Kenya NHIF Forms Download, NHIF Registration Form, Bank Details Form (2023)

Find below the following downloadable forms from the National Hospital Insurance Fund Kenya. NHIF Forms Download, NHIF Amendments Form, General Claim Form

NHIF Forms Download – NHIF Members Registration Form Download

Requirements to become an NHIF Member

Who is eligible?

Any person…

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  • Who is a *resident in Kenya
  • Has attained the age of 18 years. (No age limit after the age of 18 years)
  • Whose total income from salaried or self-employment is more than Kshs. 1,000 per month or Kshs. 12,000 per year.
  • Drawing an income from Kenya
  • Working under contract or casual terms of employment
  • It also includes voluntary contributors

* This includes foreign visitors permitted to work or study in Kenya

What do I need to bring?

Kenyan Residents

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  1. Copy of National I.D (including spouse if applicable)
  2. Copy of Employer Appointment/Introduction Letter (excludes self employed/voluntary contributors)
  3. Coloured passport photo (including spouse & dependants if applicable)
  4. Original & copies of Birth Certificate(s) for dependants

Foreign Residents

  1. Copies of passport, alien certificate or work permit (including spouse if applicable)
  2. Coloured passport photo (including spouse & dependants if applicable)

Foreign Students

  1. Copy of passport
  2. Coloured passport photo

Submit the required amount under the Voluntary/Self Employed Category

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NHIF Forms Download – NHIF Employers Registration Form Download

NHIF Employer Registration Requirements

  • Certificate of Registration
  • PIN Certificate

NHIF Amendments Form Download

NHIF Forms Download – NHIF Amendment Requirements

  1. In case of change of spouse one will be required to produce one or more of the following depending on each case
    1. A sworn affidavit from the Magistrate or marriage certificate
    2. Copy of ID for both parties
    3. Divorce certificate
    4. Death certificate for deceased spouse
    5. Coloured passport size photo(s)
  2. For change of ID details, one will be required to produce a copy of the National ID.
  3. For updating of dependant’s records (child), one will be required to produce birth notification / certificate/immunization (Child Health Card) and/also the necessary documents supporting adoption or fostering of a child and coloured passport size photo(s)
  4. For updating of dependant’s records (spouse), one will be required to produce copy of ID, a sworn affidavit from the Magistrate or marriage certificate and coloured passport size photo(s)

NHIF Forms Download – NHIF General Claim Form Download

NHIF General Claim Requirements

In order for your claim to be processed, the following are required:-

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  1. Fill NHIF 3 (Claim form) correctly.
  2. Original NHIF card and a clear photocopy.
  3. Certificates of contribution paid (CCP), if applicable and MUST cover the period of hospitalization.
  4. Original receipt and hospital FINAL INVOICE indicating date of admission and the date of discharge and both should bear hospital seal.
    Note: For G.O.K hospitals without hospital seal, the receipt and invoice should bear hospital rubber stamp.
  5. Attach clear photocopies of Identity document and that of spouse in case the spouse was the patient. The Identity document number quoted should be the one attached e.g. National ID, Passport or Aliens certificate.
  6. In case 90 days have elapsed from the date the patient was discharged, one must write a letter explaining the reasons behind the delay in submitting the claim.
  7. Attach clear copy of discharge summary/Doctor’s letter (sealed or stamped by hospital) as it applies.
  8. In case ones medical bills were cleared by the employer or insurance company an authority letter is required to direct on who should be paid.
  9. If the hospital bill was settled by credit card a receipt must be issued.
  10. The claim covers contributors, their spouses and children as below:-
    1. Below 18 years of age
    2. Between 18-21 years are fully dependant on the contributor
    3. Over 18 years and attending full time course, evidence of attendance of school should be attached
    4. Over 18 years but mentally or physically sick and fully dependant on the contributor, a doctors’ letter to prove sickness or disability should be attached.
      Note: A clear copy of birth certificate or birth notification should be attached for the above to prove age and relationship to the contributor. Letter of authority for use of card for dependants over 18 years must be given by the Branch Manager.
  11. Alterations on hospital documents should be counter-signed by authorized hospital official and rubber-stamped by the hospital.
  12. All cards for self-employed persons must be accompanied by a contributor’s payment receipt and must cover the month of hospitalization. In case of late contribution, the receipt for penalty should be attached.
  13. The contributor must sign ALL the claim forms.
  14. If original receipt and invoice are with the Employer, Advocate or Insurance firm, attach clear certified copies of originals, by whoever is holding them and should be sealed by the hospital.
  15. If a contributor is deceased :-
    1. A death certificate or burial permit must be attached
    2. Payment will be through District Commissioner unless a letter of administration of the deceased estate is attached.
  16. For foreign claims:
    1. Fill in NHIF 3b (claim form) correctly.
    2. Attach a passport and visa, bearing dates of entry and exit from Kenya to the country of hospitalization and back.
    3. Attach referral letter from a resident doctor.
      Note: All the above conditions for general claims apply.
  17. Procedure for foreign claimsThe claim is then sent back to the office of origin for processing
  18. Upon receiving, the claim should be stamped, perused and verified for proper documentation, captured and put under investigation.
  19. The claim is then sent to the Manager claim who then forwards it to General Manager Operations for approval.

