concerned stakeholders be convened in order to find a workable solution so that the impact of these increases, as it is barely three months since the recent over the initial increases in contributions as salaries are not going up.

Each year, the AAHEDC tariffs are published by 15 July and take effect from 1 April retrospectively.

Palma also mentioned that the medical devices and products that China needs to keep up with its growing population are devices that China cannot develop themselves due to lack of technology.

To the same extent a healthcare provider is not limited or restricted to charge less than the NAMAF benchmark tariff. Its proposed tariffs have no direct effects on medical device companies, according to Palma. Failing to do so will result in you having to pay the difference out of your own pocket.But surely 100% is, well, 100%?

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You are advised to then go back to the service provider and negotiate a tariff closer to what you can afford or which is more aligned to the payout rate of the medical aid fund.The Fund offers an additional in-hospital cover for services rendered whilst in-hospital (GAP cover) which provides cover of up to 225% of the NAMAF benchmark tariff for hospital procedures whilst in hospital. It is the members responsibility to familiarise themselves with their benefits and levels of cover for which they qualify.Should you need further information, please contact NHP for further assistance.The NHP BRM Programme offers its member’s active management of health related conditionsTransfer by ambulance or air to the closest, most appropriate medical facility.Claims must be submitted before the last day of the fourth month in which the service was renderedCopyright © 2020 Namibia Health Plan (NHP).

Thus this cash payment is not reflected on the member claim and thus also not reflected as a member payment.This implies that the value of the service is undervalued and the cash payment is not reflected on the claims invoice submitted to the respective medical aid fund and/or reflected as a member contribution. If you are in need of emergency medical assistance while abroad and need an air ambulance to get you home, our team of international repatriation experts can help. The NAMAF benchmark tariff is a guideline tariff used by the medical aid fund indicating the maximum rate at which the medical aid fund is willing and able to reimburse for the services charged.Reference is made in your opted benefit structure to services being covered at either 100%, 80%, 50% or 225% of the NAMAF benchmark tariff, which indicates the intent from the medical aid fund to reimburse specific claims only up to the limit as indicated in the percentage stated. In a statement yesterday, AHFoZ said it was still assessing patients continue accessing the required healthcare services,” read the The rift between President Emmerson Mnangagwa and his deputy Constantino Chiwenga that was exposed by the July 31 protests against the det... MDC-T secretary-general Douglas Mwonzora says his fight with MDC Alliance leader Nelson Chamisa is not personal, but is fuelled by his des...THE Association of Healthcare Funders of Zimbabwe (AHFoZ) Members will remain responsible for settling the full account to the healthcare provider and as such may be required to settle any outstanding amounts. If, for instance, your service provider charges at 300% of the NAMAF benchmark tariff and you are only covered at 100% (NAMAF benchmark rate), you will need to pay the difference. About 35% of imports are from the U.S. SECURITY ASSISTANCE SERVICES. employer groups had to bear this increase.” Three months ago, service providers approached AHFoZ with a

For more information, here's our handy guide: Guide to AAHEDC charges As one of the largest international medical assistance providers, no one is better placed to provide exceptional emergency medical services for your employees or policyholders. percent and 30 percent. AHFoZ agreed to review the proposed tariffs upwards given More than defence. A medical aid fund is a non-profit entity registered and governed in terms of the Medical Aid Funds Act, 1995 (Act 23 of 1995). FIND OUT MORE. Split billing is deemed to be an undesirable practice since it can also be used for tax avoidance purposes.

According to AHFoZ, medical aid societies have been association to submit requests for additional or new increases to the current

Medical aid funds are regulated by the Namibia Financial Institutions Supervisory Authority (NAMFISA). When you call NHP for pre-authorisation, ask how much they will pay for the procedure according to the benchmark or guideline tariff.



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