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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