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NHIF to roll out scheme to retired civil servants 




The National Hospital Insurance Fund (NHIF) will soon roll out its medical cover scheme to retired civil servants once the legal framework and consultations with the Ministry of Public Service has been finalized.

Revealing this Friday  at a sensitization forum for civil servants on the scheme, Eldoret Branch Manager, Andrew Kuto said NHIF is still seeking necessary approaches towards the scheme before rolling out the program.

“Members who are nearing retire will be required to pay a little amount towards the same kitty so that by the time they are out of service, they will continue enjoying the benefits of the scheme,” he said.

Kuto, however, noted that at the moment some members are not privy to the benefits emanating from the medical scheme consequently losing out on the same.

“The benefits include comprehensive outpatient and inpatient medical treatment both within the country and overseas for principal and eligible dependants,” he pointed out.

Other benefits include group life and last expense cover for the principal member, annual medical check- up, referral for specialized services, dental, optical, radiology and rehabilitation services among others.

Some of the issues raised by the members during the forum was the need to do away with outpatient and inpatient annual limits for member from job group L to T, citing that it was expensive since funds allocated for limited cover exhaust very fast forcing the members to incur more costs.

Another area of concern was the requirement for pre-authorization before receiving treatment from a facility a member had been referred to.

Kuto said the turn-around time for pre-authorization is 48 hours depending on the case and urged the members to be patient, while assuring them that their concerns will be addressed in the contract to be signed in the next financial year.

He also clarified that for members who are comfortable with the current facility they are using need not register for change of facility.

Going forward, he said, NHIF will engage the hospitals afresh and state out each service it provides and at what cost to protect members from being coerced to pay extra cash to receive treatment.

He said NHIF has rolled out biometric registration to its members who are not in the civil service and therefore urged the members to visit offices in their branches and have their biometric data captured.

By Bethsheba Abuya

 

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