The NHIF
Pre-Authorization Process
NHIF Benefit Packages
The following NHIF benefit packages require pre-authorization.
Oncology Benefit Package (Chemotherapy, Radiotherapy, Brachytherapy)
Dental Benefit package
Optical Benefit Package
Radiology Benefit Package (MRI, CT Scan)
Surgical Package
Overseas treatment
01.
Facility sends a pre-authorization request online via hospital portal. The hospital is supposed to send all pre-requisite documents to support the requisition.
02.
Request is received by NHIF online.
03.
The request is reviewed and actioned.
04.
Member is notified via text or hospital notifies members on the outcome of the preauthorization.
*Emergencies are acted upon as per the constitution and the contract between NHIF and the hospital.
