NHIF Services in Kenya: Everything You Need to Know

The National Hospital Insurance Fund (NHIF) is a state-run medical insurance provider in Kenya. It provides health insurance services to all Kenyan citizens who have subscribed to the fund. The NHIF offers a wide range of healthcare services that cater to the diverse needs of Kenyans. In this article, we will cover everything you need to know about NHIF services in Kenya.

What is NHIF?

The National Hospital Insurance Fund was established in 1966 as a department under the Ministry of Health. Its main objective was to provide accessible, affordable, and quality healthcare to Kenyans. Over the years, the NHIF has evolved into a state corporation that offers comprehensive medical insurance services to its members.

How does NHIF work?

NHIF operates under a contributory scheme where members make monthly contributions to the fund. The amount of contribution paid determines the level of cover that one gets. The fund offers different packages that cater to the diverse needs of its members.

NHIF Services

1. Outpatient services

The NHIF covers outpatient services including consultation, diagnostics, and treatment. Members can access these services in accredited hospitals and clinics across the country.

2. Inpatient services

NHIF covers inpatient services such as hospitalization, surgeries, and specialized treatments. Members can access these services in NHIF accredited hospitals.

3. Maternity services

NHIF covers maternity services which include antenatal care, delivery, and postnatal care. Members are allowed to choose the hospital of their choice for delivery.

4. Renal dialysis

NHIF covers renal dialysis for patients with kidney problems. This service is available in accredited hospitals across the country.

5. Radiology and imaging

NHIF covers radiology and imaging services such as X-rays, MRI, CT scans, and ultrasound. Members can access these services in accredited hospitals and clinics.

6. Oncology services

NHIF covers oncology services such as chemotherapy, radiotherapy, and surgical procedures for cancer patients. This service is available in accredited hospitals.

7. Emergency services

NHIF covers emergency services such as ambulance services, stabilization, and hospitalization. Members can access these services in accredited hospitals.

8. Rehabilitation services

NHIF covers rehabilitation services such as physiotherapy and occupational therapy. Members can access these services in accredited hospitals.

How to register with NHIF

To register with NHIF, one needs to fill out an application form and pay the required monthly contribution. The registration fee is Ksh 1500 while the monthly contribution ranges between Ksh 500 and Ksh 1700 depending on the package selected.

Conclusion

NHIF is an important medical insurance provider that offers comprehensive healthcare services to Kenyans. Its services cover a wide range of medical needs including outpatient, inpatient, maternity, renal dialysis, radiology and imaging, oncology, emergency, and rehabilitation services. To enjoy these services, one needs to register with NHIF by filling out an application form and paying the required monthly contribution.

FAQs:

1. What is the maximum age limit for NHIF registration? Ans: There is no maximum age limit for NHIF registration.
2. Can I register my family members under my NHIF account? Ans: Yes, you can register your spouse and children under your NHIF account.
3. Can I change my NHIF package after registration? Ans: Yes, you can change your package after registration by filling out an application form and paying the required monthly contribution.
4. How do I know the accredited hospitals where I can access NHIF services? Ans: You can check the list of accredited hospitals on the NHIF website or contact their customer care for assistance.
5. Is NHIF registration mandatory for all Kenyans? Ans: NHIF registration is mandatory for formal sector employees, voluntary for informal sector workers, and optional for retirees and self-employed individuals.