How to Access Out- Patient Services using NHIF membership

NHIF Members are expected to seek Out-Patient treatment in their selected medical facility. Members in job groups A-K will have unlimited outpatient services in their selected facilities.

Members in job groups L-T will access outpatient services in their selected facilities subject to their annual limits as indicated in Table C below


Table C: Outpatient and Inpatient Annual Limits

Job Groups In- Patient Out-Patient
A-G Unlimited Unlimited
H Unlimited Unlimited
J Unlimited Unlimited
K Unlimited Unlimited
L 1,000,000 100,000
M 1,250,000 150,000
N 1,500,000 200,000
P 1,750,000 225,000
Q 2,000,000 250,000
R,S,T 2,250,000 350,000

The following documents are required at the point of service:

i. A copy of NHIF card OR

ii. A copy of the National Identification card of the principal member or Staff Identification Card


Emergency Treatment WITH NHIF

Incase of a medical emergency, members and/or their declared dependants will access services in any NHIF accredited health facility. The facility should communicate to the nearest NHIF office for purposes of reimbursement. Members are expected to report cases of emergency or emergency admissions to the nearest NHIF office.Members will not be required to meet the cost of such treatment.

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Date published: 22/09/2017
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