NHIF accredited hospitals that are contracted to provide inpatient medical cover for its members are grouped into 3 categories: A, B and C. (update: the categories have since been updated into just comprehensive and non-comprehensive)
As a NHIF registered member you need this information when selecting your facilities as it determines the amount NHIF will cover for your inpatient expenses.
Under Category A hospitals, you receive a full and comprehensive inpatient cover including for maternity and surgical services provided they’re fully paid compliant members.
This means you will not be required to pay anything on admission. Category A hospitals include all public hospitals, including:
Under Category B hospitals, you receive full and comprehensive inpatient cover similar to Category A but you may be required to co-pay where surgery is involved.
Under Category C hospitals, NHIF covers only for specified daily benefits (e.g. bed charges). Category C hospitals include mainly Private hospitals, but some Mission (Faith-based/NGO) hospitals are also contracted under this category.
In the Profile tab of most facilities listed on HOSI, there’s an NHIF section where you can find the hospital category.
For hospitals that are not listed or that don’t have the category indicated, please visit the NHIF website and search for the hospital manually to find its category.
Note however that we source this information from the website which likely means if it’s not already indicated it may probably be missing on the NHIF website too.
For such cases, we recommend that you directly contact the hospital and ask them to provide you with this information using the contact information or social media pages available on their Profile tab.
You may also get this information by contacting NHIF via [email protected] or by calling 020 2723246 / 0800 720 601 (Toll Free).