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Bei Za Vifurushi Vya Bima Ya Afya NHIF

Bei Za Vifurushi Vya Bima Ya Afya NHIF

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Bei Za Vifurushi Vya Bima Ya Afya NHIF

What is Health Insurance?

Bei Za Vifurushi Vya Bima Ya Afya NHIF -The goal of getting health insurance is to have financial protection against the high expenditure of medical care. A vast array of diseases and conditions are covered by the many sorts of health insurance coverage. You have the option of acquiring either a basic health insurance coverage or one that is specialized to cover a certain condition. In most circumstances, the costs of medical care, hospitalization, and medication are covered by the premium that is paid toward a health insurance plan. Bei Za Vifurushi Vya Bima Ya Afya NHIF

The NHIF reports that the cost for an individual is 192,000 for I Care Health, 384,000 for Invest Health, and 516,000 for new Packages for people between the ages of 18 and 35. (Ensure Proper Health) Bei Za Vifurushi Vya Bima Ya Afya NHIF

Individual packages for people between the ages of 39 and 59 are priced at Shs. 612,000, Shs. 440,000, and Shs. 240,000 respectively. (Ensure Proper Health)

I Care for Health costs 336,000 shillings, Invest in Health costs 660,000 shillings, and the rate for individuals over 60 is 984,000 shillings per individual. (Ensure Proper Health)

Bei Za Vifurushi Vya Bima Ya Afya NHIF
Bei Za Vifurushi Vya Bima Ya Afya NHIF

NHIF Packages Benefits

Because of the efforts of the National Health Insurance Fund (NHIF), beneficiaries of the National Health Insurance Fund (NHIF) have access to a comprehensive benefits package at any of the nationally recognized medical institutes in the country. This package includes a total of eleven (11) benefits, all of which are provided to beneficiaries in accordance with the Standard Treatment Guidelines that have been issued by the Ministry of Health in addition to the laws of the Fund. These guidelines have been made available to beneficiaries in accordance with the provisions of this package. Included in this arrangement are the following provisions:

Bei Za Vifurushi Vya Bima Ya Afya NHIF packages1 - Bekaboy
Bei Za Vifurushi Vya Bima Ya Afya NHIF

  1. Consultation – This accounts for the charges that are associated with Consultations.
  2. Medicines and medical supplies – The Fund is responsible for covering the costs associated with medicines prescribed in Generic names and medical consumables in accordance with the National Essential Medicines List (NEMLIT) and additional medicine list recommended (to NHIF) by experts and stakeholders.
  3. Investigations: The Fund will pay for the costs of any investigations or diagnostic tests that are included on the Investigation List that is included in the benefits package. There are a total of 321 Investigations, some of which include ultrasound, echocardiography, computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound.
  1. Surgical Services – Includes Minor, Major, and Specialized Surgical Services Conducted from Health Centres to Referral Level Hospitals 4. Surgical services are performed from health centres to referral level hospitals 5.
  2. Inpatient Care Services, including the Intensive Care Unit and the High Dependency Unit – The Fund pays for the member’s daily admission costs, which vary depending on the level of the facility and the agreed-upon daily rates as outlined in the Fee Schedule. Additionally, the Fund pays for any investigations, medicines, and medical supplies that are dispensed while the member is inpatient.
  3. Physiotherapy and rehabilitation services – The institution may offer these services to both inpatients and outpatients, depending on the availability of professionals in the relevant fields.
  4. Services for the Eye and Optical Devices NHIF will reimburse the costs of optical services for any and all beneficiaries. Treatment of eye illnesses and refractive surgery for patients with visual impairments.
  5. Spectacles – The Fund is also responsible for covering the cost of corrective eyewear for the primary member (one pair for a period of 3 years).
  6. Dental and Oral Health Services — This service is available to both inpatients and outpatients, and it is given by the facility’s professionals in the field. This comprises procedures such as dental conservation surgery (carries and dental fillings), gum disorders, dental extractions, root canal therapy, orthodontics, and denture replacement.
  7. Comprehensive Medical Services are Made Available to Retired Principal Members and Their Spouses for the Rest of Their Lives 10 Retirees Health Benefits 10 Retirees Health Benefits
  8. Medical and Orthopaedic Appliances – The Fund provides supportive medical and orthopaedic appliances, such as a White Cane for blind individuals, Neck and Thoracic Spine Collars, Hearing Aids, Lumbar Cossets and Braces, Walking Crutches and leg orthopaedic Supports (ankle, knee and above knee orthopaedic supports).

The benefits package offers a comprehensive selection of both outpatient and inpatient medical care options. These services include 354 investigations, 51 ordinary procedures, 52 specialized procedures, 94 minor surgeries, 210 major surgeries, 148 super specialized surgeries, 16 medical and orthopaedic appliances, 522 types of medicines, 40 cancer medicines, 17 immunosuppressant and immunoostimulant medications, and 40 medical supplies.
Special approval services (read more on its page)

These are the types of services that can be provided with the help of a special permit; they are as follows:

  • chemotherapeutic treatment for people who have cancer
  • Immunosuppressant medications prescribed to patients who have undergone organ transplantation
  • Dialysis and erythropoietin for patients suffering from renal failure,
  • Reading glasses in addition to specialized radiological imaging techniques like CT scans and MRIs.
  • Instruments used in medicine and orthopedics
  • Complex Implants
  • Superior Medical Care for the Heart
  • Several of the Available Medicines
  • PolypropyleneMesh
  • EMG needle
  • Dentures
  • Orthodontic Services Available
  • Providers of radiotherapy services

Bei Za Vifurushi Vya Bima Ya Afya NHIF

Fomu ya Usajili Wanachama wa Vifurushi NHIF

Fomu ya Usajili Wanachama wa Vifurushi NHIF - Bekaboy
Bei Za Vifurushi Vya Bima Ya Afya NHIF

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