Note:

  • All general claims including foreign claims are paid vide cheques except those amounting to Kshs. 2000 and below.
  • General claims from hospitals under contract A and B i.e. comprehensive cover will be paid at rebate or at cost whichever is lower.
  • General claims from hospitals that have signed maternity and C/S packages will be paid at rebate or at cost, whichever is lower

NHIF Forms Download – NHIF Permission to claim benefits from Treatment received from Outside Kenya Form Download

NHIF Forms Download – NHIF Choice Of Outpatient Medical Facility Form Download

NHIF Forms Download – NHIF Admission Notification Form Download

NHIF Forms Download – NHIF Hospital Claim Form Download

NHIF Hospital Claim Requirements

In order for a Hospital Claim to be processed, the following are required:-

  1. Fill NHIF 8 (Claim form) correctly.
  2. Original NHIF card and a clear photocopy.
  3. Certificates of contribution paid (CCP), if applicable and MUST cover the period of hospitalization.
  4. Carbon copy of FINAL INVOICE indicating DOA and DOD and should bear the hospital seal and indicate the amount of rebate given to the contributor.
    Kenya NHIF Forms Download, NHIF Registration Form, Bank Details Form (9)

    Note: For G.O.K hospitals without seal, the receipt and invoice should bear hospital rubber stamp.

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  5. Contributor to produce of Identity document and that of spouse in case the spouse was the patient and attach their photocopies to the claim. The identity document number quoted should be the one attached e.g. National ID, Passport or Aliens certificate.
  6. In case 90 days have elapsed from the date the patient was discharged, a letter must be written by authorised hospital official explaining the reasons behind the delay in submitting the claims.
  7. The claim covers contributors, their spouses and children as below:-
    1. Below 18 years of age.
    2. Between 18-21 years and are fully dependant on the contributor.
    3. Over 18years and attending full time course, evidence of attendance of school should should be attached.
    4. Over 18 years but mentally or physically sick and fully dependant on the contributor, a doctors letter to explain the nature of sickness or disability should be attached.
      Note: A copy of birth certificate or birth notification should be attached for the above to prove age and relationship to the contributor. Letter of authority for use of card for dependants over 18 years must be given by the Branch Manager.
  8. Alterations on hospital documents should be counter-signed and rubber-stamped by the hospital.
  9. All cards for self-employed persons must be accompanied by contribution receipts and must cover the month of hospitalisation. In case of late contribution, a receipt for penalty should also be attached.
  10. 10. The hospital must send to NHIF office, Nhif 36 within 24 hours of admission and NHIF 37 on 6th day of admission for those still in admission (through email, fax or hand delivery)

NHIF Forms Download – NHIF Long Stay Notification Form Download

NHIF Forms Download – NHIF Accreditation Manual Download

NHIF Forms Download – NHIF Bank Details Form Download

FAQs

What documents do I need to register for NHIF? ›

Requirements
  • NHIF registration form (original + 2 copies)
  • Passport photo (original) Of the applicant and the beneficiaries if any.
  • Identity card (copy) ...
  • Birth certificate (original + copy) ...
  • or. ...
  • Introduction letter from employer (original)
  • Foreign national registration certificate- alien card (copy) ...
  • or.

