This is a question our experts keep getting from time to time. Now, we have got the complete detailed explanation and answer for everyone, who is interested!
To be more specific, civil workers and even other people are eligible to use Nhif…. Regrettably, NHIF does not provide coverage for aesthetic dentistry procedures such as braces or other similar treatments. NHIF only covers general operations such as extraction, teeth cleaning/scaling and polishing/Bad breath management, Root canal treatment, filling, consultation, X-Ray.
What services are included with a NHIF card?
The coverage extends to hospital bed charges, nursing care, diagnostic, laboratory, or other medically necessary facilities and services, the fees of physicians, surgeons, anesthetists, or physiotherapists, operating theater charges, specialist consultations or visits, and any drugs, dressings, or medications prescribed by the attending physician.
Does NHIF cover optical services?
If a new bill that is currently before Parliament is passed, members of the National Hospital Insurance Fund (NHIF) will have access to eye therapy and the option to purchase optical spectacles. The optical cover’s limits will be determined by the National Health Insurance Fund (NHIF), which is one of the services that the proposed law includes on its list of those to be provided by the fund.
Which examinations are covered by the NHIF?
- Hospital bed charges.
- Care for the elderly and infirm
- Diagnostic.
- Laboratory.
- Costs associated with running the theater.
- obtaining advice from a specialist.
- All pharmaceuticals and medications.
- Dressing charges.
Does Mediheal take NHIF?
Does Mediheal Accept NHIF? The hospital does, in fact, take NHIF payments. Accreditation from the NHIF enables patients who are already registered to receive both inpatient and outpatient care at the Mediheal Hospital.
Coverage for Orthodontic Care Provided by Insurance
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Does Aga Khan take NHIF?
Only qualified doctors who are licensed by the Kenya Medical Practitioners and Dentists Board and have been granted admitting privileges by the hospital are permitted to admit patients to the Aga Khan University Hospital. NHIF and Insurance Medical Cards are also need to be presented. NHIF is solely applicable to Kenyan nationals and does not cover medical care for those who are not from Kenya.
Is there a hospital that accepts Linda mom orders?
Is there a hospital that accepts Linda mom orders? The correct response is “no.” This cover is only valid for use in public hospitals as well as some private hospitals.
How much should I budget each month to pay for NHIF?
The monthly fee for members who fall into the voluntary category is 500 Kenyan Shillings. Those who have regular employment are required to make payments proportional to their income.
How do I terminate my husband’s NHIF membership?
It is possible to modify or add information pertaining to your spouse. To make the process go more smoothly, please bring a copy of your spouse’s identification and either a marriage certificate or a sworn affidavit/burial or death certificate with you when you go to the local NHIF office.
Does NHIF have a limit?
NHIF coverage restrictions: Services for In-Patients
Affordable healthcare at government hospitals starts at 1,200 Shillings per day. Private hospitals with very high costs: The daily maximum cost is four thousand shillings (Sh.)
How many different hospitals do I have a choice between with NHIF?
NHIF authorizes one outpatient hospital per member, for simplicity of service. It is recommended that you choose a facility that is located in close proximity to you. You are free to choose a different hospital for your children and spouse if you so desire.
How can I get my NHIF account back up and running?
You will need to pay a fee of KES 1,500 in order to reactivate your NHIF card. After that, you will have to wait two months (or sixty days) before you may begin to enjoy regular services. You have the option of paying with EQUITY, NATIONAL BANK, KCB, or CO-OPERATIVE BANK as well as M-PESA (paybill no. 200222).
How much time does it take for the NHIF to become operational?
It takes the card sixty days to become active, and the monthly payment is due on the third month and every month before the ninth of the month. If the monthly payment is late by even one day, a penalty fee of two hundred and fifty Kenyan shillings is assessed each month. The initial payment made on the day of registration will determine how much of the monthly fee will be due initially.
Can I use my NHIF at any hospital in the United States?
Is it possible to use an NHIF card at any hospital you choose? … You have the option of receiving inpatient care at any of the NHIF-accredited hospitals or facilities located around the country. But, you cannot walk-in to any hospital and demand outpatient services with your NHIF card. The facility has to be on your list.
Can you pay NHIF for the whole year?
The new regulations mandate that optional members pay their annual dues in full before they can participate… They stipulate that in addition to paying fifty percent of the monthly subscription fee for each of the months that were not paid, the customer must additionally pay an additional twelve months’ worth of subscription fees in advance if the default lasts for eleven months.
When will I be able to start using my NHIF card?
The NHIF Has a Waiting Time
Individuals in the job sector must wait for their membership cards to become active for a period of only 30 days before they are eligible to enjoy all NHIF benefits. On the other hand, in order to obtain NHIF services, voluntary members are required to wait for a period of ninety days. These are only the primary waiting times for people registering for the first time.
How do I change employer in NHIF?
To alter NHIF profile from employed to self-employed, you need to visit any NHIF office and fill employment amendment form. Specify that you have shifted from employed to self-employed or self-employed to employed.
Would it be okay for my wife to use my NHIF card?
Kindly bring a copy of your ID and your spouse’s ID copy, marriage certificate or an affidavit from the magistrates’ court to add your spouse to your card. For your child, avail his/her birth certificate to add them as your dependent or a birth notification if he or she is 0 to 6 months old.
How can I go about changing my spouse on my NHIF account?
It is possible to modify or add information pertaining to your spouse. To make the process go more smoothly, please bring a copy of your spouse’s identification and either a marriage certificate or a sworn affidavit/burial or death certificate with you when you go to the local NHIF office.
What are the repercussions of failing to make NHIF payments?
NHIF penalties for self-employed individuals
If you fail to pay your monthly payments or make a late payment, you incur a penalty of Ksh 250 each month. In addition to that, you are responsible for making the monthly premium payment even if you had previously skipped out on paying it.
How can I check to see whether my NHIF is still in good standing?
- You can write a message on your mobile phone by going to the main menu and selecting the appropriate option.
- In the field designated for the message, put “ID,” then leave a space before entering the ID number or, if applicable, the passport number…
- Send the message to 21101.
- You’ll receive a notice after your NHIF account status has been processed.
How can I find out what my current NHIF balance is?
You need to have a functional mobile phone in order to check the status of your NHIF. In the “ID” field, type both your initials and your National Identification Number, for instance “ID 12345678.” Then send that message to 21101. Please be aware that sending this SMS will cost you 10 shillings; as a result, you will need to ensure that your phone number has sufficient airtime before attempting to send the message.
What is Linda Mama?
The goal of the Linda Mama program is to provide pregnant Kenyan mothers who cannot afford any form of medical coverage, including NHIF, with assistance in meeting their essential maternity care needs. Care during pregnancy, delivery in a medical facility, care after delivery, and care for babies as outpatients are all included in this coverage for moms.
How can I activate Linda Mama?
- Dial *155#
- Choose the language you like to use i.e. English or Kiswahili.
- Choose the Free Maternity option.
- Determine who will be responsible for completing the registration, such as the beneficiary, a guardian, or the hospital.
- To obtain your identification number, enter it here.
- Please include both your first and last name.
- Please enter your birth year.
- Choose the county.