Health Ministry Says No NHIF Admissions After September 30
Kenyans will no longer be able to access healthcare services through the National Health Insurance Fund (NHIF) after September 30, 2024, as the government prepares to fully transition to the new health insurance scheme, the Social Health Insurance Fund.
NHIF CEO Elijah Wachira stated on Sunday that the SHIF benefits will go into effect on October 1, 2024, and will be managed by the Social Health Authority (SHA).
He added that payments received on or before October 9 will be credited to NHIF, while payments made after that date will be credited to SHA.
Employers are advised to register their employees before October 1 and use the SHA employer portal at https://sha.go.ke/ to manage their staff’s contributions.
With SHA, every Kenyan is assured access to the healthcare they need, when they need it, without financial stress. Benefits Include: Comprehensive medical coverage, Affordable services across healthcare facilities. #SHA #HealthcareForAll #AffordableCare
— Social Health Authority (@_shakenya) September 13, 2024
Employers must first create and verify their accounts. They will then need to enter their employees’ information and register them with SHA.
All contributions, which total 2.75% of an employee’s monthly pay, will then be remitted to SHIF.
On August 30, the Ministry of Health issued new tariffs for the benefits package of the new Social Health Insurance Act (SHIA) medical scheme.
Deborah Barasa, the Health Cabinet Secretary, confirmed that the Linda Mama programme for expectant mothers will be incorporated and expanded to maintain Kenya’s progress in lowering maternal mortality rates.
Cancer patients will receive coverage of up to Ksh.400,000 for various oncological services.
“In response to the rising maternal mortality rate (MMR), we have prioritized financing for indigent pregnant mothers,” she said while leading stakeholders at a national validation forum.
“Tariffs for normal deliveries have been increased to Ksh.10,000 and for C-sections to Ksh.30,000, ensuring comprehensive coverage for mothers and their families.”
Under SHIF, patients with diabetes seeking outpatient services in Level 4 to 6 facilities will receive up to Ksh.4,300, those with hypertension Ksh.2,850, and those with sickle cell anaemia Ksh.6,800 per year.
Inpatient services in Level 4 to 6 hospitals, with a maximum admission period of 180 days per household, will be charged at Ksh.3,360 in Level 4, Ksh.3,920 in Level 5, and Ksh.4,480 in Level 6.
Tariffs for kidney failure management in Level 3-6 facilities will start at Ksh.10,650 per session for hemodialysis and hemodiafiltration services and Ksh.85,200 per month for peritoneal dialysis.
Health Ministry Says No NHIF Admissions After September 30
