We Cushion Kenyans from
NHIF is working under the guidance of the Ministry of Health (MoH) in the UHC scale-up, which presents an opportunity to secure Kenyans access to quality health services without suffering financial hardship. The spirit of UHC is that every Kenyan, regardless of who they are or what they have, can access a hospital and get treatment without suffering financial hardship. However, this means that Kenyans need to equip themselves with health insurance to avoid paying out of pocket, which would lead to poverty.
UHC Supacover Benefits Package
Our Inpatient Cover under the National Scheme Cover dubbed ‘The UHC Supacover‘ is available to all eligible Members with their dependants. The benefit package includes: hospital stay with health care diagnosis, procedure and treatment including Consultations and specialist doctor’s fees, bed charges, Nursing care, diagnostic laboratory & radiology investigations, prescribed medications and dressings.
Our Inpatient Cover under the National Scheme Cover dubbed ‘The UHC Supacover‘ is available to all eligible Members with their dependants. They include: Consultation with a GP, laboratory and radiological investigations including X-rays and ultrasounds, day-care procedures, drugs & dispensation, health education, mental and behavioural health services, counselling, physiotherapy services, Antenatal & Post Natal care, immunization/vaccines as per KEPI schedule, anti snake venom and anti rabies.
Caters for pregnancy related health services: facilitation of labour, delivery through Normal delivery or caesarean section and the aftercare for the mother together with the new-born.
Covers Haemodialysis including specialist review, nursing & dialysis services, intra-care & dispensed medications, routine laboratory tests, nutrition, counselling & follow up care.
Includes treatment for cancer patients using radiotherapy, brachytherapy, chemotherapy, immunotherapy, Pet Scans and other interventions as guided by the Ministry of Health (MoH).
All surgical procedures including transplants are covered. Cosmetic surgeries are excluded. Cosmetic surgery is where a person chooses to have an operation, or invasive medical procedure, to change their physical appearance for cosmetic rather than medical reasons. The surgical procedure benefit package includes:
Includes diagnostic imaging services for MRIs and CT scans
NOTE: X-Rays & Ultrasounds are covered under inpatient and outpatient packages.
The Mental & Behavioural Health Benefit Package covers common mental disorders (including depression and anxiety), severe mental disorders (including psychosis, schizophrenia and bipolar disorder); Neurological disorders (such as epilepsy and dementia), childhood disorders, and drugs and substance abuse disorders.
An active NHIF member will be required to visit any hospital empanelled by NHIF that offers the mental & behavioural health benefit package.
This covers road ambulance services via the Kenya Red Cross E-Plus ambulances. It caters for on-site evacuation and transfer of a sick member or their declared dependents for treatment to nearest NHIF declared hospital.
An active NHIF member will be required to contact E-plus through the telephone numbers 1199 (Toll-Free) or 0700395395 or 0738 395395 or the NHIF toll free line – 0800 720 601.
This benefit package covers for treatment costs pertaining to medical and surgical interventions and PET Scan Imaging, arising from a condition that warrants treatment that’s not available in Kenya.