Our Benefits - Options and Benefits | NMC

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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 2,962 2,026 922
26 30 3,303
2,313
922
31 35 3,634
2,561 922
36 40 4,099 2,917
922
41 45 4,499
3,237
922
46 50 4,861 3,525
941
51 55 5,318
3,850 941
56 60 5,686
4,148
941
61
65 6,077 4,447
941
66+
6,458 4,766
941
Groups
Age Band Main Adult Child
0 25 2,704 1,770
781
26 30 2,996 1,973 781
31 35 3,202 2,157 781
36 40 3,498 2,385
781
41 45 3,857 2,670 781
46 50 4,106 2,859
826
51 55 4,430
3,133
826
56 60 4,746
3,367 826
61
65 5,031 3,593
826
66+
5,055 3,614
826