How can I register for NHIF first time? ›

For new members , you can dial *155# on any phone toll free and register as an NHIF member. After registration you will get NHIF memebr number by SMS. You will now be able to access NHIF selfcare services which include Payment of Monthly contributions, Payment of Penalties and Arrears.

How much does NHIF registration cost? ›

Fees[edit] The application is free of charge. For members under the voluntary category, they pay Kshs. 500 per month (Kshs. 6000 per annum) as contributions.

How can I register my NHIF card online? ›

Online application
  1. Select Employed or self- employed.
  2. Employee application form will load.
  3. Fill the form details.
  4. Attach copy of identity (ID) card, passport photo, and marriage certificate if you are married.
  5. Click save and submit.
  6. You will receive an SMS to your number about the status.
17 May 2022

How long does it take for NHIF to be approved? ›

Your doctor sends a request to NHIF. 2. The request is reviewed and actioned by our QA Officers within 48 hours.

How much is NHIF for unemployed? ›

The Ksh 6,000 annual contribution, which equates to Ksh 500 per month, will be mandatory for all Kenyans regardless of their employment status.

Can I get NHIF without ID? ›

All you need is your National ID and your NHIF card? For children, a birth certificate will be required. Sherow Chege and 63 others like this.

How do I know if I am registered with NHIF? ›

Type ID, add space, and then type your ID number or passport number in the message space. For instance, ID 46464646. Send the message to 21101. You will receive a message with information about your NHIF account status after a short while.

Is NHIF paid monthly? ›

If you are self-employed, you can easily pay your monthly NHIF contributions using M-PESA as follows: 1. Go to your M-PESA menu and select Lipa na M-PESA.

What is the maximum amount NHIF can cover? ›

NHIF cover limits: Inpatient Services

Low-cost government hospitals: From shs. 1200.00 daily. High-cost private hospitals: The maximum coverage is Sh. 4, 000 per day.

Is birth certificate mandatory for NHIF? ›

You only need a copy of your ID and a coloured passport-size photo to register with NHIF. To add dependants, you will also need a copy of the marriage certificate or sworn affidavit from a magistrate's court and a copy of ID for the spouse. For kids, you need birth certificates. supacover is good.

Can I register NHIF without marriage certificate? ›

Following the court's determination any person who wishes to include a spouse as a beneficiary must provide proof of the marriage. Where there is no marriage certificate an Affidavit of Marriage commissioned by an Advocate is sufficient.

How can I get my NHIF number? ›

How To Check Your NHIF Account Number In Kenya
  1. On your phone, compose a new text message.
  2. Type in the word ID in capital letters then space, followed by your national identification number i.e ID 32688811.
  3. Send the message to 21101.
6 Jan 2022

Can NHIF work immediately? ›

√ Only one wife and 5 children; The National Hospital Insurance Fund (NHIF) will not cater for extra spouses in a polygamous family set-up. √ Members voluntarily joining the fund will now have to wait for 90 days before they start accessing services or benefits.

Can NHIF pay for surgery? ›

The insurer also covers bed charges, consultation, nursing care, medication, surgery, physiotherapy, laboratory services, specialist consultation, and accompanying treatment. Others include accident fractures and blood transfusion procedures.

How long does it take for NHIF to reflect after payment? ›

The payment will take 2 to 3 days to reflect. You can also pay at any one of our 4 bank accounts at National bank, Co-operative bank, KCB bank and Equity bank. Use your MEMBERSHIP NUMBER to pay. It reflects immediately in our system.

How much do you pay NHIF per year? ›

You can go about this way by paying 500*12 months= 6000/- which you can pay via M-PESA or any of the four banks listed below. Alex Mwangi and 159 others like this.

Does NHIF cover death? ›

LAST EXPENSE COVER

NHIF shall upon death of a member of the negotiated scheme, pay to the next of kin or such other person as directed, the amount specified in the limits within two (2) days to cater for the funeral expenses.

What happens when you skip a month without paying for NHIF? ›

If you fail to pay your monthly payments or make a late payment, you incur a penalty of Ksh 250 per month.

