nammed Trauma (Hospital Plan). This plan is designed to provide cover for hospitalization due to traumatic events. The Nammed Trauma (Hospital Plan) is an affordable healthcare plan that provides members with peace of mind in an accident or trauma requiring hospitalization. Furthermore, the plan covers the costs of hospitalization and a range of associated expenses, including theatre fees, diagnostic tests, and medications.
Nammed Medical Aid has the following plans to choose from
The Nammed Trauma (Hospital Plan) is a healthcare plan that provides cover for hospitalization due to traumatic events.
The plan covers the costs of hospitalization and a range of associated expenses, including theatre fees, diagnostic tests, and medications.
The plan offers flexibility regarding healthcare providers, allowing members to choose the healthcare facility and doctor.
No, the plan does not include any preventative healthcare services, such as annual medical check-ups, immunizations, or cancer screenings.
Yes, members of the Nammed Trauma (Hospital Plan) have access to emergency medical services available 24/7.
Yes, the plan includes air ambulance services, which can be used in a medical emergency that requires transport to a specialist facility.
Premiums for the Nammed Trauma (Hospital Plan) start at just N$460 per month for a single member, making it an affordable healthcare option for individuals and families on a tight budget.
You might also like
We work with leading medical aid companies in South Africa.
🔎 Report a bug or outdated data to be updated to [email protected]
© Medicalaid.com | All rights Reserved |
Copyright 2024
Top 5 Medical Aids
Top 5 Gap Cover Plans