The NHIF Outpatient are available to all members and their declared dependants at their preferred out-patient hospital. Members can choose, change, or confirm their existing out-patient hospital every quarter by dialing the USSD *155# or by downloading My NHIF App available on mobile app stores or through our self-help portal on the website.
Our specialized services are a comprehensively covered range of pre-defined services designed to help in the attainment of Universal Health Coverage for our beneficiaries. They include:
a) Radiological Services package
It includes coverage for Magnetic Resonance Imaging (MRI) and Computerized Tomography (CT) scan, and Ultra Sound.
b) Cancer Package / Oncology Package
It includes coverage of Chemotherapy, Radiotherapy, and Brachytherapy for cervix and prostate cancer. For up to 10 sessions annually.
c) Renal Dialysis and Kidney Transplant Package
It includes coverage of Dialysis up to twice per week, kidney transplant package where the donor is covered as well.
d) Surgical Package
It includes coverage of minor, major, and specialized package.
e) Maternity Package
It includes coverage of normal and caesarian deliveries in Category A and B hospitals.
Services covered under the Out-patient Package
NHIF has so far contracted various health facilities spread across all counties to provide comprehensive out-patient benefits to the members across the country under the national scheme. These benefits are for both In-patient and Out-patient services as follows:
Out-patient cover
- General Consultation
Diagnostics and treatment of common ailments- Laboratory and investigation
- Prescribed Drugs administration and dispensing
- Management of chronic ailments (HIV/AIDS, Diabetes, Asthma, Hypertension, cancer)
- Health and wellness education/healthcare counselling such as Screening for conditions e.g Cervical and prostate cancer.
Diagnostics and treatment of common ailments- Treatment of sexually transmitted diseases
- Radiology Services
- Family planning/midwifery/ante/post-natal services
- Physiotherapy Services
- Referral for specialized services
NHIF Inpatient Cover Services
Inpatient Cover offered in hospitals classified in categories A,B, & C covers the following:-
- Consultation
- Hospital daily charges
- Nursing care
- Prescribed diagnostic laboratory or other medically necessary services
- Physician’s, surgeon’s, anesthetics’ or physiotherapist’s fees
- Operating theatre charges
- Specialist consultations or visits
- Prescribed drugs/medications and dressings
NHIF Maternity Cover
- Consultation and treatment for both mother and child
- Child birth including caesarian section deliveries
- Family planning services
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