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Walvis Bay Family Practice
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Billing & medical aid

Know how billing works before you arrive.

See which funds are listed for direct claims, and how payment and statements work. Phone reception to check your own cover.

Funds we claim fromHow payment works

Medical aid

Funds listed for direct claims

This is a list only. The website does not check membership numbers or dependant codes. Phone reception to ask about your cover.

Phone reception on 064 203 251 to check your medical-aid cover before you come in.

We claim directly from: Namibia Medical Care, Namibia Health Plan, Renaissance Health, Prosperity Health, Bankmed Namibia, Nammed Medical Aid Fund, Napotel Medical Aid Fund, PSEMAS.

Payment

How payment works

Medical aid claims are billed at your fund's tariff; you pay only the shortfall, if any. For current consultation and procedure fees, please call reception on 064 203 251.

Cash Debit and credit card EFT (proof of payment required) Direct medical aid claim

Co-payment guidelines

  • Medical aid members pay any shortfall between the fund tariff and the practice fee on the day.
  • PSEMAS members pay the scheme co-payment at reception.
  • If your benefits are exhausted you will be treated as a cash patient and receive a statement to submit to your fund.
  • Medication dispensed in the rooms and laboratory tests are billed separately.
  • Injuries on duty are billed to the Workmen's Compensation fund once the employer's report is received.

Claims & statements

How we handle your medical aid claim

From your card at reception to settlement by your fund, here is what happens and what we need from you.

  1. 1

    Present your card at reception

    Bring your medical aid card and ID to every visit. We confirm your membership and dependant code before you see the doctor.

  2. 2

    We submit the claim for you

    Yolandi and Suzette switch the claim electronically to your fund, usually the same day. You only pay any co-payment or shortfall at reception.

  3. 3

    Your fund processes the claim

    Funds typically settle within 14 to 30 days. If a claim is rejected we will contact you with the reason and what is needed to resubmit.

  4. 4

    Authorisations handled for you

    Chronic medication registration and authorisations for hospital admissions and in-rooms procedures are requested by our accounts team. We ask only for the details your fund needs.

  5. 5

    Statements on request

    Ask reception or email admin@wbfamilypractice.com for an itemised statement for tax, reimbursement or your own records.

  6. 6

    Settlement terms

    Any amount not covered by your fund is payable within 30 days of the statement date. Payment plans can be arranged for larger procedure accounts.

  7. Need a statement or have a billing query?

    Email the accounts team with your statement number, or ask at reception. Queries that depend on your medical aid fund can take 2 to 6 weeks to resolve; we keep you informed.

    Contact accounts

Please confirm the fee with reception on 064 203 251 before a consultation or procedure.