Did you know that the National Hospital Insurance Fund, NHIF, has developed an easy to use self mobile application? Well. You can download the new NHIF selfcare App from Play Store as ‘MY NHIF’ or App Store as ‘My NHIF Selfcare’.
To download the App on Playstore;
In case of any difficulties, call the official NHIF helpline on 0800 720 601.
READ ALSO; NHIF medical cover services; how to register and pay monthly subscriptions through your mobile phone
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NHIF registers all eligible members from both the formal and informal sector. For those in the formal sector, it is compulsory to be a member. For those in the informal sector and retirees, membership is open and voluntary. To register with NHIF as a member, fill in the Members Form. To register as an employer or organized group, fill in the Employers Form.
Any person.
Has attained the age of 18 years. (No age limit after the age of 18 years)
Whose total income from salaried or self-employment is more than Kshs. 1,000 per month or Kshs. 12,000 per year.
Drawing an income from Kenya
Working under contract or casual terms of employment
It also includes voluntary contributors
* This includes foreign visitors permitted to work or study in Kenya
Kenyan Residents
At any of our branches located country wide.
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
Other benefits:
Formal sector employees’ contributions are deducted and remitted to the Fund by their employers. This is done by Cheque or through E-banking.
For members under the voluntary category, they pay Kshs.500 per month (Kshs.6000 per annum). For those in formal employment, contributions are made as per their income.
Claims are submitted by hospitals directly to NHIF after the contributors have been discharged from the hospitals. The claims are examined by the Fund to ensure validity before payment.
A claim can however be rejected and the hospital informed accordingly to incorporate either the missing documents or to address the abnormalities identified.
The Fund strives to pay claims within 14 days upon receipt of the claim from the hospitals. Members who opt to clear the bills with the hospital may launch a general claim directly to NHIF for reimbursement.
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