New NHIF Rates

National Hospital Insurance Fund (NHIF) is a state-owned parastatal under the Ministry Of Health with a mandate to provide accessible and affordable social health insurance. The NHIF Membership is open to all Kenyans who have attained the age of 18yrs and a monthly income of more than KSh1,000. NHIF members pay a monthly premium rate for every month and covered for health expenditures in public hospitals. In line with the Government’s commitment to the attainment of Universal Health Coverage, NHIF is out to cover members with both in-patient and out-patient cover.

Income (KSh)	NHIF Rate
KSh 5,999	KSh 150
KSh 6,000 – 7,999	KSh 300
KSh 8,000 – 11,999	KSh 400
KSh 12,000 – 14,999	KSh 500
KSh 15,000 – 19,999	KSh 600
KSh 20,000 – 24,999	KSh 750
KSh 25,000 – 29,999	KSh 850
KSh 30,000 – 34,999	KSh 900
KSh 35,000 – 39,999	KSh 950
KSh 40,000 – 44,999	KSh 1,000
KSh 45,000 – 49,999	KSh 1,100
KSh 50,000 – 59,999	KSh 1,200
KSh 60,000 – 69,999	KSh 1,300
KSh 70,000 – 79,999	KSh 1,400
KSh 80,000 – 89,999	KSh 1,500
KSh 90,000 – 99,999	KSh 1,600
KSh 100,000 & Above	KSh 1,700
Self-Employed (Special)	KSh 500

The benefits are;
NHIF Out-Patient Cover

• General Consultation
• Diagnostics and treatment of common ailments
• Prescribed laboratory and X-ray investigation services
• Prescribed drugs administration and dispensing
• Management of chronic ailments (HIV/AIDS, Diabetes, Asthma, Hypertension, Cancer)
• Health and wellness education/healthcare counseling such as screening for conditions e.g. Cervical and Prostate Cancer
• Treatment of Sexually Transmitted Diseases
• Minor surgical services
• Family planning/midwifery/ante/post-natal services
• Referral for specialized services
• Renal dialysis

NHIF In-Patient Cover

• Consultation
• Hospital daily charges
• Nursing care
• Prescribed diagnostic laboratory or other medically necessary services
• Physician’s surgeon’s, anesthetics’ or physiotherapist’s fess
• Operating theatre charges
• Specialist consultations or visits
• Prescribed drugs/Medications and dressings

NHIF Maternity Cover

• Consultation and treatment for both mother and child
• Child birth including caesarian section deliveries
• Family planning