Edu- Afya: Benefits of NHIF Cover for High School Students

  • A photo showing National the Hospital Insurance Fund (NHIF) headquarters in Nairobi.
    National Hospital Insurance Fund (NHIF) headquarters in Nairobi.
    File
  • Most parents across the country struggle with medical bills when their children who are in secondary schools fall sick.

    Unbeknownst to many, the Government of Kenya collaboratively with the National Health Insurance Fund (NHIF) provides health cover to students in secondary schools.

    The medical scheme known as Edu Afya covers all students from Form One to Form Four who are in public institutions.

    A student in a classroom in Kenya
    A student in a classroom in Kenya
    UNICEF

    Edu Afya offers both Out-patient and In-patient medical covers.

    Eligibility

    1. You must be a student in public secondary school.
    2. Be registered by NHIF through NEMIS database -The National Education Management Information System (NEMIS) is web-based data management that keeps data of learners.

    Once a student registers at the NEMIS database, the data is automatically shared with NHIF. An appointment is booked for the student to avail his/her biometrics.

    Outpatient benefits

    Under Edu Afya, outpatient services are provided by a clinician/physician who is a licensed medical practitioner.

    A student can be referred for a specialized outpatient service if need arises.

    Specialized outpatient referrals include; renal and dialysis services, radiology, chronic ailments and cancer treatment.

    Dental cover

    Under dental cover a student will enjoy the following health benefits;

    Tooth extraction

    Root canal

    Dental X-ray services

    Optical cover

    All expenses related to eye treatment are covered in Edu- Afya. They include; consultation, eyes testing, prescription and any optical related accident.

    Life cover

    In the event of demise of a patient, immediate family (next of kin) will receive a sum total of Ksh500,000

    Inpatient Cover

    Inpatient services are done on a referral basis from the selected outpatient Health Care Provider.

    All hospital accommodation charges are catered for as well as pre-hospitalization diagnostic services.

    All fees rising from doctor and nursing chargers are also catered for as well as drugs prescribed.

    In case there is need for rehabilitation, operation or radiological diagnostic, NHIF through Edu Afya will cater for everything.

    Emergency rescue services are also accorded to all students under Edu Afya medical cover. This includes both air and road rescue services.

    Overseas treatment

    In an instance where a student needs specialized treatment overseas, NHIF will cover all costs arising including travel logistics.  

    Kenyatta National Hospital.
    Kenyatta National Hospital.
    Kenyans.co.ke
    drug accident