NHIF Coverage for Cancer Treatment

National Health Insurance Fund (NHIF) covers Cancer treatment in Kenya and Abroad. NHIF covers mainly Chemotherapy, Radiation therapy and Surgery. NHIF also covers Cancer diagnosis like Biopsy, CT/MRI/PET-CT scans, etc.

NHIF Radiation Therapy Coverage Limits

NHIF Insurance covers Radiation Therapy for Cancer at only approved centers. NHIF Radiation Therapy is covered both in Private Hospitals and Government Institutions.

NHIF Radiation Therapy coverage Limit: 4,500 KES for each session of Radiation Therapy / Session.

NHIF Comprehensive Radiation Therapy Coverage: Full coverage for Radiation Therapy / Session.

NHIF Comprehensive Cover for Radiation Therapy: 7,000 KSh or more. Covered entirely / Session.

NHIF Civil Servants coverage for Radiation Therapy: 6,000 KES or more. Covered fully / Session.

NHIF Chemotherapy Coverage Limits

NHIF Insurance covers Chemotherapy for Cancer at only approved centers. NHIF Chemotherapy is covered both in Private Hospitals and Government Institutions.

NHIF Chemotherapy coverage Limit: 25,500 KES for each Cycle of Chemotherapy.

NHIF Comprehensive Chemotherapy Coverage: Full coverage for Chemotherapy / Cycle.

NHIF Comprehensive Cover for Chemotherapy: 28,000 KSh or more for Chemotherapy / Cycle. Covered fully.

NHIF Civil Servants coverage for Chemotherapy: 26,000 KES or more for Chemotherapy / Cycle. Entire coverage.

NHIF Chemotherapy Coverage for 2nd line of Cancer Treatment

NHIF Insurance Covers extra payment for 2nd line for Cancer Treatment.

NHIF 2nd Line of Chemotherapy Coverage limit: KES 150,000.

Some caner Patients might need advanced chemotherapy treatment and expensive drugs. Hence increased 2nd line of treatment will help those patients to fully cover Chemotherapy in Kenya.

NHIF Chemotherapy Coverage for 3rd line of Cancer Treatment

NHIF Insurance Covers extra payment for 3rd line for Cancer Treatment.

NHIF 3rd Line of Chemotherapy Coverage limit: KES 170,000.

Some caner Patients might need most advanced chemotherapy treatment and expensive drugs. Hence increased 3rd line of treatment will help those patients to fully cover Chemotherapy in Kenya.

NHIF Cancer Coverage

NHIF Covers following for Cancer Treatment of Kenyan Citizens.

NHIF Cancer Diagnosis:

NHIF Biopsy Covered.

NHIF CT, MRI, Ultrasound and PET Scans are covered

NHIF Cancer Treatment:

1. NHIF Chemotherapy Covered
2. NHIF Radiotherapy Covered.
3. NHIF Cancer surgery Covered.

NHIF Chemotherapy Cycles Limit

Currently NHIF Insurance Covers only 10 Chemotherapy cycles per patient per year. Any Kenyan citizen with valid NHIF insurance can avail Ten Chemotherapy sessions in Private or Government hospitals in Kenya.

NHIF Radiation Therapy Sessions Limit

Currently NHIF Insurance Covers only 20 Radiation Therapy sessions per patient per year. Any Kenyan citizen with valid NHIF insurance can avail twenty Radiotherapy sessions in Private or Government hospitals in Kenya.

NHIF Brachytherapy Sessions Limit

Currently NHIF Insurance Covers only 2 Brachytherapy sessions per patient per year. Any Kenyan citizen with valid NHIF insurance can avail two Brachytherapy sessions in Private or Government hospitals in Kenya.

NHIF Cancer Statistics

Number of new Cancer Patients in Kenya: 55,000 / Year.

Every year minimum of 55,000 Kenyan citizens are diagnosed with Cancer. Cancer Diagnosis is done both private and Government hospitals.

NHIF Prostate Cancer Patients: Every year 5,000 Patients are diagnosed with Prostate cancer in Kenya.

NHIF Cancer Coverage Limits

NHIF Medical Insurance covers all types of Cancer treatments available in Kenya. However there is limit on total amount spent for each cancer patient.

NHIF Cancer coverage limit is KSh 600,000.

Patient needs to pay self after the limit is exhausted.

However NHIF provides full cancer coverage through Government Hospitals. Once the limit is exhausted, Cancer patient can continue treatment at Government facility.

NHIF Prostate Cancer Enhanced Drug

NHIF Medical insurance will start covering Enhanced drug for Prostate cancer. Janssen Kenya organization developed advanced drugs for Prostate cancer treatment. Miracle drug Abiraterone Acetate for Prostate cancer is available for NHIF members within the package.

Abiraterone Acetate is very effective for Prostate cancer treatment which is available at only Private Hospitals in Kenya.

Commonly Asked Question about NHIF Cancer Coverage