Quick Answer: What Services Does NHIF Cover?

What happens when you default NHIF?

50 % penalty for each month defaulted/paid late, up to 11 months.

If defaulted, you pay a one-year advance and wait 30 days before getting any benefits..

How soon can I start using my NHIF card?

How long after registration can you access the NHIF services? For the informal sector, you have to wait for 60 days while for the formal sector you only wait for 30 days.

How much does NHIF cover maternity?

Following the continuing improvement of the NHIF scheme, expectant mothers are entitled to a maternity cover of up to KSh 10,000 for normal delivery while a C-section delivery is covered up to KSh30,000.

How much should I pay for NHIF per month?

The NHIF rates and benefits calculation is based on gross income. With the introduction of new rates, the lowest contribution shall be Ksh 150 per month on monthly income up to Ksh 5,999. While the highest contribution shall be Ksh 1,700 on a monthly income over Ksh 100,000 as shown in the table below.

What is the penalty for late payment of NHIF?

NHIF Penalties for Late Payments If you are self-employed, you are attracting a 50% NHIF penalty charge following late payment. For example, if you are contributing Ksh. 500 monthly then you will be paying Ksh. 750 for late payments.

How do I know if my NHIF is active?

How to check NHIF status via SMSGo to the main menu on your mobile phone and compose a message.At the message space, type ‘ID’, a space followed by the ID number or the Passport number if applicable. … Send the message to 21101.You’ll receive a message after your NHIF account status has been processed.

How does NHIF Super cover work?

NHIF SUPA Cover Products NHIF SUPA Cover is Kenya’s largest, reliable, accessible and affordable medical insurance cover that enables you and your family to enjoy an unparalleled benefit package. Supa Cover costs Kshs. 500 per month for the principal members and beneficiaries.

Does NHIF cover optical services?

Members of the National Hospital Insurance Fund (NHIF) will access eye treatment and optical glasses if a new Bill before Parliament becomes law. … NHIF will provide the limits of the optical cover. Most insurance firms offer limits of between Sh25,000 and Sh40,000 annually.

What happens when you fail to pay NHIF?

If a person has failed to give his/her NHIF contribution in any of the months, he/ she have to pay a penalty which will be equal to five times to the contribution amount, under the Act of Penalty for late payment of standard contribution.

How much do I pay for NHIF?

For members under the voluntary category, they pay Kshs. 500 per month (Kshs. 6000 per annum). For those in formal employment, contributions are made as per their income.

What does NHIF cover for outpatient?

It includes coverage of Chemotherapy, Radiotherapy, and Brachytherapy for cervix and prostate cancer. For up to 10 sessions annually. It includes coverage of Dialysis up to twice per week, kidney transplant package where the donor is covered as well. It includes coverage of minor, major, and specialized package.

How much does NHIF cover surgery?

NHIF members seeking minor procedures will enjoy a cover of between Sh30,000 and Sh40,000 for their medical bills. Major surgeries will be covered up to Sh130,000, while those undergoing specialised surgeries for diseases such as cancer would be covered up to Sh500,000.

Can I use NHIF in any hospital?

You can access in patient services in any of the NHIF accredited hospital/ facility countrywide.

How long does it take for NHIF to be active after payment?

Are you self-employed and you have not contributed for more than 12 months? You can reactivate your NHIF card by paying KES 1,500. You will then have to wait for 2 months (60 days) to start enjoying regular services. You can pay via M-PESA (paybill no 200222) or at EQUITY, NATIONAL BANK, KCB, or CO-OPERATIVE BANK.

How can I know my NHIF balance?

How do I check my NHIF balance?Open your phone messaging application and compose a new SMS message.Type the letters “ID,” space, then your National ID number (or passport number if applicable) for example ID 12345678.Send the message to 21101.SMS charge service is Ksh 10 above standard rates.