What is National Health Insurance Fund (NHIF)? and how to apply for it

nhif

Name: National Health Insurance Fund

Acronym: NHIF

Founded: 1966

Position: State Parastatal

Mission:

  • Provide medical insurance cover to all its members and their declared dependants (spouse and children).

Eligible persons include:

  • Kenyan resident (includes foreigners permitted to study or work in Kenya)
  • Attained the minimum age of 18 years
  • Earns an income from Kenya (employed/self employed)
  • Earns an income of more than kshs.1000 per month
  • Works under a contract or casual basis
  • Volunteer contributors

NOTE: NHIF is COMPULSORY to all those in the formal sector but VOLUNTARY to those in the informal sector or retired persons.

Benefits of NHIF cover

  • Upon admission in hospital an NHIF member is accorded services and the hospital makes a claim to the Fund for reimbursement
  • An in-patient cover for the contributor, declared spouse and children
  • Provides comprehensive medical cover in majority of over 400 accredited Government facilities, Mission health providers and some private health providers across the country
  • Provides in-patient services in private and high cost hospitals on a co-payment basis
  • Comprehensive maternity and CS (Caesarian) package in government hospitals, majority of mission and some private hospitals
  • Dialysis at Kenyatta National Hospital & Moi Teaching & Referral Hospital at a rebate
  • Family planning – Vasectomy and Tubal Ligation
  • NHIF does not exclude any disease.

Proposed out-patient cover benefits

  • Prescribed laboratory tests/investigations
  • Drugs/medicines
  • Prescribed X-rays and ultra sound diagnosis
  • Treatment of Sexually Transmitted Infections
  • Treatment, dressing or diagnostic testing
  • Family planning
  • Ante-natal and post-natal care
  • Clinical counseling services
  • Health and wellness education
  • General consultation with general practitioners

Registration requirements & procedures

  1. MEMBER REGISTRATION
  • Kenyan resident requirements
    • Copy of National ID
    • Copy of employer letter
    • Colored passport photos
    • Original & Copies of dependant(s) birth certificate
  • Foreign resident requirements
    • Copies of passport, work permit or alien certificate
    • Copies of passport photos
  • Foreign students requirements
    • Copy of passport
    • Copy of passport photo

>>>>>>>>>>>>DOWNLOAD THE MEMBER APPLICATION FORM HERE<<<<<<<<<<<<

2. EMPLOYER/ORGANIZED GROUP REGISTRATION

  • Certificate of registration
  • PIN certificate

>>>>>>>>>>DOWNLOAD THE EMPLOYER APPLICATION FORM HERE<<<<<<<<<<<

Payment Options

  • Employed (casual/contract)
    • Amount is automatically deducted from the payslip in accordance to the amount category
  • Self employed
    • Amount is payable via Mpesa using:
      • Business number 200222
      • Account number – refers to the contributors National ID number

Updated contribution rates

Income (KSh) NHIF Rate
KSh 5,999 KSh 150
KSh 6,000 – 7,999 KSh 300
KSh 8,000 – 11,999 KSh 400
KSh 12,000 – 14,999 KSh 500
KSh 15,000 – 19,999 KSh 600
KSh 20,000 – 24,999 KSh 750
KSh 25,000 – 29,999 KSh 850
KSh 30,000 – 34,999 KSh 900
KSh 35,000 – 39,999 KSh 950
KSh 40,000 – 44,999 KSh 1,000
KSh 45,000 – 49,999 KSh 1,100
KSh 50,000 – 59,999 KSh 1,200
KSh 60,000 – 69,999 KSh 1,300
KSh 70,000 – 79,999 KSh 1,400
KSh 80,000 – 89,999 KSh 1,500
KSh 90,000 – 99,999 KSh 1,600
KSh 100,000 & Above KSh 1,700
Self-Employed (Special) KSh 500

Advertisements

3 responses to “What is National Health Insurance Fund (NHIF)? and how to apply for it

  1. We appreciate the continued improvements so far… but a bit disappointed that at this era your contacts not working, why then are they in the web… Try NHIF in Rongai. Now one has to make his/her way there… Really???

  2. i pay NHIF for my parents and the account is uptodate. My father is supposed to go for minor surgery and im told to pay 15000 kenya shillings, is this inorder?

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s