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.”
Namibia Health Plan (NHP)confirmed is actively working througha backlog of claims affecting its members
Source
“THE Namibia Health Plan (NHP) has confirmed that it is actively working through a backlog of claims affecting its members, with all outstanding claims expected to be resolved by 7 May 2026.”
NHPconfirmed that the recent transition has causedtemporary disruptions in claims processing and provider payments
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“NHP confirmed that the recent transition has caused temporary disruptions, particularly in claims processing, provider payments, pre-authorisations, and telephone line stability.”
Namibia Health Planis subject to investigation by Namfisa regardingdirect claim settlement process and related stakeholder concerns
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“Namfisa has initiated urgent engagements with the Namibia Health Plan to investigate facts and address stakeholder concerns about the fund's direct claim settlement process.”
Namibia Health Planapologised tomembers and healthcare providers following disruptions
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“Namibia Health Plan (NHP) and Universal Care have apologised to members and healthcare providers following disruptions linked to the transition to a new managed care system earlier this month.”
Namibia Health Planearned title ofBest Medical Aid in Namibia in 2025
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“It has been known for fast claim processing and high member satisfaction, making it one of the most trustworthy medical aids in the industry, and also earning the title of 'Best Medical Aid in Namibia' in 2025.”
Namibia Health Plan has expanded its fitness facility network from two to 11 locations to improve access to affordable wellness services and support preventive healthcare. Fitness professionals and members argue that reducing cost barriers makes regular exercise more realistic and helps prevent lifestyle-related health issues.
Namibia Health Plan has expanded its fitness facility network from two to 11 locations to improve access to affordable wellness services and support preventive healthcare. Fitness professionals and members argue that reducing cost barriers makes regular exercise more realistic and helps prevent lifestyle-related health issues.
Namibia Health Plan held a members information session to explain the Financial Institutions and Markets Act (FIMA) and reassured members that their medical aid benefits and contributions will remain unchanged, though the fund will undergo operational and governance changes including shifts in claims assessing responsibility.
Matias Simon won the elite men's category in 29 minutes and 40 seconds, while Tuuli Angala claimed the elite women's title in 35 minutes and 50 seconds at Sunday's Nedbank Citi Dash in Windhoek. Petrus Nuule and Martha Samuel won the under-18 men's and women's categories respectively.
The Nedbank Citi Dash brought competitive and recreational runners together in Windhoek on 6 September for a morning of road running, featuring 10km and 5km fun runs alongside a 10km elite competition. The 168-athlete elite run comprised 116 men and 52 women, with Matias Simon winning the men's category in 29 minutes and 40 seconds.
The Nedbank Citi Dash, a major road-running event on the spring calendar, will take place on Sunday at Windhoek High School's Vegkop Stadium and is expected to attract more than 2,000 runners. The sixth edition features elite 10km runs with qualifying times, a 10km fun run, and a 5km family run, with the weekend starting Saturday with a LiveXpo race village.
The sixth edition of Namibia's Nedbank Citi Dash will take place at Windhoek High School's Vegkop Stadium on 6 September, expected to attract over 2,000 runners across elite, recreational, and family categories.
Namibia is experiencing a surge in recreational running participation, driven by pandemic-era outdoor exercise freedoms and a global shift toward mental health and community fitness. The country now hosts more than 40 running events annually, with participation growing rapidly across all age groups and communities.
Namibia Health Plan strengthened its engagement with the oil and gas sector at the 4th Namibia Oil and Gas Conference 2026, connecting with industry leaders to understand healthcare needs of the sector's growing workforce.
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.