Members will now be able to receive outpatient services from over 2,000 facilities accredited by the company.
“I have come across several complains where a beneficiary traveled and became ill and he/she cannot be treated because they did not choose the nearby facilities,” NHIF chief executive Geoffrey Mwangi said.
As a result patients will no longer have to seek outpatient services from specific health care facilities registered with the fund.
The initiative which begins this month will help customers seeking treatment access various hospitals registered under NHIF and still receive coverage from the health insurance fund.
“In line with these changes, members will no longer co-pay as was the case previously and will continue enjoying the same benefits package,” Mwangi said in a statement.
“Members shall be informed upon visiting the facility the arrangement for healthcare delivery as engaged by NHIF.”
The chief executive has also encouraged all facilities yet to sign a contract with NHIF to do so. After signing they will be accredited by the insurance fund and be able to to claim reimbursements for services provided.
“The Fund is responding to the needs of its beneficiaries and at the same time adapting to the changing market dynamics while promoting the aspiration of universal healthcare coverage with a view to facilitating access to affordable, sustainable, equitable and quality social health insurance,” Mwangi added.
All beneficiaries can access the list of healthcare facilities from the companies website.
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