Staff Reporter
GOVERNMENT has resolved to remove the 5% co-payment under the Public Service Employees Medical Aid Scheme (PSEMAS), a move expected to improve affordability and access to healthcare for public servants. The decision was reached following consultations between the Government Negotiating Team and recognised trade unions.
The changes will take effect on 1 April 2026. Under the revised contribution structure, PSEMAS members on the low option will see the main member contribution increase from N$120 to N$240 per month, while dependants will pay N$120, up from N$60 per month.




Photos: Office of the Prime Minister OPM_Namibia
For the high option, the main member contribution will increase from N$240 to N$500 per month, while dependants’ contributions will rise from N$120 to N$240 per month.
In addition to scrapping the 5% co-payment, government announced that broader reforms to PSEMAS are underway. These include the introduction of strengthened financial controls, the implementation of a defined annual benefit per member, and the establishment of a PSEMAS Governance Committee to oversee the full rollout of reforms by 1 April 2026.
The reforms are aimed at improving sustainability, transparency and service delivery within the medical aid scheme.


