What is NHIF Super cover and its benefits

NHIF Super Cover and its Benefits
NHIF SUPER COVER is Kenya’s largest, reliable, accessible and affordable medical insurance cover that enables you and your family to enjoy an unparalleled benefits package. NHIF SUPER COVER costs Kshs. 500 per month for the principal members and beneficiaries.

What Does NHIF SUPER Cover Entail?

NHIF SUPER COVER Outpatient services i.e

  1. Consultation,
  2. Laboratory,
  3. Medical investigations,
  4. daycare procedures,
  5. drugs and dispensation,
  6. health education,
  7. wellness and counselling,
  8. physiotherapy services,
  9. immunization/vaccines as per the KEPI schedule

NHIF SUPER COVER Inpatient services

  1. Maternal care - Antenatal and Prenatal care and deliveries (Normal delivery and caesarian section)
  2. Reproductive health services : Family Planning
  3. Renal Dialysis
  4. Overseas treatment for specialized surgeries not available locally
  5. Rehabilitation for drugs and substance abuse
  6. All surgical procedures including transplants
  7. Emergency road evacuation services
  8. Radiology imaging services (X-rays, CT Scan, & MRI)
  9. Cancer Treatment

NHIF Application

NHIF registration is open to all members from the formal and informal sectors. While it is compulsory for members of the formal sector to be registered, registration membership is voluntary for informal sector members. You can register for NHIF covers as a member or an employer/organization by filling the specific forms at their website.
The following documents are required: requirements for a nhif card

A copy of your national ID
A copy of your spouse’s national ID where applicable
Your employers NHIF code (if you are employed)
Original copies of your birth certificate (including yours spouses or dependents where applicable)
A coloured passport photo. It is also necessary to attach passport photos of your spouse or dependents where applicable

NHIF account
You can use NHIF self-service with either an individual account or JamboPay e-Wallet. To create your individual account you will need your NHIF Number, a valid email address and a working phone number. Create a Jambopay eWallet account. You need a valid phone number, email address and ID Number.

NHIF super cover limits

  • It should be noted that NHIF super cover pays up to 80% on member medical bill.

NHIF Fines/ penalties
Ksh: 250 is charged as fine for every month skipped. The fine can be paid via M-PESA

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Comments (3)

  • at
  • 10/Jan/22 10:07pm

hello nhif please i have a few questions; 1. what is the minimum and maximum in terms of ksh. an nhif member can be catered for in a public hospital? 2. if i have a different health insurance, but i am a consistent and up to date member of nhif, what restrictions are there if am seeking medication both at private and public hospitals? 3. how many facilities can a member choose as outpatient? kindly advise.

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  • at
  • 06/Mar/22 02:42pm

Can super cover cover private hospital

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  • at
  • 12/Dec/22 12:10am

Hi,should l pay for x Ray in a private hospital when l have NHIF

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Date published: 22/09/2017
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