Namibia Health Plan — medical aid fund providing health insurance coverage to members, recently transitioned to new managed care administrator Universal Care amid claims processing disruptions.
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June 2026
Windhoek Observer
Namibia Health Planpostedoverall surplus of N$197.8 million in 2025
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“According to the fund's annual report, NHP recorded insurance revenue of more than N$2.28 billion during the 2025 financial year and posted an overall surplus of N$197.8 million, strengthening its reserves to N$674.3 million.”
Namibia Health Planannouncedtransition to Universal Care as managed care provider
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“The AGM also reviewed NHP's transition to Universal Care as its managed care provider, with the fund describing the move as part of its long-term strategy to improve sustainability while protecting members' access to healthcare services.”
Namibia Health Plansaysmembers' benefits have not changed despite administrative disruptions
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“THE Namibia Health Plan (NHP) says its members' benefits have not changed despite administrative disruptions after it moved to a new service provider.”
Namibia Health Plan (NHP)says it remains committed to complying withthe Financial Institutions and Markets Act (Fima)
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“The Namibia Health Plan (NHP) says it remains committed to complying with the Financial Institutions and Markets Act (Fima) while stabilising operations following challenges linked to its transition to a new managed care service provider.”
NHPhostedtwo virtual engagement sessions with members and healthcare providers
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“NHP hosted two virtual engagement sessions on Monday with members and healthcare providers to address concerns surrounding the transition, which started on 1 April 2026.”
NHPbegan implementingtransition to deliver value-based managed care services on 1 April
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“She said on 1 April, NHP, together with Universal Care, began implementing a transition to deliver value-based managed care services for its members.”
The Namibian Revolutionary Transport and Manufacturing Union will celebrate its fifth anniversary on 8 August 2026 with a worker-focused outreach programme in Windhoek, offering free consultations, labour education, health awareness and financial guidance to approximately 400 workers.
The Namibian Revolutionary Transport and Manufacturing Union will celebrate its fifth anniversary on 8 August 2026 with a worker-focused outreach programme in Windhoek, offering free consultations, labour education, health awareness and financial guidance to approximately 400 workers.
The Namibia Health Plan announced stronger financial performance and governance during its Annual General Meeting, recording insurance revenue of more than N$2.28 billion and a surplus of N$197.8 million in 2025, while electing two new trustees to its Board for the next three years.
Namibia's proposed consumer credit bill, which aims to overhaul the consumer credit industry and protect borrowers, has completed public consultation and is now undergoing final review by Namfisa before resubmission to the finance minister. The legislation introduces stricter affordability assessments, improved disclosure requirements, stronger consumer protections, and tighter regulation of credit providers, while repealing three existing laws.
The Namibia Health Plan says member benefits and contributions remain unaltered following its transition to a new service provider on 1 April 2026, though it acknowledges administrative disruptions including delayed claims processing.
The Namibia Health Plan says it remains committed to complying with the Financial Institutions and Markets Act while stabilising operations following challenges linked to its transition to a new managed care service provider that began on 1 April 2026. The transition has caused disruptions to claims processing and administrative delays affecting some healthcare providers and employer groups.
The Namibia Health Plan acknowledged that healthcare providers experienced failed claims processing and delayed payments following its transition to a new managed care service system on 1 April. NHP said the disruptions did not meet expected standards, though the principal officer framed the transition as necessary for long-term sustainability and improved healthcare management.
Namibia Health Plan (NHP) experienced operational disruption when transitioning its managed care services to Universal Care (Pty) Ltd, leaving members confused and unable to access benefits as providers scrambled to switch claims systems by an April 1, 2026 deadline. The article argues the crisis stems not from the decision itself but from poor communication and a gap between announcement and implementation that eroded trust in the "proudly Namibian" medical aid fund.
The Ministry of Health and Social Services has urged 83,048 beneficiaries of the Namibia Health Plan to access dental care at public health facilities after dentists affiliated with the Namibia Dental Association halted services, citing payment claim delays. The government assured patients would not be turned away, while Namfisa said it was urgently assessing the situation.
The Namibia Health Plan confirmed it is working through a backlog of claims expected to be resolved by 7 May 2026, following an administrative transition to Universal that has caused delays in processing and payments. Healthcare providers including the Namibia Dental Association and Psychological Association of Namibia have suspended acceptance of NHP cover, requiring patients to pay upfront due to cash-flow pressures.
NAMFISA has initiated engagement with the Namibia Health Plan to understand a claims backlog affecting members, following suspensions by healthcare providers including the Namibia Dental Association and Psychological Association of Namibia. NHP attributed the disruption to its administrative transition to Universal, which caused delays in claims processing and payments.
Namibia's financial regulator Namfisa has initiated urgent engagements with the Namibia Health Plan to investigate concerns about the fund's direct claim settlement process, saying it will provide further clarity by Thursday.
Namibia Health Plan (NHP) and Universal Care have apologised for service disruptions following their transition to a new managed care system on 1 April, which caused delays in claims processing, provider payments, pre-authorisations and telephone services. The companies say the claims backlog is expected to be cleared by 7 May.
The Namibia Dental Association has announced that its member dental institutions will no longer accept Namibia Health Plan (NHP) medical aid, requiring patients to pay out of pocket instead. The decision follows complaints about poor communication and a complex claims process during Universal's takeover as administrator from Medscheme starting 1 April 2026.
Dentists under the Namibia Dental Association have stopped treating patients covered by the Namibia Health Plan medical aid effective 25 April, citing payment delays by the fund's new administrator Universal Care. Physiotherapists have similarly raised concerns about claims processing and reimbursement delays since Universal Care took over from Medscheme in early April.
Namibia's medical aid industry recorded N$293.6 million in profit over three months, with the market dominated by three companies holding 82.5% of assets. Total industry membership grew to 224,078 beneficiaries as at 31 December 2025, driven by increases in non-pensioner members.
Namibia Health Plan has called on Namibians to get tested early for non-communicable diseases such as hypertension, diabetes, cancer and mental health conditions, arguing that early intervention can reduce complications and improve quality of life. The medical aid fund is strengthening preventative healthcare initiatives including health risk assessments, screenings, chronic disease support programmes and workplace wellness interventions.