Frequently Asked Questions
Hello Member, kindly select your choice of hospital/facility using your feature phone (mulika mwizi) by dialing *155#, the Mobile App “My NHIF” that is available on Play Store/Apple Store and/ or the self-care portal on our website
Hello Member, facility name is the hospital you want to choose for out-patient service, while facility choice is the preferred hospital you want to select/change.
Universal health coverage (UHC) means that all people have access to the health services they need, when and where they need them, without financial hardship. It includes the full range of essential health services, from health promotion to prevention, treatment, rehabilitation, and palliative care.
UHC is about ensuring that people have access to the health care they need without suffering financial hardship.
UHC will answer how to afford and access health services without running out of finances. Thus robust and efficient well run health systems. Health must be affordable through a system of financing health services like NHIF, have essential medicines and technologies to diagnose and treat medical problems, and have sufficient capacity of well-trained motivated health workers. The UHC journey is ongoing.
UHC is not something that can be achieved overnight, but countries can move more rapidly towards it or maintain the gains they have already made (WHO). UHC is not an event or an activity. It is a state where people can access quality health services without digging deep into their pockets to finance it. UHC is a journey, and the Kenyan government has made massive strides in the UHC journey.
UHC is about social protection for health. The poorest populations often face the highest health risks and need more health services. A key element of financing for UHC is sharing resources to spread the financial risks of ill-health across the population. NHIF is the vehicle used by the government to collect large pools of prepaid funds that can be used to cover the health care costs of those in need, regardless of their ability to pay.
The principle of UHC is that those who can pay should pay and those who cannot be identified and supported. The government has already identified and supported 1 million families in the first leg, to access services. Those who can support themselves are urged to enroll with NHIF to access the UHC SUPA COVER benefits package.
As a member of NHIF, you can access the inpatient and outpatient benefits package, maternity package, surgical package, dialysis package, radiology imaging services, mental & behavioural health package, oncology package, emergency road evacuation services, and overseas benefits package.
NHIF introduced self-care platforms, including dialling USSD *155#, downloading the ‘My NHIF’ App available on Play Store or Apple Store, and the self-care portal on the NHIF website (www.nhif.or.ke) to register as a member. You can also visit the NHIF branches or Huduma
Centres Countrywide to register as a member. In addition, members can access services at any of the NHIF empanelled facilities countrywide.
Toll-free number 0800 702 601 for more information.
Unpackaging The UHC SUPA COVER Benefits Package!
The benefits package Kenyans can access under UHC is dubbed the “UHC SUPA COVER” Benefits package. Members can access the following packages under the UHC Supa Cover:
Covers- Consultation, Laboratory & Radiological investigations including X-rays & ultrasounds, Day care procedures, drugs & dispensation, health education, mental and behavioral health services, counselling physiotherapy services, immunization/ vaccine as per the KEPI schedule, Anti-snake venom & Anti Rabies.
*Access: Member to choose an outpatient hospital from the NHIF empaneled hospitals (Dial *155# to choose hospital)
The inpatient package covers hospital stays with health care diagnosis procedure & treatment including consultation & specialist doctor’s fees, bed charges, & nursing care. Diagnostic laboratory & Radiology investigations, prescribed medication & dressings.
*Covers management of endemic/local diseases including chronic conditions.
Yes. Pregnant mothers’ benefit from hospital stays with health care diagnosis procedure & treatment including consultation & specialist doctor’s fees, bed charges, & nursing care, also Diagnostic laboratory & Radiology investigations, prescribed medication & dressings.
*Access: Member can access services at any of our empanelled facilities countrywide.
The package covers all surgical procedures including transplants. Includes: Pre-operative reviews & Operations costs, surgeons & Anesthetist fees, nursing care
& Bed charges. Prescribed medication during hospital stay & discharge
* Access: Member can access services at any of our empanelled comprehensive facilities countrywide.
Chemotherapy, Radiotherapy, Brachytherapy, Consumable, pre-meds and post-meds, Routine laboratory investigations, Blood and blood
products, Treatment planning, PET-CT scan, – Radioiodine therapy, Bone scan and radio nucleoid scans
*Access: Members can access services at any of the NHIF empaneled facilities countrywide
This includes Diagnostic Imaging Services for MRIs, and CT scans.
* Access: Members can access services at any of the NHIF empaneled facilities Countrywide
Yes. It covers road ambulance services via the Kenya Red Cross E-Plus ambulances. It caters for onsite evacuation & transfer of sick member or their declared dependents for treatment to the nearest NHIF declared hospital.
* Access: Contact E-Plus through 1199 or 0700395395 or the NHIF toll Free line: 0800 720 601
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.
Covers treatment of medical and surgical interventions arising from a condition that warrants treatment not available in Kenya.
* Access: Members or declared dependents must be cleared by the Ministry of Health for Travel
* The services Covered are the essential medical services at NHIF empaneled hospitals.