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How to Save for Your Health with NHIF 

Vincent Nyoike
Vincent Nyoike How to

The National Health Insurance Fund (NHIF) is the body involved in the provision of medical insurance by covering its members and declared dependents like spouses and children. The NHIF was created under Cap 255 of Kenyan Law of 1966. At the time of creation, its main objective was o provide health insurance to employed personnel only. Currently, it is also covering self-employed individuals.

You can be a member of the NHIF if you have attained the age of 18 years, you are a rodent of Kenya and you have a monthly income of more than Ksh 1,000. Once you become a member, you need to make monthly contributions towards the insurance.

NHIF Coverage

The NHIF provides a wide coverage towards medical expenses. The coverage includes:

  • Inpatient cover
  • Outpatient cover
  • Group life cover
  • Last expense cover
  • Ex-Gratia Payments
  • Maternity and reproductive cover

Read also: How to file tax returns in Kenya. 

How to Register and Become NHIF Member

You can register to become an NHIF member even if you are self-employed. NHIF has made things easy by providing online registration. As such, you do not have to make long queues in their offices to register and become a member. You can also register as a member by dialing *263# on your mobile phone. 

Documents You Need to Register as an NHIF Member

You need to present the following details when registering to become a voluntary NHIF member.

  • Copy of your national ID and that of your spouse
  • Original copies of birth certificate of your dependents
  • Colored passport size photo and that of your spouse
  • The employer’s NHIF code for employed individuals
  • Employment letter from your employer for employed individuals
  • Foreign residents should provide copies of their passports

How to Apply for NHIF Card Online

You can use the online NHIF portal to apply for an NHIF card. To do so, follow these steps.

  • Visit NHIF online portal
  • Select whether you are employed or self-employed
  • You will be provided with a form which you need to fill in your details
  • Upload a copy of your ID, passport, photo and marriage certificate
  • Then click Save
  • You will then need to make payment
  • You will receive an SMS notification

Visit any NHIF office or Huduma center near you to have your card printed. Normally, it takes around 14 days to have your NHIF card ready. 

Read also: How to apply for smart driving license. 

How to Make NHIF Contributions

There are many ways you can make your NHIF monthly contributions. Among them include making deposits through their bank accounts, using Mpesa Pay Bill and JamboPay payment.

How to Make NHIF Contributions Using Mpesa

Follow these simple steps to make contributions towards your NHIF cover.

  • Go to your Mpesa menu and select Pay Bill
  • Enter NHIF Pay Bill Number which is 200222
  • Enter your National ID Number as the account number
  • Enter the amount you want to contribute
  • Enter your Mpesa Pin and the confirm all details are correct

NHIF Rates and Premiums

Gross Income (Ksh)Premiums (Ksh)
5,999   150
6,000 - 7,999300
8,000 - 11,999400
12,000 - 14,999500
15,000 - 19,999600
20,000 - 24,999750
25,000 - 29,999850
30,000 - 34,999900
35,000 - 39,999950
40,000 - 44,999 1,000
45,000 - 49,999 1,100
50,000 - 59,999 1,200
60,000 - 69,9991,300
70,000 - 79,9991,400
80,000 - 89,9991,500
90,000 - 99,9991,600
100,000 & above1,700
Self employed500

NHIF Services and Benefits 

Members of the NHIF scheme have a lot to enjoy. The following are the benefits you can enjoy with the NHIF cover.

  • Supa cover. Members get to enjoy in-patient and out-patient services, maternal care, cancer treatment, surgery expenses, renal dialysis and overseas treatment. Ensure that the hospital you visit is NHIF accredited.
  • Linda mama. The Linda Mama is an initiative by the NHIF that covers the needs of pregnant women and infants by allowing them to access affordable healthcare.
  • Civil servant scheme. This is an initiative for civil servants that provides in-patient, out-patient, maternity group and last expense for civil servants.
  • EduAfya. This is a service offered by NHIF to provide affordable healthcare to public secondary students in course of their study. 

NHIF Payment of Claims

Claims are made directly to the NHIF after a patient has been discharged from hospital. The NHIF then reviews the claim to check its validity. The NHIF can reject a claim in case of an abnormality. NHIF strives to make payment  within 14 days upon receipt of a claim. Members who pay their hospital bill can make a claim directly to NHIF for a reimbursement. 

Read also: How to save for your retirement with NSSF. 

Conclusion

The NHIF cover is beneficial and I can recommend it to any Kenyan resident. There are many benefits can enjoy from the cover, especially if you have the Supa cover that covers a wide range of health services. It goes ahead to cover cancer treatment. Initially, the cover was only meant for employed people, but currently, it is available to self-employed individuals.