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HOW EVERYTHING IS DONE:

List of Rehabilitation Centres in Kenya which Accepts A.O.N and N.H.I.F Insurance covers

17/4/2022

Comments

 
There are a number of rehabilitation centres in Kenya [Check list] that can absorb as much as the number of drug addicts from our society.

However, not many families with patients can afford the charges slapped on the bill voucher at the end of every month he/she is attended to. This is due to the fact that 46% of the Kenyan population live below a dollar($) a day.
​
The cheapest rehabilitation centres such as Hema in Gesonso, Kisii charge from Ksh 30, 000/Month to the most expensive ones lying along Nairobi, Nakuru and Kiambu suburbs charging anything above 45, 000/month plus hidden charges.
This calls for medical Insurance covers such as National Insurance Hospital Fund (NHIF) and AON (a Gaelic word meaning one). 

Even though medical Insurance covers can chip in to relief the sponsor, its impact does very little to the brim of negligence.

NHIF for example, covers medical bills of the patient to the limit which depends on your monthly contributions and/or whether you are a private contributor or a civil servant.

In most cases, it covers only medical expenses which will be approximately 4% (Ksh. 6000/=) of your total medical bill as an inpatient. With private contributors, NHIF only covers up to Ksh. 30,000/= in a year.
​
Am not conversant with AON since they are new players in this society neither the health centres accredited to offer their services. Therefore, I would most likely concentrate on NHIF accredited health centres.
Picture

List of Rehabilitation Centres Accredited for NHIF insurance cover.

​1. John Mututho Empowerment Centre (JOMEC)

  • NAME: JOMEC LIMITED
  • TEL: +254 774 514 635 / +254 701 963 614
  • WEBSITE: http://www.jomec.co.ke/admission-process
  • EMAIL: info@jomec.co.ke
  • COUNTY: NAKURU
  • LOCATION: Along Nakuru-Nairobi Highway,Mwariki Estate          
  • CATEGORY: C

2. BSR - BRAIN SPINE AND REHABILITATION HOSPITAL

  • NAME: BRAIN SPINE AND REHABILITATION
  • TEL: +254 770 277 277 | +254 773 277 277 | +254 717 958 500
  • WEBSITE: http://bsr.co.ke/
  • EMAIL:info@bsr.co.ke | bsrnairobi@gmail.com
  • COUNTY: NAIROBI
  • LOCATION: Parklands, Off Limuru Rd Wambugu Grove, Wambugu Rd    
  • CATEGORY: C

3. ​Precision Counseling Institute

  • NAME: PRECISION COUNSELLING AND REHAB HOME
  • TEL: 0721 305450/ Office : 0702 378314 / 0780 378314
  • WEBSITE: http://www.precisioncounseling.org/
  • EMAIL: info@precisioncounseling.org
  • COUNTY: KIAMBU
  • LOCATION: RUIRU - Off Thika superhighway ,Exit 10, Between Kahawa Barracks and Kenyatta University. Kahawa Sukari Estate, Nyahururu Road, 3rd North Avenue
  • CATEGORY: C

4. ​ELDORET HOSPITAL

  • NAME: ELDORET HOSPITAL
  • TEL: 0722 231 438 / 0733 618 833 / 053 2062 000 / 053 2032 293
  • WEBSITE: http://www.eldorethospital.com/
  • EMAIL: info@eldorethospital.com
  • COUNTY: Uasin Gishu
  • LOCATION: Makasembo Road, Eldoret
  • CATEGORY: B

5. ​NAIROBI WEST HOSPITAL

  • NAME: NAIROBI WEST HOSPITAL
  • TEL: 0730 600 000, 0722(0734) 200 944
  • WEBSITE: https://www.nairobiwesthospital.com
  • EMAIL: enquiry@nairobiwesthospital.com
  • COUNTY: Nairobi
  • LOCATION: Gandhi Ave, Nairobi, Kenya
  • CATEGORY: C

6. ​RETREAT REHAB CENTRE

  • NAME: RETREAT REHAB CENTRE
  • TEL: +254 0715 003150, +254 0732 740938, +254 020 8081739
  • WEBSITE: http://theretreatkenya.org/
  • EMAIL: info.theretreat@gmail.com
  • COUNTY: Nairobi
  • LOCATION: Off. Limuru Rd. After Ndenderu Shopping Center.location OR Stage 46, Off Forest Line Rd, 2nd Oloolua Close, Hse. No. B9, Ngong.
  • CATEGORY: C

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ARE YOU A KENYAN STUDENT? THIS IS HOW THE GOVERNMENT IS PREPARED TO PAY FOR YOUR MEDICAL BILLS THROUGH N.H.I.F INSURANCE

28/10/2018

Comments

 

INTRODUCTION TO EDUAFYA

If you are a Kenyan student and registered under NEMIS systems, you have every right to smile. This is because the Government of Kenya through The Ministry of Education (MOEST) and N.H.I.F insurance cover has prepared to pay for your medical bills and even funeral arrangements. Thanks to The Ministry of Education and NHIF contract signed on 13th April 2018 to offer a unique Comprehensive Medical Insurance Cover for Public Secondary School Students during the duration of Study.

