NHIF Not to Cover COVID-19 Patients

The National Hospital Insurance Fund (NHIF) will not cover patients diagnosed with COVID-19

The government said Kenyans will have to foot the bills for COVID-19 in both public and private hospitals.

The Health Ministry says it is not financially viable for NHIF to cover the bills for COVID-19 which are expensive.

“The cost burden of financing Covid-19 testing and treatment for NHIF beneficiaries both in the National Scheme and the Enhanced Medical Schemes would not be financially viable since it was not envisaged in the current NHIF premiums computation and the existing benefits package,” Health CS Mutahi Kagwe explained to the Senate on Wednesday.

He pointed out that pandemics and epidemics are exclusions in health insurance due to their nature in terms of “cost and risk modeling with the uncertainties, beneficiary access, and claims reimbursements, scope definition, and treatment/care plans.”

“NHIF would not have a financial obligation under globally recognized best practices, or its present model of operation, to finance the testing or hospitalizations related to this or other epidemics/pandemics,” added the CS.