This should be done through their parentsguardians as. Nhif, national hospital insurance fund is a government corporation mandated to provide health insurance cover to kenyan citizens over the age of 18. Facilities that applied to be accredited were inspected against the nhifs accreditation manual which included a checklist that assessed the availability of infrastructure, facilities, equipment, staff and services such as ambulances. The list includes jumuia friends hospital in vihiga from sh2,200 to sh3,000, lumakanda county hospital in kipkaren from sh800 to sh1,600 and woodlands hospital in mandera from sh1,400 to sh1,800.
The national hospital insurance fund nhif is the primary provider of health. National hospital insurance fund nhif is a state parastatal that was established in 1966 as a department under the ministry of health. National health insurance fund nhif investments overview. Category a government hospitals members would be able to enjoy full and comprehensive cover for maternity and medical diseases including surgery.
There are three categories of nhif accredited hospitals and each category has a different contract with nhif. How to choose nhif hospitals online fill online, printable. Nhif was established in 1965 by an act of parliament as a department in the ministry of health. Nov 02, 2017 this means that members will be free to access more than 2,000 hospitals accredited to the nhif including the highend facilities like aga khan hospital, nairobi hospital and karen hospital. Apr 27, 2020 nhif is a simple entity to understand, yet besides how to check nhif account status online and how to pay nhif via mpesa, there are very many other questions kenyans are asking. The move comes amidst a prolonged nationwide nurses strike that has seen. Nhif registration online fill online, printable, fillable. How to choose your nhif outpatient medical facility. Original receipt and hospital final invoice indicating date of admission and the date of discharge and both should bear hospital. Perceived customer service quality practices and satisfaction. List of all accredited outpatient kenyan hospitals. According to nhifs senior public relations officer, mr gerald kainga, a list of facilities is available on the nhif website and in all their offices.
Nhif outpatient hospitals list in nairobi victor matara. Fillable and fill online how to register for nhif online portal, membership forms, covers, payment and benefits 2018. Policy brief on national hospital insurance fund nhif. Standard benefits packages for nhif accredited hospitals. May 03, 2020 nhif accredited hospitals have been contracted by nhif under three categories. Nhif accredited hospitals in central kenya ekopa mag. The nhif has added 204 public, private and faithbased hospitals and dispensaries to its list of accredited facilities. Cases from dar es salaam tanzania by paschal nathan kumburu a dissertation submitted to the school of public administration and management in partialfulfilment of the academic requirements for the award. It was later transformed into a state of a corporation to improve its effectiveness and efficiency. This is a first edition of the nhif accreditation manual for kenyan hospitals. Below is a list of accredited nhif outpatient hospitals in kenya as of 2019. Also get to know how make monthly payments via mpesa paybill for the selfemployed. As long as you are a member whos kept the payments up to date, you do not pay a single penny in this hospitals for maternity, surgery and all other health services.
The fund strives to accredit as many hospitals as possible so as to ensure all members access nhif benefits whenever they are across the country. Jan 23, 2020 below is a list showing all nhif accredited outpatient hospitals in nairobi. To select a medical facility, please refer to the list of nhif accredited health facilities available on the nhif website and nhif offices countrywide. The study suggested that similar study should be undertaken focusing on all the hospitals in. The hospitals that fall under this category are government hospitals. Latest list of accredited nhif outpatient hospitals in. Nhif drops limit on hospitals for outpatient service daily. All students are required to have the national hospital insurance fund medical scheme cover by nominating a nhif accredited medical facility as their preferred out patient facility.
They will need to come with a copy of their national identification cards and will then fill in basic information about themselves and their family members. Kenya red cross toll free 1199 others 0700 395395, 0738395395 emergency air rescue emergency air rescue services kidl helicopters call centre manager 0786412324, escalation desk 0721225423. Nhif and health facilities providers must ensure that there is equal treatment between nhif members and those who pay by cash. Nhif has an objective accreditation criteria and guidelines that aim to encourage hospitals towards quality improvement. With the national hospital insurance fund nhif as a major source of funding, public hospitals are operating various categories of wards general, amenity, and. Nhif drops limit on hospitals for outpatient service. Nhif was formed under cap 255 of the laws of kenya within the health ministry as a department. Below are the 2020 payment criteria for the employed in various salary brackets. Aug 01, 2016 how to change your nhif preferred hospital august 1, 2016 august 31, 2018 howke team 102 comments change of nhif hospitals, choosing a hospital with nhif, nhif the new nhif guidelines provide for a member to choose their preferred outpatient hospital medical facility where they will be going to seek outpatient medical help. Find a list of nhif accredited hospitals in central kenya. A critical analysis of purchasing arrangements in kenya. Nhif 2 revised 2012 national hospital insurance fund p.
