CHANGES AT NHIF AS THE NATIONAL HOSPITAL INSURANCE FUND LIMITS THE NUMBER OF BENEFICIARIES, HERE ARE THE DETAILS
JANUARY 1 2020 NHIF NEW CHANGES : NUMBER OF DEPENDENTS AND WAITING PERIOD
The National Hospital Insurance Fund, NHIF has introduced new changes which limit the number of beneficiaries covered by the scheme.
EXTERNAL LINKS WITH RELATED CONTENT
https://www.nhif.or.ke/healthinsurance/uploads/forms/nhif26.pdf
In the new NHIF changes, new entrants (members) will be forced to wait longer before they can benefit from the medical scheme.
Unlike the previous set period (2 months), new NHIF members will wait for three months before they can benefit from the medical cover.
Another major change involves the capping of the number of dependents as follows:
– Only one spouse will be covered by the NHIF medical cover.
– Only five children (dependents) will benefit from the NHIF medical cover.
The new changes were effected as from January 1 2020.
-50% of the monthly contribution penalty for defaulters up to 11 months remains.
– If a member defaults for over 1 year, then s/ he will be forced to start paying for the cover again and shall henceforth lose all the benefits gained.
– Those seeking maternity services by using the NHIF card are expected to meet the 6-months postcard maturity of the cover for the principal member or spouse.
-Newborns should be declared within the 6 months window period or risk waiting for 6 months before receiving the benefits.
– Any dependent declared after the initial registration will be forced to wait for six months before being confirmed save for newborns.
The above changes shall not affect the following government-funded projects for vulnerable groups:
Health Insurance Subsidy Program
Elderly people with severe disabilities
Free maternity program popularly known as “Linda Mama”
Inua Jamii Program
