Logan Reid
The National Health Insurance Fund (NHIF) offers comprehensive health coverage to its members and their dependants, including maternity care. This includes normal and
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What You'll Learn
- NHIF covers normal and caesarian deliveries in Category A and B hospitals
- The National Scheme, or 'The Supa Cover', is available to all members and their dependants
- NHIF covers consultation and treatment for both mother and child
- The Linda Mama scheme provides basic health services to those in need, including pregnant women
- NHIF covers hospital daily charges, nursing care, and prescribed drugs
NHIF covers normal and caesarian deliveries in Category A and B hospitals
The National Health Insurance Fund (NHIF) offers comprehensive coverage for pregnant women and infants in Kenya. The Linda Mama programme is a public-funded health scheme that ensures that pregnant women and infants have access to quality and affordable health services. The goal of Linda Mama is to "Achieve universal cases to maternal and child health services and contribute to the country's progress towards Universal Health Coverage (UHC)".
The Out-patient services include a range of pre-defined services such as general consultation, diagnostics and treatment of common ailments, laboratory and investigation services, prescribed drug administration and dispensing, and management of chronic ailments. Specifically for maternal health, NHIF covers consultation and treatment for both mother and child, childbirth including caesarian section deliveries, and family planning services.
It is important to note that NHIF has contracted various health facilities across all counties to provide comprehensive out-patient benefits to its members. These benefits are for both in-patient and out-patient services, ensuring that individuals have access to the care they need.
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The National Scheme, or 'The Supa Cover', is available to all members and their dependants
The National Health Insurance Fund (NHIF) has launched outpatient services under the National Scheme, also known as 'The Supa Cover'. These services are available to all members and their dependants at their chosen outpatient hospital. Members can choose, change, or confirm their preferred hospital every quarter by dialling *155# or by using the My NHIF App.
The National Scheme covers a range of pre-defined services, including:
- General consultation
- Diagnostics and treatment of common ailments
- Laboratory and investigation services
- Prescribed drugs administration and dispensing
- Management of chronic ailments (e.g., HIV/AIDS, diabetes, asthma, hypertension, cancer)
- Health and wellness education/healthcare counselling
- Family planning /midwifery/antenatal and post-natal services
- Physiotherapy services
- Referral for specialised services
Additionally, the scheme includes coverage for maternity services, such as normal and caesarian deliveries in Category A and B hospitals. NHIF has contracted with various health facilities across all counties to provide comprehensive outpatient benefits to its members, including both inpatient and outpatient services.
One of the goals of NHIF is to achieve universal access to maternal and child health services, as evidenced by the Linda Mama initiative. Linda Mama aims to provide pregnant women and infants with access to quality and affordable health services, regardless of their ability to pay. This initiative contributes to Kenya's progress towards Universal Health Coverage (UHC).
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NHIF covers consultation and treatment for both mother and child
The National Health Insurance Fund (NHIF) offers comprehensive coverage for both mothers and children, ensuring access to quality healthcare services. This includes consultation and treatment, with no distinction made between the public, private, or faith-based healthcare facilities.
For mothers, the NHIF's Linda Mama programme ensures that pregnant women have access to the necessary healthcare services during and after pregnancy. This includes coverage for normal and caesarian deliveries in Category A and B hospitals, as well as family planning and midwifery services. The programme aims to provide universal access to maternal and child health services, positioning Kenya on the path to Universal Health Coverage (UHC).
Additionally, the NHIF covers a range of essential healthcare services for both mothers and children. This includes general consultations, diagnostics, laboratory services, prescribed medications, and specialist consultations. The fund also covers nursing care, physician's fees, and operating theatre charges, ensuring that mothers and children receive the necessary treatment without financial barriers.
The NHIF's outpatient services, known as 'The Supa Cover', further enhance access to healthcare. Members can choose their preferred outpatient hospital and access services such as MRI, CT scans, and ultrasounds. The scheme also covers chemotherapy, radiotherapy, and brachytherapy for specific cancers, demonstrating the comprehensive nature of the cover provided by NHIF for all Kenyans.