In 1998, by another act of the parliament, it became a parastatal in the ministry of health. During the past decade, revenue from the fund has continued to grow and correspondingly the payments made to meet. The national hospital insurance fund nhif is a government body that provides health insurance cover to kenyans to meed the universal health coverage program. This is a list of nhif accredited hospitals in kiambu county. The research design that was used is descriptive study.
Each of these branches offers all nhif services including payment of benefits to hospitals or members or employers. The target population of this study was all the 1,600 nhif accredited hospitals in kenya. Well, you can make use of the widely available calculator programs online. Nhif accreditation manual2005 1st edition universal. This is a comprehensive list of accredited nhif outpatient hospitals in kenya as of 2019.
The move comes amidst a prolonged nationwide nurses strike that has seen more than 50 per cent of public health facilities remain closed since june. Nhif strives to accredit as many hospitals as possible so as to ensure all members access nhif benefits whenever they are across the country. Nhif accredited outpatient hospitals in elgeyomarakwet county. The cover is exclusive to nhif contributors and their dependents. The rates were updated in a public gazette notice published by the nhif on march 26th. The national health insurance fund nhif has introduced a new package that will cover patients with chronic diseases. Here is the latest list of nhif outpatient hospitals in nairobi.
The national hospital insurance fund nhif is a social health insurance scheme which seeks to ensure that every individual andor family. To enhance these benefits, nhif has contracted hospitals under three categories. The development of this manual was a collaborative effort of representatives from all health sectors, including the ministry of health, university of nairobi medical school, the kenya medical association, and the private hospitals. Relief as nhif rolls out medical insurance cover for cancer patients mercy adhiambo and ally jamah 04th feb 2016 00. The fund has an objective accreditation criteria and guidelines that aim to encourage hospitals. As many kenyans already know, nhif kenya is a stateowned parastatal founded in 1966 as a department under the kenyan ministry of health. You can also refer to the nhif rates pdf to ascertain the charges. The scheme commenced outpatient services in july 2015. Here is the complete list of nhif outpatient health facilities. List of all nhif outpatient hospitals in kenya as of 2019. Public hospitals sometimes might not be the best place to get specialized treatment.
The national hospital insurance medical scheme is a social health insurance operated by nhif. The actualization of this package is a culmination of continued reforms at nhif. Jun 18, 2019 contents show 1 how nhif rates are calculated in 2020 2 nhif rates for selfemployed 3 table of nhif rates 2020 4 nhif contacts we have analyzed the latest nhif rates in 2019 for the employed and selfemployed kenyans. Civil service and disciplined services nhif members and declared dependents can choose one of the listed medical facilities provided below. Results because the affiliated hospitals can now connect directly to the nhif database, they are able to. Pdf kenya national hospital insurance fund reforms. How to change your nhif preferred hospital about nhif. All citizens and kenyan residents above 18 years of age are eligible to register for nhif. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller. Nhif registration is for all eligible members from both the formal and informal sector.
Category of health care providers category a members enjoy comprehensive cover under this category for all the services, all government facilities fall under this category. Below is a list showing all nhif accredited outpatient hospitals in nairobi as of 2018. Nhif has also revised upwards the rebates for three facilities out of the 204. The fund has an objective accreditation criteria and guidelines that aim to encourage hospitals towards quality improvement. It enables kenyans to enjoy many benefits from as low as ksh 500 per month. In recent times, the national hospital insurance fund has expanded its services to hospitals that never had such services. It is compulsory to be a member for those in the formal sector while membership is open and voluntary for. National hospital insurance fund nhif now has an online portal that makes it easy for members to register and enjoy the benefits of its super covers. Count yourself lucky today because we are gonna demystify most of these questions and get a comprehensive understanding of nhif. We shall look at all three categories and the hospitals that fall under each in every region in the country. Benefits of nhif to the public the national health insurance fund, abbreviated as nhif is a kenyan government state owned corporation that is charged with a mandate of providing health cover or insurance to kenyans. Accredited organizations are those recognized by the fund and allowed to offer services to nhif members and claim reimbursements thereof.
