The National Hospital Insurance Fund (NHIF) in Kenya offers a vital service allowing members to choose or change their preferred outpatient healthcare facilities.

This guide delves into the NHIF hospital selection process, detailing the steps and options available for members to ensure they receive convenient and efficient healthcare services.

Understanding NHIF Outpatient Hospital Selection 

NHIF hospital selection empowers members to select an outpatient hospital that best suits their healthcare needs. This flexibility is crucial for accessing medical services conveniently and efficiently. The process is designed to be user-friendly, aligning with NHIF’s commitment to providing accessible healthcare solutions.

Eligibility and Frequency of Changes 

NHIF members, including super cover members and civil servants, are eligible to change their preferred outpatient facilities. Super cover members can make changes quarterly, while civil servants are allowed biannual changes. This flexibility ensures that members can adapt their healthcare plans to suit changing needs or circumstances.

Methods to Change Your NHIF Hospital

Via NHIF Self-Care Portal

1. Log in to the NHIF self-care portal using your ID number.
2. Verify your identity with the one-time PIN sent to your phone.
3. Select ‘Change Outpatient Facility’ or ‘Choose Outpatient Facility’.
4. Follow the prompts to select or change the facility for yourself and your dependents.

Using the NHIF Mobile App

1. Download the NHIF app from your app store.
2. Log in with your ID number and OTP.
3. Choose the option to change or select your outpatient facility.
4. Complete the selection process as guided by the app.

Through USSD Code

1. Dial *155# on your mobile phone.
2. Follow the instructions to enter your ID number and OTP.
3. Select ‘Change Outpatient Facility’ and choose your preferred hospital.

Choosing a Hospital for Each Beneficiary 

NHIF allows the principal member to select different outpatient facilities for each beneficiary. This ensures that each family member’s healthcare needs are met, considering their unique requirements and locations.

Requirements for Changing Facilities 

Changing your NHIF outpatient facility involves completing the Change of Facility Form (NHIF 38) and submitting it with the principal member’s National ID to the nearest NHIF office. This process updates your selections in the NHIF system.

Troubleshooting Common Issues 

Members may face issues such as processing delays or difficulties accessing online platforms. This section provides solutions and tips for a smooth NHIF hospital selection experience, ensuring members can navigate the process with minimal inconvenience.

Final Take on NHIF Hospital Selection 

NHIF’s hospital selection process reflects Kenya’s progress in making healthcare more accessible and user-friendly. By understanding and utilizing this service, NHIF members can ensure they and their dependents have access to the best possible outpatient care.

FAQs on NHIF Hospital Selection