Who are the target groups for NEMIS System?

1/10/2020

Who are the target groups for NEMIS System?

The NEMIS System a brain child of Ministry of Education Kenya dedicated to collect and analyse data for all public and private schools in Kenya, targets various stakeholders such as the ones shown below:

Ministry of Education
Ministries, Departments, and Agencies
Teachers
ICT professionals
Learners
Parents/Guardians
Development Partners
Kenya Primary School Heads Association
Kenya Secondary School Heads Association
National Secondary School Association
Kenya Private School Association

Who are the target groups for NEMIS System?

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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

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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?

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

How to Register

Be a student registered on NEMIS for public school students then the data is shared by Ministry of Health to NHIF
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

Duly filled claim form;
Copy of burial permit; and
Copy of birth certificate.

Group life/ Death Benefit

Duly filled claim form;
Original burial permit;
Original death certificate; and
Original birth certificate.

Group Personal Accident

Duly filled claim form;
Sick off sheets;
Police abstract in case of accident;
Medical reports;
Discharge summary; and
Copy of birth certificate.

Contacts

E-Mail:
nemis@education.go.ke

N.H.I.F Contact Form

fill contact form

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HOW EVERYTHING IS DONE:

How to download or check the number of Learners in your school with NEMIS

How to check the amount of learners in your school with NEMIS