Available nhif forms general claim form, out patient. Principal members are required to forward a duly completed form to be submitted to the nearest n. S keer medical clinic industrial area ak outpatient. Jan 23, 2020 this is a comprehensive list of accredited nhif outpatient hospitals in kenya as of 2019. Jan 01, 2020 find a list of nhif accredited hospitals in central kenya. Members under job group lt should continue accessing services at their current providers.
List of nhif accredited centres bliss medical centre. Change of medical facility forms are available on the website and at. Rebates are the amount payable to a facility per bed per day. Upon admission in hospital an nhif member is accorded services and the hospital makes a claim to the fund for reimbursement an inpatient 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. Check nhif account status online, pay nhif via mpesa, faqs. The national hospital insurance fund nhif is the primary provider of health insurance in kenya. In1998, the original nhif act was replaced by the nhif act of 2012 through an amendment. Available nhif forms general claim form, out patient claim form, treatment outside kenya form, choice of outpatient medical facility form. This comprehensive inpatient health cover has been introduced for nhif contributors and their dependants. Below is a step by step procedure on how to register for nhif online.
It is compulsory to be a member for those in the formal sector while membership is open and voluntary for those in the informal sector and for retirees. To select a medical facility, please refer to the list of n. With this rollout, we will have established the largest hospital network across kenya, said kamau. Fill how to choose nhif hospitals online, edit online. Choice of outpatient medical facility form guidelines. National hospital insurance fund nhif finance insurance director geoffrey mwangi at the nhif media meeting at laico regency hotel on wednesday, 14th october, 2015. The nhif initially purchased two card readers, but by the end of 2007, it will install 480 readers in all of its accredited hospitals. The hospitals are categorized in 3 types of contracts. You have to enter your basic salary and benefits to receive the figure. How to change your nhif preferred hospital august 1, 2016 august 31, 2018 howke team 102 comments change of nhif hospitals, choosing a hospital with nhif, nhif the new nhif guidelines provide for a member to choose their preferred outpatient hospital medical facility where they will be going to seek outpatient medical help.
See the fully updated list of nhif rates for 2019 in the post below. This study examines national health insurance fund nhif in. The relation between capitation payment and performance in. Principal members are required to forward a duly completed form to the nearest nhif office.
Oct 17, 2017 the nhif has added 204 public, private and faithbased hospitals and dispensaries to its list of accredited facilities. This means that members will be free to access more than 2,000 hospitals accredited to the nhif including the highend facilities like aga khan hospital, nairobi hospital and karen hospital. Nhif accredited hospitals have been contracted by nhif under three categories. In simple terms, the nhif ensures that a kenyan citizen is covered or prevented from financial loss or burden in. A copy of the nhif card and national id and the nhif holder front and back must be provided on the registration day or evidence of insurance cover from any other accredited medical scheme. The national hospital insurance fund nhif is the largest and most affordable medical insurance cover. The main objective was to help in financing health care for those in formal employment. Below is a list of comprehensive inpatient health cover for nhif contributors and their dependants. Nhif adds 204 hospitals to list of approved facilities. Data was collected using both primary and secondary sources. Nhif is a national social health insurance scheme established under the nhif act no 9 of 1998 to secure financial risk protection against the cost of healthcare. As you all know, nhif kenya is a stateowned parastatal established in 1966 as a department under the ministry of health.
You can also contact nhif with your queries by calling these toll free line. Emergency air rescue services for transportation and transfer of an injured member of the scheme to an nhif accredited facility. Jan 03, 2020 as you all know, nhif kenya is a stateowned parastatal established in 1966 as a department under the ministry of health. Notably, the agency covers individuals aged 18 years and over. Nhif registration registration form, requirements, contributions, deductions. Nhif accredited inpatient hospitals fall under 3 categories. Certificates of contribution paid ccp, if applicable and must cover the period of hospitalization.1182 982 408 1378 63 839 1343 972 845 710 402 1519 809 403 1343 1037 751 1389 458 28 534 161 175 788 1112 1363 1 340 71 375 761 1428 939 1106 30 341 642 1247 681 1458 1258 58 353 1394 821 1090 1341 1043 1109 1023