By including both inpatient and outpatient services, the NHIF ensures that mothers and children have the necessary support throughout their healthcare journey. This holistic approach to healthcare coverage contributes to the overall well-being of families and plays a vital role in improving the health outcomes for mothers and children in Kenya.
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The Linda Mama scheme provides basic health services to those in need, including pregnant women
The Linda Mama scheme is a public-funded health initiative that provides basic health services to those in need, including pregnant women and infants. The scheme is available to all in the targeted population, regardless of their ability to pay, and aims to provide quality and affordable health services.
Under the Linda Mama scheme, pregnant women can access maternal health services such as antenatal care, delivery, and postnatal care. The scheme also covers complications related to pregnancy and provides health education and family planning services. The goal of Linda Mama is to achieve universal access to maternal and child health services and contribute to Kenya's progress towards Universal Health Coverage (UHC).
The scheme has been implemented in Kenya to address the issues of lack of access to information about pregnancy and maternal care services, poverty, and inadequate equipment in government hospitals. By providing free health insurance to pregnant women, Linda Mama aims to reduce maternal mortality and improve health outcomes for both mothers and infants.
While the Linda Mama scheme has been praised for its efforts in providing accessible and affordable healthcare, there have also been challenges. Some private and faith-based facilities have not accepted contracts with the National Health Insurance Fund (NHIF) due to perceived low payment rates. There have also been reports of additional out-of-pocket expenses incurred by patients during delivery. Nonetheless, the Kenyan government is working towards improving the quality of services provided and enhancing access to healthcare for all its citizens.
Overall, the Linda Mama scheme plays a crucial role in ensuring that pregnant women and infants in Kenya have access to the basic health services they need, regardless of their financial situation. By addressing financial barriers and providing essential health coverage, the scheme contributes to the country's progress towards achieving Universal Health Coverage.
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NHIF covers hospital daily charges, nursing care, and prescribed drugs
The National Health Insurance Fund (NHIF) offers comprehensive coverage for hospital daily charges, nursing care, and prescribed drugs. This includes both inpatient and outpatient services at a range of contracted health facilities across all counties in Kenya.
For pregnant women, the NHIF's Linda Mama programme provides access to quality and affordable health services. The programme aims to ensure that all pregnant women and infants can receive the care they need, regardless of their ability to pay. This includes coverage for normal and caesarian deliveries in Category A and B hospitals, as well as family planning, antenatal, and post-natal services.
In addition to maternity care, the NHIF covers a wide range of other services, including general consultations, diagnostics and treatment of common ailments, laboratory investigations, and chronic disease management for conditions such as HIV/AIDS, diabetes, asthma, hypertension, and cancer. It also covers specialised services such as MRI, CT scans, ultrasound, chemotherapy, and radiotherapy for certain types of cancer.
The NHIF's outpatient services, known as 'The Supa Cover', are available to all members and their declared dependants at their preferred outpatient hospital. Members can easily choose, change, or confirm their outpatient hospital through the My NHIF App or the self-help portal on the NHIF website. This flexibility ensures that beneficiaries can access the care they need at their convenience.
Overall, the NHIF provides comprehensive coverage for hospital daily charges, nursing care, and prescribed drugs, offering peace of mind and access to quality healthcare for Kenyans nationwide.
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Frequently asked questions
Yes, NHIF covers maternity services including normal and caesarian deliveries in Category A and B hospitals.
NHIF covers both In-patient and Out-patient services including:
- General consultation
- Diagnostics and treatment of common ailments
- Laboratory and investigation
- Prescribed drugs administration and dispensing
- Management of chronic ailments (HIV/AIDS, diabetes, asthma, hypertension, cancer)
- Health and wellness education/healthcare counselling
You can find a list of NHIF hospitals on the NHIF website. The list can be sorted according to County, Hospital Code, Hospital Name, and the NHIF Branch handling the hospital.
