NHIF SUPA cover products and services in Kenya

List of NHIF Services in Kenya, NHIF Supa Cover Products and Services

The National Health Insurance Fund, NHIF introduced what it calls the NHIF SUPA cover for the Kenyan population both in the formal and informal sectors and their families. In the Supa cover, you can pay Ksh. 500 per month which will cater for medical services for the principal member and beneficiaries. To access NHIF services in Kenya, the employer deducts 2% of their gross salary which is then handed to the national health insurer.

For people employed in formal sectors or public institutions, it is compulsory for them to pay a varying amount of money based on their gross salaries.

While it is compulsory for those in formal employment to remit their NHIF contributions, it is voluntary for any other person to do so.

See also: How to Register for Self Employed NHIF Membership in Kenya

NHIF Supa Cover Products and Services in Kenya

The NHIF Supa cover enlists both outpatient and inpatient services to its members and their declared beneficiaries across the country.

In general, NHIF medical scheme services include:

  • Maternal care – Antenatal and Prenatal care and deliveries (Normal delivery and caesarian section)
  • Reproductive health services: Family Planning
  • Renal Dialysis
  • Overseas treatment for specialized surgeries not available locally
  • Rehabilitation for drugs and substance abuse
  • All surgical procedures including transplants
  • Emergency road evacuation services
  • Radiology imaging services (X-rays, CT Scan, & MRI)
  • Cancer Treatment
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NHIF Outpatient Services in Kenya

NHIF outpatient services in general entail consultation, laboratory and investigations, daycare procedures, drugs and dispensation, health education, wellness and counseling, physiotherapy services, immunization/vaccines as per the KEPI schedule, management of chronic ailments (HIV/AIDS, Diabetes, Asthma, Hypertension, cancer), Treatment of sexually transmitted diseases, Radiology Services, Family planning/midwifery/ante/post-natal services, Physiotherapy Services, referral for specialized services.

The Supa cover outpatient services covered include:

Radiological services package

Caters coverage for Magnetic Resonance Imaging (MRI) and Computerized Tomography (CT) scan, and Ultra Sound.

Cancer package/Oncology package

It Covers Chemotherapy, Radiotherapy, and Brachytherapy for cervix and prostate cancer. For up to 10 sessions annually.

Renal Dialysis and Kidney Transplant package

It includes coverage of Dialysis up to twice per week, kidney transplant package where the donor is covered as well.

Surgical package

It includes coverage of minor, major, and specialized surgeries.

Maternity package

It includes coverage of normal and caesarian deliveries in Category A and B hospitals.

NHIF Inpatient Services

Inpatient hospitals under the NHIF medical scheme are available in two contract categories:

A. Comprehensive Cover

Comprises all government hospitals and selected faith-based and private hospitals. Members enjoy full and all-inclusive cover for all admissions provided they are fully paid up members.

B. Non-Comprehensive Cover

Read Also:   How to Choose or Change NHIF Outpatient Facility Online, USSD Code or App

Enlists some faith-based and private hospitals. Members who choose to visit the hospitals in this category may be required to pay out of pocket for services offered.

Also read:

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  2. How to Register for Self Employed NHIF Membership in Kenya
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