The Ministry of Education signed a contract with NHIF to provide medical insurance for all Public Secondary School Students for the duration of their Study.
Who is eligible?
▪ Any Student who is in a Public Secondary school.
Registered by NHIF through NEMIS database.
Only the Student shall be covered.
How to Register
Register the Student on Nemis Database.
The data shall be shared by Ministry of education to NHIF for registration. The student shall be physically present during bio-metric registration.
NATURE OF SERVICE
WHAT IS COVERED
General Out-patient Services:
Outpatient services provided by or on the order of a clinician/ physician who is licensed as a general practitioner.
Specialized Out-patient Services:
Outpatient services provided by or on the order of a physician who is licensed as a specialist or consultant and to whom a Member has been referred to by a general practitioner/Primary Care clinician where a member was registered.
This caters for all routine outpatient services as per
Kenya essential package for health subject to policy terms and conditions.
• Referral for specialized services which includes the following:
Drug and Substance Abuse Rehabilitation Services
Renal services and dialysis
• Specialized radiological diagnostic services
Chronic ailment services such Diabetes and
Hypertension, Ultrasound, ECG,
Cancer medical care and treatment services which
includes radiotherapy services, chemotherapy
services or surgical intervention subject to preauthorization by the fund.
This benefit caters for outpatient dental procedures, which include but not limited to:
Dental X-ray Services.
Accident related inpatient Dental cases will be covered under the standard inpatient surgical
benefits to the full inpatient limit.
Optical Cover This benefit caters for expenses relate to eye
treatment, including the cost of:
Prescription for ophthalmic treatment and
prescription of eye glasses.
Accident related inpatient optical cases will be
covered under the standard inpatient benefits to the full inpatient limit.
Last Expense/ This shall be paid to the declared dependents next of Group Life
kin upon demise of a student.
NATURE OF SERVICE
Emergency Road Rescue
WHAT IS COVERED
Inpatient shall be on a referral basis from the selected outpatient Health Care Provider. This cover includes medical and surgical conditions which require admission.
It includes the following:
Hospital accommodation charges
Pre-hospitalization diagnostic services
• Doctor’s (physician, surgeon & anesthetist) fees. Nursing charges
Drugs/medicines, dressings and internal surgical appliances.
Diagnostic, laboratory or other medically necessary services
Operating theater services
Radiological diagnostic e.g. x-ray services, CT scan, MRI, ECG
Day care surgery surgical procedures that do not require overnight stay.
Emergency Road Rescue Ambulance services for transportation and transfer of a sick member for treatment from a place of incident or facilities where adequate care is not available to the next available NHIF accredited hospital or medical facility within the territorial limits of Kenya.
Emergency Air Rescue Services will be provided for transportation and transfer of an injured member to an NHIF accredited facility within the territorial limits of Kenya where adequate medical care is available.
Treatment costs arising from a condition that warrants treatment overseas because the treatment is not available in Kenya will be covered subject to preauthorization from NHIF.