Additional Hospital Benefit - Additional Benefits - Benefits | Bankmed

What is the Additional Hospital Benefit (AHB)?

The Additional Hospital Benefit provides for an amount payable over and above the scheduled fee payable for all doctors performing any kind of procedure whilst the Member is in hospital. Normally this excess is payable by the Member, but Bankmed Namibia realises what the possible financial implications can be for a Member who has to pay this amount from his/her own pocket. In an effort to assist, Bankmed Namibia pays the NAMAF Tariff +125%. Bankmed Namibia is one of the only Funds offering Members this benefit at no extra cost.

How is AHB Paid?

Contracted-in doctors are paid directly from Bankmed Namibia when the doctor submits the claim.

Doctors that are not Contracted-in

The doctor is paid the normal Medical Aid Fund Tariff (NAMAF Tariff) directly from Bankmed Namibia. This however, does not prevent the doctor from charging more than the Medical Aid Tariff.

The account from the doctor for the additional amount will be sent to the Member who will now have the following responsibility:

Step 1:

Before having a medical procedure done in hospital, ask your doctor whether he/she will be charging more than Medical Aid Fund Tariff.

Step 2:

After the procedure has been done and you were charged more than the Medical Aid Fund Tariff, please get a copy of the account directly from your doctor.

Step 3:

Fill in the claim form (available from any Methealth Namibia Client Service Office, also from your doctor or on our website (www.methealth.com.na). Please ensure that the form is completed correctly to enable Bankmed Namibia to process your AHB claim without any delays.

Step 4:

ttach your doctor’s account to the claim form.

Step 5:

Submit your claim form with the doctor’s account attached to any Methealth Admin Client Service Office.

No AHB claims will be paid if the claim form is submitted four (4) months or more after the date on which the procedure was done. The Member can claim first and then pay the doctor when the money has been received from Bankmed Namibia.

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