National Hospital Insurance Fund was established in 1966 as a department the Ministry of Health. Today the Fund is governed by the NHF Act 1998. The transformation NHIF from a department in corporation was aimed at improving effectiveness and efficiency. The Fund’s core mandate is to provide medical insurance cover to members and their dependants (spouse and children) in Kenya.
NHIF membership is open to Kenyans 18 years and above who have a monthly income of Sh 1,000 and above ($13.3). NHIF has 23 branches across the country. Each offers NHIF services, including payment of benefits to hospitals members or employers. Smaller satellite offices and services points in district hospitals also serve the branches.
In the financial year 2008-2009, the NHIF had 2.3 million members (1.9 million in the formal sector and 376,000 from the informal one),up from 2.07 million in 2007-2008.In 2008-2009, the NHIF collected sh5.3 billion(466.25 million) from members, up from sh4.8 billion ($60 million) the previous financial year.
The NHIF provides provides an inpatient cover of up to Shs396,000($5,280) a year for the contributor, spouse and children. It provides an inpatient medical cover in certain hospital across the country. It works with more than 400 accredited Government, private and mission health providers. The fund reimburses hospital hospital claims according to daily rebates. It accredits as many hospitals as possible to ensure members access NHIF benefits whenever they are. It has objected accreditation guidelines that encourage hospital to improve service. The accredited organizations are those NHIF recognizes and allows to offer service to members and claim reimbursements. Accreditation takes into account a hospital service, personnel, infrastructure and equipment. The level of rebate corresponds to the grade scoring the various aspects.
•Category A: (Government hospitals); Members will enjoying comprehensive cover for maternity and diseases, including surgery, They will not pay on admission provided they are full paid members.
• Category B: Private and mission hospitals. Members enjoy comprehensive cover but co-pay for surgery.
• Category C: Private hospitals. NHIF pays specified daily benefits.
NHIF covers those in formal and informal employment. Those leaving formal employment (retirees) could update their membership records and pay Sh1, 920 ($25.6) a year or Sh160 ($2.1) a month to enjoy uninterrupted NIHIF benefits.
The NHIF has proposed to increase the monthly contributions. It is proposed that employees who earn less than 5, 999 ($74.9) pay Sh150 ($1.875) a month. Those who earn between Sh6,000 ($75) and 7,999 ($99.9) Sh300 ($3.75), Sh8,000-Sh 11,999 (Sh400), Sh12,000 to Sh14,999 (Sh500), Sh15,000-Sh19,999 (Sh600), Sh20,000-Sh24,999 (511750), Sh25,000 to Sh29,999 (Sh850). For those who earn between Sh30, 000 ($375) and Sh49, 999, it is proposed they pay Sh1, 000 ($12.5) a month, Sh50, 000 ($625) to Sh99, 999 Shs, 500 and more than Sh100, 000 ($1,250) Sh2000 ($25). The self-employed will pay Sh500 ($6.25) a month, and voluntary contributors Sh300 ($3.75) a month. However, the matter has gone to court
The health facilities NHIF contracts provide services comprehensively. This means that members walk in, are treated and walk out at cost of NHIF without additional payments. The fund covers maternity expenses and does not exclude any disease.
National Hospital Insurance Fund
NHIF Kenya conducts NHIF Registration for all eligible members from both the formal and informal sector. For those in the formal sector, it is compulsory to be a member. For those in the informal sector and retirees, membership is open and voluntary. To register with NHIF Kenya as a member, fill in the NHIF Members Registration Form.
NHIF has contracted hospitals under three Categories; A, B & C, to provide this in-patient medical cover and partial cover for surgical cases in some of these hospitals.
- Under Category A (government hospitals), members would be able to enjoy full and comprehensive cover for maternity and medical diseases including surgery. In short, they will not need to pay for anything on admission provided they are fully paid up members of NHIF.
- Under contract Category B (private and mission) hospitals members will enjoy full and comprehensive cover but where surgery is required, the contributor may be required to co-pay.
- Under Category C (private) members will continue with the current system where NHIF pays specified daily benefits under the current arrangements.
This is done by way of employers submitting to NHIF Kenya a list of their employee’s brief details such as name, national/passport id etc, together with the respective rate each employee should be deducted. All this is done online for faster and efficient service delivery to all. NHIF Kenya has introduced a far more efficient & faster method of collecting employers monthly payroll byproducts to NHIF via the Byproduct system.
NHIF M-pesa Paybill Number
You can now make your NHIF payment via NHIF M-pesa Paybill Number. NHIF which stands for National Hospital Insurance Fund is a national health insurance parastatal that helps Kenyans have access to medical services at an affordable price. While they cover the entire bill in the public hospitals, the insurance covers the bed charges for those admitted in private and mission hospitals.
NHIF M-pesa Paybill Number – Medical Insurance
NHIF provides medical insurance cover for Kenyans to get affordable treatment in time of need. Currently they cover in patients and out patients in NHIF accredited hospitals and facilities across the country.Though the monthly payments are deducted directly from the payslip by the employer, self employed individuals can make their monthly contributions though bank deposits or other means that are convenient for them.
NHIF payment through NHIF M-pesa paybill number is without doubt the easiest option. You can pay from the comfort of your house without having to waste your day queuing.
NHIF M-pesa Paybill Number – About NHIF
NHIF stands for National Hospital Insurance Fund which is actually a Government parastatal that was established in 1966 as a department under the Ministry of Health.
NHIF caters for the health care needs of Kenyans by giving them a medical insurance cover enabling them get affordable treatment when in need. Though they have a long way to go, there are some notable improvements towards realizing the goal of offering comprehensive medical cover to all Kenyans.
NHIF M-pesa Paybill Number – How you use M-pesa to make NHIF payments.
- Go to M-pesa menu and select ‘Pay Bill‘ option
- Key in the NHIF M-pesa business number which is 200222
- Key in your Account number which is your National ID Number
- Key in the amount you wish to contribute
- Key in your M-pesa PIN.
- Check again to ensure that you have input the correct information
- Wait for a confirmation message
NHIF M-pesa Paybill Number – Transaction Charges
Min. Amount (Ksh)
Max. Amount (Ksh)
NHIF M-pesa Paybill Number – Checking your account status using your Phone
It is possible and very easy to check your account status via your mobile phone:
- Compose a new sms
- Type the letters “ID”, a space, then your ID number (or passport number if applicable) e.g ID 12345678
- Send to 21101
Note: It is good to send the message during working hours. You will be charged Kshs 10 for using this service.
NHIF Website and Contacts
NHIF Bldg,Ragati Rd/Haile Selassie Junction, Upper Hill,Nairobi
P.O.Box: 30443-00100 Nairobi GPO
More Lines: +254-202723256 +254-202723255 +254-202714793 +254-202714794
Fax : (020) 2714806.
Enquiries : email@example.com
Complaints : firstname.lastname@example.org.
Email : email@example.com.
NHIF Website and Contacts – Video
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