Kenya – Apply for National Health Insurance Fund

  1. Apply In-Person.
  2. Apply Online.
  3. Kenyan Residents.
  4. Foreign Residents.
  5. Foreign Students.
  6. Employers Requirements.
  7. National Hospital Insurance Fund. P.O. Box: 30443 – 00100, Nairobi, Kenya. Phone: 0800 720 601, (020) 2723255/56. Phone: (020) 2714793/94, (020) 2722527. …
  8. Kenya – Apply for National Health Insurance Fund 

Procedure


Apply In-Person

  1. The applicant should visit the National Hospital Insurance Fund (NIHIF) offices or Huduma canter to make the application.
  2. You will be given an NHIF Individual Registration Form or Employer Registration Form (depending on the nature of your application) to fill and submit.
  3. The form may also be downloaded online and filled before visiting the offices for submission. The forms can be downloaded from the NHIF website and filled before visiting these offices for submission.
  4. Fill in your personal detail, spouse details, children details and preferred out Patient Facility.
  5. Proceed to make registration fees of Ksh 1500.
  6. Attach copies of required documents for submission; This documents may include a copy of ID, Passport photo, marriage certificate if you are married, company PIN and company registration certificate and bank payment slip to the NHIF offices for processing.
  7. Registration usually take a period of 7 days to complete. You must collect NHIF ID card in person. You are required to carry a proof of identity during collection.

Apply Online

  1. Visit: NHIF Online registration portal
  2. Select ‘’Employer ‘‘, ‘’Employee’’ or ‘’ self-employed ‘’ depending on which type or registration you qualify for.
  3. After selection the application form page will load which you will have to fill in to complete.
  4. Attach the required documents. This documents may include ; a copy of ID, Passport photo, marriage certificate if you are married, company PIN and company registration certificate
  5. After uploading the documents, review you application details then click save. This will generate an online invoice with instructions on how to pay for your registration.
  6. Proceed to make the payments for registration. As per the instructions given.
  7. You will be notified of your status upon payment via email. In addition you will also receive an SMS to your number mobile number confirming payment of registration.
  8. Print the acknowledgement of registration form and present it to any NHIF office or Huduma centre near you and get your card printed for you

Required Documents


Kenyan Residents

  1. Copy of National I.D (including spouse if applicable)
  2. Copy of Employer Appointment/Introduction Letter (excludes self-employed/voluntary contributors)
  3. Coloured passport photo (including spouse & dependants if applicable)
  4. Original & copies of Birth Certificate(s) for dependants

Foreign Residents

  1. Copies of passport, alien certificate or work permit (including spouse if applicable)
  2. Coloured passport photo (including spouse & dependants if applicable)

Foreign Students

  1. Copy of passport
  2. Coloured passport photo
  3. Submit the required amount under the Voluntary/Self Employed Category

Employers Requirements

  1. Certificate of Registration
  2. PIN Certificate

Office Locations & Contacts


National Hospital Insurance Fund
P.O. Box: 30443 – 00100, Nairobi, Kenya.
Phone: 0800 720 601, (020) 2723255/56
Phone: (020) 2714793/94, (020) 2722527
SMS to 21101 for help
Fax: (020) 2714806
Enquiries: ek.ro.fihn@eracremotsuc
Complaints: ek.ro.fihn@stnialpmoc
Liaise: ek.ro.fihn@ofni
Fraud: ek.ro.fihn@duarf or (020) 2714803
Website: National Hospital Insurance Fund

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Eligibility

  • Residents if Kenya
  • The individual needs to have attained the age of 18 years. (No age limit after the age of 18 years)
  • An individual whose total income from salaried or self-employment is more than Ksh. 1,000 per month or Ksh. 12,000 per year.
  • The individual needs to be drawing an income from Kenya
  • Individuals working under contract or casual terms of employment
  • Voluntary contributors, this includes foreign visitors permitted to work or study in Kenya

Fees

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

Validity

  • Registration remains valid as long as monthly contribution are paid.
  • The cover becomes active after 60days from the day of registration.

