Namibia Medical Care is a registered open medical aid fund that offers cover to Namibians against medical expenses. The Fund is managed by the NMC Board of Trustees and an appointed Principal Officer in accordance with the Registered NMC Rules, the guidance of the Medical Aid Funds Act 23 of 1995 and other applicable legislation. Methealth Namibia Administrators is responsible for the administration of all NMC Fund affairs.
The Managed Health Care Department is the market leader in providing professional healthcare services to members and funds administered by Methealth Namibia Administrators.
Qualified professional nurses, pharmacists, pharmacist assistants and medical and dental advisors enable the administrator to provide excellent services to the Fund and its members.
The department offers the following services:
Member and practice claims profile management
Ex Gratia case management
Chronic Disease Management Programme
The Wellness Programme,
Hospital Benefit Management (pre-authorisation and audit),
Hospital bedside visit services,
Clinical auditing of claims, claims revisions and the subsequent identification of claims tendencies and questionable practice behaviours,
Pro-active management of high cost cases by identification of high risk patients