Medical aid benchmark tariffs rise by 4.67%

The Namibia Association of Medical Aid Funds (Namaf) has announced a 4. 67% weighted average increase in benchmark tariffs for 2027, a move that could affect medical aid reimbursements and out-of-pocket healthcare costs for members. According to Namaf, the adjustment, announced on 27 October, follows a review of submissions from healthcare providers and professional associations as part of the annual Coding and Benchmark Tariff Review process.

The benchmark tariffs serve as reference rates used in Namibia’s private healthcare funding industry to guide payments for medical services. The 4. 67% increase means that, on average, the benchmark amounts for healthcare services will rise by 4. 67% in 2027. For example, a medical procedure with a benchmark tariff of N$1 000 would increase to approximately N$1 046. 70 if the full adjustment is applied to that service. However, the increase does not automatically mean that medical aid monthly contributions will rise by 4. 67%, nor does it guarantee that medical aid funds will reimburse healthcare providers at the revised benchmark…