Can I add my girlfriend to my NHIF? ›

You will be required to physically visit our offices or any Huduma Centre countrywide to add a spouse to your card. You will need to present the following documents: Copy of your marriage certificate or an affidavit from an advocate/magistrate or commissioner of oaths.

Can my sister use my NHIF card? ›

#ANSWER: The card covers the contributor, spouse and declared dependents.

Can I use NHIF without the card in any hospital? ›

The question at the back of the mind of most Kenyans is whether they can use their NHIF card in any hospital. You can access inpatient services in any of the NHIF accredited hospital/ facility countrywide. However, you cannot walk-in to any hospital and demand outpatient services with your NHIF card.

How do I know if my NHIF is active via SMS? ›

NHIF KENYA
  1. By SMS by sending your ID to 21101. Compose a text message with letters 'ID' followed by 'space' then your ID number to 21101. i.e. ID<space>{Your ID}
  2. By USSD - *155#
  3. By downloading 'My NHIF' app on Google Play.

Can NHIF cover two wives? ›

The National Hospital Insurance Fund (NHIF) has published regulations that will allow men to get medical cover for multiple wives, if Parliament approves the proposed law, marking a departure from medical insurance norms.

What is the age limit of dependents in NHIF? ›

Am I Still Covered by My Parents? If you are still below 18years, you are still under your parents' NHIF cover.

Does NHIF have a waiting period? ›

Waiting Period for NHIF

People in the employment sector wait for only 30 days before their membership cards are active and can access all NHIF benefits. On the other hand, voluntary members must wait for 90 days before accessing NHIF services.

Does NHIF require fingerprint? ›

After verification, you will be identified using your fingerprint or a one-time password (OTP) at the facility of your choice. If you fall sick but are not biometrically registered, the health facility will biometrically register you before you seek any services.

Can I use someone else's NHIF card? ›

No, you cannot register NHIF for someone else unless you are using her identification documents. You will be required to produce identification documents that match the registered account before treatment. If you are using her ID, phone number, and personal details for registration, then that is okay.

Can my wife use my NHIF card? ›

Kindly bring a copy of your ID and your spouse's ID copy, marriage certificate or an affidavit from the magistrates' court to add your spouse to your card. For your child, avail his/her birth certificate to add them as your dependent or a birth notification if he or she is 0 to 6 months old.

Can I use my husband NHIF? ›

The National Hospital Insurance Fund (NHIF) will not cater for extra spouses in a polygamous family set-up.

What is NHIF card number? ›

1.You can send a message and you'll get your NHIF number

So ideally you type the word ID followed by your ID number and send it to the shortcode 21101. You will receive a reply that will have your NHIF membership number indicated, the last month you paid and the name of your employer (where applicable).

How much does it cost to get NHIF number via SMS? ›

Before you send it to the National Hospital Insurance Fund (NHIF in short), please bear in mind that the SMS will cost KSh. 10. Once the Fund receives your message, they'll give a reply containing details about your account status, the hospital you use, your NHIF balance, and the last date of your contribution.

How much does it cost to print NHIF card? ›

If you lost your NHIF Card, You can get a replacement by paying KSH100. 00 at either National Bank, Equity Bank, Co-op Bank, or KCB. Ensure you inform the bank teller you are paying for NHIF card replacement. Once you have paid, present the bank slip to any NHIF branch or Huduma center to have your replacement printed.

Does NHIF cover for surgery? ›

NHIF cover limits: Inpatient Services

The insurer also covers bed charges, consultation, nursing care, medication, surgery, physiotherapy, laboratory services, specialist consultation, and accompanying treatment.

How much does NHIF earn monthly? ›

This is a shift from the present model where employees earning over Sh100,000 pay a fixed monthly contribution of Sh1,700 to the NHIF. Contributions of workers earning Sh200, 000 will double to Sh3,400 if the regulations are adopted while the burden of those on Sh500, 000 will increase five times to Sh8,500 monthly.

How much is NHIF penalty for late payment? ›

NHIF Penalties for Late Payments

If you are self-employed, you are attracting a 50% NHIF penalty charge following late payment. For example, if you are contributing Ksh. 500 monthly then you will be paying Ksh. 750 for late payments.

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