a) Registration of Members
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, click here to fill in registration forms.
b) Contributions & Deductions
Formal sector employees' contributions are deducted and remitted to the Fund by their employers. This is done by Cheque or through e-banking.
The employer gets a Certificate of Contributions Paid (CCP) book and official receipt from NHIF. For members under the voluntary category, they pay Kshs.160 per month (Kshs.1920) per annum. For those in formal employment, contributions are made as per their income.
Click Here to view the contribution rates.
c) Payment of Hospital Claims
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.
At NHIF, most of this process is computerized. 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.
Gross Salary |
Monthly Contribution (Ksh) |
 |
1,000 - 1,499 |
30 |
1,500 - 1,999 |
40 |
2,000 - 2,999 |
60 |
3,000 - 3,999 |
80 |
4,000 - 4,999 |
100 |
5,000 - 5,999 |
120 |
6,000 - 6,999 |
140 |
7,000 - 7,999 |
160 |
8,000 - 8,999 |
180 |
9,000 - 9,999 |
200 |
10,000 - 10,999 |
220 |
11,000 - 11,999 |
240 |
12,000 - 12,999 |
260 |
13,000 - 13,999 |
280 |
14,000 - 14,999 |
300 |
15,000 and above |
320 |
Voluntary/Self Employed |
160 |
|
d) Byproduct Information
NHIF intends to capture the amounts deducted from every employee every month to ensure faster delivery of services to all the members and their dependants.
Click here for more information. |