List of accredited NHIF outpatient hospitals in Nairobi in 2024

The National Hospital Insurance Fund (NHIF) is a health insurance provider in Kenya. It is a government state corporation with the mandate of providing accessible, affordable, sustainable and quality health insurance. Patients around the capital city can enjoy these services through the accredited outpatient NHIF hospitals in Nairobi.

In July 2015, the NHIF National Scheme launched outpatient services for all the members and their dependents. The NHIF outpatient services are offered at the client's preferred hospital. The clients are also at liberty to choose, change and confirm the already existing hospital every quarter.

List of outpatient NHIF hospitals in Nairobi

There are various NHIF accredited hospitals in Nairobi where the insurance's beneficiaries can enjoy medical coverage. Here is a full list of NHIF outpatient hospitals in Nairobi. The NHIF hospital codes for each hospital have also been provided.

Comprehensive government hospitals

The table below lists all the government hospitals with comprehensive contracts.

Below is a table of all the government hospitals with comprehensive contracts.

Below is a table of all the government hospitals with comprehensive contracts.

Below is a table of all the government hospitals with comprehensive contracts.

Comprehensive private and faith-based hospitals

The table below lists all the private and faith-based hospitals with comprehensive contracts.

Comprehensive cancer hospitals

There are only three cancer hospitals with comprehensive contracts. They are Reale Hospital Utawala Ltd (800014663), Njenga Hospital (800014735) and Vitalray Health Solutions Limited (80002347).

Comprehensive dialysis hospitals

The table below lists all the dialysis hospitals with comprehensive contracts.

Comprehensive MRI hospitals

The table below lists all the MRI hospitals with comprehensive contracts.

Comprehensive rehab hospitals

The table below lists all the rehab hospitals with comprehensive contracts.

Specialized services offered

NHIF outpatient hospitals in Nairobi offer comprehensive coverage of various pre-defined services. This comes in handy in helping the government to offer Universal Health Coverage to all its citizens. Some of the specialservices covered by the NHIF outpatient include:

• Radiological services package: Coverage for Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) scan, and Ultra Sound.
• Cancer package/oncology package: Includes coverage of chemotherapy, radiotherapy, and brachytherapy for cervix and prostate cancer for up to 10 sessions annually.
• Renal dialysis and kidney transplant package: Coverage of dialysis twice per week, kidney transplant package where the donor is covered.
• Surgical package: It includes coverage of minor, major, and specialized packages.
• The maternity package: It includes coverage of normal and caesarian deliveries in category A and B hospitals.

Some of the other benefits for outpatients across all these accredited hospitals include the following:

• General consultation.
• Diagnostics and treatment of common ailments.
• Laboratory and investigation.
• Management of chronic ailments such as HIV/AIDS, diabetes, asthma, hypertension, and cancer
• Health and wellness education/healthcare counselling, such as screening for conditions such as cervical and prostate cancer.
• Treatment of sexually transmitted diseases
• Radiology services
• Family planning/midwifery/ante/post-natal services
• Physiotherapy services
• Referral for specialized services

How to choose NHIF hospitals online

NHIF has upgraded services that allow their clients to access services through their application or NHIF web self-care. Below are steps to follow when choosing NHIF hospital online.

What does NHIF cover in private hospitals?

The coverage of the National Hospital Insurance Fund (NHIF) in private hospitals in Kenya may vary depending on the specific plan and package selected by the member. Generally, NHIF covers the cost of inpatient care, outpatient care, and some specialized services in private hospitals.

Inpatient care includes the cost of hospitalization, accommodation, nursing care, laboratory tests, diagnostic tests, and surgery. Outpatient care covers consultations, laboratory tests, and diagnostic tests. Some specialized services that NHIF may cover in private hospitals include renal dialysis, cancer treatment, and specialized surgeries.

How many hospitals can you choose for NHIF?

One is required to choose one outpatient facility as per beneficiary. You can select a different hospital for each member on the card.

As indicated in the list above, there are hundreds of outpatient NHIF hospitals in Nairobi. Therefore, you have a wide pool of options to choose from.

DISCLAIMER: This article is not sponsored by any third party. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional advice or help and should not be relied on to make decisions of any kind. Any action you take upon the information presented in this article is strictly at your own risk and responsibility!

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