NHIF REFERRAL FORM FOR OVERSEAS TREATMENT (NATIONAL SCHEME)

NHIF Referral form for Overseas Treatment

NHIF provided online form for Overseas treatment application. You can get NHIF Online application for overseas treatment here.

NHIF covers critical treatment for patients from Kenya. NHIF refers patients to Indian hospitals for advanced medical treatments like Bone Marrow Transplant, Liver Transplant, Kidney Transplant, Cancer Treatment, Radiation Therapy, Neurosurgery, Orthopedics, Cardiac surgery, etc.

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How to Submit NHIF referral form for overseas treatment?

NHIF referral form for overseas treatment to be filled with all required fields by the patient or attendant. Before filling NHIF referral form, make sure you have all required details including required treatment, cost, etc.

NHIF approved the online application form based on availability of treatment, Hospital list etc.

NHIF referral application for overseas treatment to be produced along with other required documents for the approval. NHIF employee will arrange a meeting with patient and board members to understand the requirement.

Based on availability of funds, treatment available in Kenya and NHIF insurance status of patient, nhif referral approval for overseas treatment is given.

NHIF referral form Approval Process overseas treatment

NHIF will approve the referral form for overseas treatment based on multiple factors including

Patient condition

NHIF insurance status

NHIF Balance

NHIF Medical treatment availability

NHIF Board Approval

NHIF Hospital list in India

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Timeline for NHIF referral form Approval for overseas treatment

NHIF Approves referral form 2 to 5 working days in Nairobi office, Kenya.

NHIF Building, Community Area, Ragati Road​

NHIF referral Limit for overseas treatment

NHIF Insurance has internal limits for approved funds. Each patient is entitled to receive a given amount of payment subject to Board Approval.

NHIF overseas treatment limit depends on

NHIF Insurance type,

NHIF Insurance Balance

Required treatment etc.

Documents required for NHIF referral form for overseas treatment

You need following documents for NHIF overseas referral form approval,

Latest Medical reports

Referral letter

NHIF Card

National ID

Passport copy of patient and attendants

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NHIF REFERRAL FORM FOR OVERSEAS TREATMENT (NATIONAL SCHEME)

NATIONAL HOSPITAL INSURANCE FUND
P.O. Box 30443 – 00100, NAIROBI
Tel 020 – 2723255/6
Website: www.nhif.or.ke Email: info@nhif.or.ke
REFERRAL FORM FOR OVERSEAS TREATMENT
(NATIONAL SCHEME)
Part A: Patient particulars (To be completed by the Principle member)
Name of the Principle Member: NHIF No: ID No/Passport No:
Physical Address/Email address:
P.O Box :
Town:
Tel. No:
Employer (where applicable) Job Group(Where applicable)

County:
Name of the Patient: Age:
Sex: (Male/Female)
Relationship of the Principle
Member:(Self/Spouse/Dependant)
Part B: Details of the illness and planned management (To be completed by referring
specialist/Physician (or equivalent)
Nature of the disease
How long have you treated/managed the
patient?
Treatment/Procedure/Investigation for which
patient is being referred:
Is the treatment/procedure/investigation
option available in Kenya?
If yes, state why the
treatment/procedure/investigation outside
the country is necessary and essential to the
prognosis of patient’s condition.
2
Part C: Undertaking By Principle Member
I hereby declare that the information given above is true to the best of my knowledge and
belief. I fully understand the rules governing the medical benefits extended to the National
Scheme Members as provided by National Hospital Insurance Fund(NHIF).
SIGNATURE OF THE PRINCIPLE MEMBER: ……………………………………………
Date: ……………………………..
__________________________________________________________________________________________________________
Part D: Undertaking By Physician In charge
All the above particulars furnished are true/correct. The Member has signed the undertaking
before me.
Name of the Physician/Specialist …………………………………………… Reg. No: ………………….
Hospital Stamp
SIGNATURE: …………………………..
Date: ……………………………

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