NHIF hands members Sh500,000 surgery cover in deal with hospitals
NHIF officials during an awareness drive in Timau last month. PHOTO | PHOEBE OKALL
What you need to know:
NHIF members can now undergo surgery at no pay at high-end health facilities such as Nairobi Hospital, Aga Khan Hospital and MP Shah.
Members seeking minor procedures will enjoy between Sh30,000 and Sh40,000 cover of their medical bills.
The National Hospital Insurance Fund (NHIF) has started covering surgical procedures up to Sh500,000 after signing contracts with more than 2,000 hospitals.
Chief executive Geoffrey Mwangi said on Thursday fund members can now undergo surgery at no pay at high-end health facilities such as Nairobi Hospital, Aga Khan Hospital and MP Shah.
“The surgical package is now on. We have signed contracts with over 2,000 facilities that are accredited with us,” he said.
The NHIF did not initially cover surgeries and the move is expected to ease cost burden on Kenyans undergoing specialised treatment at the local facilities.
The NHIF members seeking minor procedures will enjoy between Sh30,000 and Sh40,000 cover of their medical bills.
Major surgeries will be covered up to Sh130,000 while those undergoing specialised surgeries for diseases such as cancer would be covered up to Sh500,000.
MP Shah chief executive Anup Das said patients at their facilities have been enjoying the benefits since Monday.
“We started offering the surgical benefits this week. Those whose bills surpassed the NHIF cut off would mix and match with covers from their other insurance companies,” he said on Thursday.
Those without private insurance will be expected to top up cash, he added.
The insurer had initially announced the benefits in August and pledged to issue further details on the cover.
“They are our own internal guidelines. For instance, we have a team in Naivasha training on filing for claims and also how to identify patients’ conditions and what package they qualify for, whether minor, major or specialised,” said Mr Mwangi.
The surgical package is a boon to more than two million NHIF members whose monthly contribution were increased more than three-fold.
Monthly contributions were increased from Sh320 to between Sh500 and Sh1,700 in April based on workers’ pay with the promise of enhanced outpatient benefits in public and private hospitals.
For corporates, the enhanced NHIF cover will ease the burden of rising insurance costs that has seen insurers raise premiums in line with increasing medical expenses.
PAYE Tax Calculator
Note: The results are not exact but very close to the actual.
