NHIF’S POSITION ON COVERAGE OF THE COVID-19 DISEASE
Following the outbreak of corona virus in December 2019, the World Health Organization (WHO), on March 11 declared COVID-19 a pandemic. The first case in Kenya was confirmed on 15th March 2020, following which the President of the Republic of Kenya declared covid-19 a public health concern and a pandemic.
Due to the inability to project and to accurately model the magnitude and duration of pandemics, as a global practice, once declared by WHO, epidemics and pandemics are generally not covered by insurance policies. This is also in line with the contracts that National Hospital Insurance Fund has signed with your facility under Clause 8 General exclusions, subsection 8.2.14 on epidemics and pandemics; and clause 2.21 on benefits coordination, sub-section 2.21.3, which guides on government coordinated programs.
The health and wellness of our members is of utmost importance to us, and in support to the Government’s efforts in mitigating and containing the spread of Covid-19, we shall support all COVI D-19 positive members and their declared beneficiaries who get admitted to the Ministry of Health (MoH) designated facilities outlined below;
o Kenyatta National Teaching & Referral Hospital,
o Kenyatta University Teaching, Referral and Research Hospital,
o Mbagathi County Hospital,
o County designated facilities,
o Any other facility as may be designated by Ministry of Health.
NHIF shall not be liable for bills incurred in non-MoH designated health facilities.
I take this opportunity to appreciate your continued support in offering quality healthcare services to NHIF beneficiaries.