​Who is eligible to benefit from EDUAFYA cover? 

  1. Any student in a public Secondary School and is under National Education Information System (NEMIS). 
  2. Any student who is in a Public Secondary School and in NEMIS database and Registered by NHIF. 
  3. Only the Student shall be covered under the scheme and not a Dependent or Parent.

​How to Register

Picture
  1. Be a student registered on NEMIS for public school students then the data is shared by Ministry of Health to NHIF
  2. Biometric registration will be done physically by NHIF at the respective schools

​NATURE OF SERVICE - Out-patient

WHAT IS COVERED
  • General Out-patient Services: Outpatient services provided by or on the order of a clinician/ physician who is licensed as a general practitioner.
  • Specialized Out-patient Services: Outpatient services provided by or on the order of a physician who is licensed as a specialist or consultant and to whom a Member has been referred to by a general practitioner/Primary Care clinician where a member was registered.
  • This caters for all routine outpatient services as per Kenya essential package for health subject to policy terms and conditions.
  • Referral for specialized services which includes the following:
    • Drug and Substance Abuse Rehabilitation Services
    • Renal services and dialysis
    • Specialized radiological diagnostic services
    • Chronic ailment services such Diabetes and Hypertension, Ultrasound, ECG,
    • Cancer medical care and treatment services which includes radiotherapy services, chemotherapy services or surgical intervention subject to preauthorization by the fund
Dental Cover
This benefit caters for outpatient dental procedures, which include but not limited to:
  • Extraction
  • Root canal
  • Dental X-ray Services
  • Accident related inpatient Dental cases will be covered under the standard inpatient surgical benefits to the full inpatient limit.
Optical Cover
An optional benefit that caters for expenses related to eye treatment, including the cost of:
  • Consultation
  • Eye testing
  • Prescription for ophthalmic treatment and prescription of eye glasses
  • Accident related inpatient optical cases will be covered under the standard inpatient benefits to the full inpatient limit. 

​NATURE OF SERVICE - In-patient

Inpatient shall be on a referral basis from the selected outpatient Health Care Provider. This cover includes medical and surgical conditions which require admission. It includes the following:
  • Hospital accommodation charges
  • Pre-hospitalization diagnostic services
  • Doctor’s (physician, surgeon & anesthetist) fees.
  • Nursing charges
  • Drugs/medicines, dressings and internal surgical appliances.
  • Diagnostic, laboratory or other medically necessary services
  • Rehabilitation services
  • Operating theater services
  • Radiological diagnostic e.g. x-ray services, CT scan, MRI,ECG
  • In-patient physiotherapy.
  • Day care surgery surgical procedures that do not require overnight stay.
Emergency Road Rescue
Ambulance services for transportation and transfer of a sick member for treatment from a place of incident or facilities where adequate care is not available to the next available NHIF accredited hospital or medical facility within the territorial limits of Kenya.
Emergency Air Rescue
Emergency Air Rescue Services will be provided for transportation and transfer of an injured member to an NHIF accredited facility within the territorial limits of Kenya where adequate medical care is available.
Overseas Treatment
Treatment costs arising from a condition that warrants treatment overseas because the treatment is not available in Kenya will be covered subject to preauthorization from NHIF. 
Group Life
Group personal accident cover and last expense

​Group life, Group Personal Accident and Last Expense Insurance Cover

NHIF shall upon written notification of injury or death of a member while this cover is in force, pay to the member, next of kin or such other person or persons as the MOE may in writing direct, pay funeral expenses within two (2) days, pay Group Life benefit and/or Group Personal accident within five (5) days. The amounts payable are as specified in limits. The payment of the benefits shall be subject to provision of full documentations.

​Requirements

Last Expense
  1. Duly filled claim form;
  2. Copy of burial permit; and
  3. Copy of birth certificate.
Group life/ Death Benefit
  1. Duly filled claim form;
  2. Original burial permit;
  3. Original death certificate; and
  4. Original birth certificate.
Group Personal Accident
  1. Duly filled claim form;
  2. Sick off sheets;
  3. Police abstract in case of accident;
  4. Medical reports;
  5. Discharge summary; and
  6. Copy of birth certificate.

Other Supportive Documents

claim_form_secondary_schools_medical_scheme_01.docx
File Size: 21 kb
File Type: docx
Download File

eduafya_brochure.pdf
File Size: 8297 kb
File Type: pdf
Download File

nemis_manual_user_ver1.pdf
File Size: 2700 kb
File Type: pdf
Download File

eduafya_last_expense_and_group_life-_requirements.pdf
File Size: 189 kb
File Type: pdf
Download File

Contacts

E-Mail:
nemis@education.go.ke 
N.H.I.F Contact Form 
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