Documents to Use

Processing Time

  • Processing and issue of membership card is…………7 working days
  • Issuing of urgent cards……………………………………… 1 day
  • Issuing of company and sponsor codes……………… 14 working days
  • Issuing of membership number……………………… Immediately

Instructions

  1. Download the Registration forms; Individual Registration Form or Employer Registration Form or visit the NHIF online portal NHIF Online registration portal to make the registration.
  2. Complete the application for registration by providing all the required details.
  3. Make the applicable payments
  4. Attach/ Upload the required documents and payment receipt to the application and submit to the NHIF for review and registration
  5. Registration usually take a period of 7 days to complete. You must collect the registration certificate in person.
  6. A proof of identification is required when collecting the certificate.

Required Information

  • Employment status
  • Preferred outpatient Medical facility
  • Member Details

(i) Identification Type
(ii) Identification Number
(iii) ID Serial Number
(vi) Full Name
(v) Date of Birth
(vi) Gender
(vii) Marital Status
(viii) Postal Address
(ix) Email/ Mobile No
(x) County of Residence
(xi) Nearest NHIF Branch Office
(xii) Employer/Organized Group Code:
(xiii) Sponsor Code:
(xiv) Payroll/Personal No.
(xv) Place of Residence (sub county)

  • Spouse Details

(i) Surname:
(ii) Other Names:
(iii) National I.D./Passport/Alien I.D. No.:
(iv) Date of Birth (DD/MM/YYYY)
(v) Gender (Male/Female)
(vi) Mobile Phone No.:

  • Employers

(i) Employer’s/ Organized Group/ Sponsor Particulars
(a) Name:
(b) Postal Address:
(c) Telephone Number
(d) E-mail Address
(ii) Headquarters’ Registered Office
(iii) Certificate/Registration Number (Attach copy)
(iv) Company PIN Number (Attach copy)
(v) Full Name of Authorized Officer<:br>(vi) Employer’s/Organized Group Official Stamp

Need for the Document

  • The fund currently provides medical insurance to all registered members alongside their dependents.
  • The NHIF document is usually needed by some employers before offering a job to a prospective employee.

Information which might help

  • National Health Insurance Fund was established in 1966 as a department within the ministry of health by an Act of Parliament mandated to provide health insurance to Kenyans over 18 years. For those who are employed (formal sector), it is compulsory to be a NHIF member. For those in the informal sector (self-employed) membership is voluntary.
  • If you are self-employed and have not contributed for 12 months and beyond your card will be deactivated. To can reactivate your NHIF card, pay at least KES 1,500 and resume usage of the card after 2 months (60 days). You can pay through M-PESA (paybill 200222) or at the Bank
  • To add your spouse to your NHIF card or beneficiaries, present a copy of your ID and marriage certificate or affidavit from the magistrates’ court to your NHIF centre or Huduma centre. For your child, avail his or her birth certificate or a birth notification if they are 0 to 6 months old.

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.500 per month (Kshs.6000 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.

Other uses of the Document/Certificate

Benefits of NHIF cover

  • 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 (Caesarean) package in government hospitals, majority of mission and some private hospitals.
  • Dialysis at Ksh 2,500 per session at the following medical facilities: –

(a) Kenyatta National Hospital, Nairobi
(b) Moi Teaching & Referral Hospital, Eldoret
(c) Provincial General Hospital Kisumu
(d) Rift Valley Provincial General Hospital, Nakuru
(e) Coast General Hospital, Mombasa
(f) Siloam Hospital, Kericho
(g) Mediheal Hospital & Fertility Centre
(h) Muranga District Hospital, Muranga
(i) Thika Level 5 Hospital, Thika
(j) P.C.E.A Hospital, Kikuyu
(k) Consolata Hospital, Nyeri
(l) Tawfiq Hospital, Malindi
(m) Africare Limited
(n) Kakamega Country General Hospital

  • Family planning’ Vasectomy and Tubal Ligation
  • NHIF does not exclude any disease.

External Links

Others

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 equipment 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.

About the Author

Sande Kennedy is the founder and Editor in Chief of SandeKennedy.co.ke & Kenyans247.co.ke He is a Kenyan-based Internetprenuer,blogger Political Activist & informer who has an interest in politics, governance, corporate-fraud and human-interest. Kindly drop me a note if you feel aggrieved on any matter that you would want to be highlighted  Twitter: @nyosake , Instagram: @itssandekennedy WhatsApp: +254791890826 Read More about me here