NHIF
CS Health, Dr. Cleopa Mailu

The directive by the National Hospital Insurance Fund (NHIF) to downgrade its medical cover has been suspended.

This follows a recent announcement by the insurance fund that members would only be given access to four outpatient visits within the course of 12 months.

According to reports, Health Secretary Cleopa Mailu has suspended the decision by NHIF with immediate effect.

“This is until further consultations are held between the NHIF board and other stakeholders. Meanwhile patients should continue with the services as it has been the case before. A full statement will be issued soon,”  Mailu said.

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On Friday, NHIF Chief Executive Geoffrey Mwangi said the new change in policy was implemented to eliminate cases of fraud.

“This is one way of dealing with fraud since a member would have control over the number of visits, which are fixed-for-service, meaning NHIF would only pay a facility the actual cost incurred and not the initial Sh1,500 cap for all facilities per year,”  Mwangi said.

The suspension follows complaints from several members claiming that the limited medical cover would insufficient for low income earners.

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