CUSTOMERS

Nhif Registration

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.

 

Benefits

  • 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 Benefits
 

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.

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.

 

Payment of 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.

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.

 

Sponsored Programmes

NHIF seeks to establish partnership with individuals and/organizations to finance health insurance for indigents including orphans & vulnerable children, poor older persons, persons with disabilities and destitute families. The indigents shall be identified by NHIF or the sponsors.

Enrolled indigents and their dependants shall have access to the current benefit package of inpatient cover in any of the health providers accredited to NHIF countrywide.
 

Accrediting & Contracting Hospitals

  • 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.
  • NHIF has an objective accreditation criteria and guidelines that aim to encourage hospitals towards quality improvement.
  • Accredited organizations are those recognized by the Fund and allowed to offer services to NHIF members and claim reimbursements thereof.
  • Accreditation of a health provider takes into account the services, personnel, infrastructure and equipments among other issues that the institutions have. The level of rebate therefore corresponds to the grade after scoring the various aspects.
  • The Fund, further contracts the health facilities to ensure they provide services comprehensively. This means that NHIF members walk in and walk out of the facilities fully treated at the cost of NHIF without making additional payments.
  • The contracts spell out the obligations of the health provider and NHIF.
 
 

CLIENTS

Nhif Services / Remittance
Online Services:
- For Companies/Organizations only
Mobile Services:
- For Individual Members only
Mpesa Procedure

Mobile - Account Status

To get your account status via your mobile phone:

  • Compose a new sms
  • Type the letters "ID", a space, then your
    ID number (or passport number if applicable) e.g ID 12345678
  • Send to 21101

 Note: Charge for this service is Kshs 10 only.

end faq


Nhif Forms
Member Section:
Hospital Section:
Creditor Section:
Bank Section:
 

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Nhif Objectives

Our Mission:

To provide accessible, affordable, sustainable and quality social health insurance through effective and efficient
utilization of resources to the satisfaction of stakeholders.

Our Vision:

To be a world class social health insurance scheme.

Photo Gallery

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Contact Us

National Hospital Insurance Fund
P.O. Box:
30443 - 00100, Nairobi, Kenya
Phone: 0800 720 601 (Toll Free), (020) 2723255/56, (020) 2714793/94, (020) 2722527
Fax: (020) 2714806
Enquiries: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Complaints: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Liaise: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Branches:  Located Country Wide