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NHIF’s core function is to collect contributions from all Kenyans earning an income of over Ksh 1000 ($12) and pay hospital benefits out of the contributions to members and their declared dependants (spouse and children).

Whilst ensuring that Kenyans of all walks of life have access to quality and affordable healthcare, NHIF operates under the social principle that "the rich should support the poor, the healthy should support the sick and the young should support the old."

Being the only health insurance provider of its kind in the region, the team is committed to steering the Fund to greater heights of prosperity and retain its cutting edge position as a leading health insurance provider.

Corporate Values And Principles

1. Responsiveness to customer needs.
2.
Embrace accountability, transparency and good governance.
3.

Uphold and confirm to acceptable moral standards and positive work ethics.
4.

Create and promote effective and efficient corporate communications.
5.
Ensure provision of quality services.
6.
Equal opportunity employer of choice.

 

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

 

To be a world class social health insurance scheme.

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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.

Click Here for General Claim Requirements
Click Here for Hospital Claim Requirements

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.


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