Things to consider before choosing a facility under your NHIF cover

With numerous options available, it's essential to carefully consider various factors to ensure you make an informed choice that meets your needs and preferences.

Whether you're seeking primary care, specialised treatments, or emergency services, here are several key considerations to keep in mind before choosing an NHIF facility:

1. Location and accessibility

The location of an NHIF facility plays a crucial role in determining its accessibility and convenience for you and your family.

Consider facilities that are easily accessible from your home or workplace, minimising travel time and logistical challenges, especially during emergencies or even regular appointments.

2. Range of services offered

Evaluate the range of healthcare services offered by different NHIF facilities to ensure they align with your healthcare needs.

Look for facilities that provide comprehensive services, including primary care, specialist consultations, diagnostic tests, surgical procedures, and emergency care.

A specialist at work in a hospital Pulse Live Kenya

READ: What to do if you default NHIF payments for 1 year

3. Quality of care

Assess the quality of care provided by facilities by researching their reputation, accreditation status, and patient satisfaction ratings.

Look for facilities that prioritise patient safety, adhere to best practices, and employ qualified healthcare professionals with expertise in their respective fields.

Online reviews, testimonials, and word-of-mouth recommendations from friends and family can provide valuable insights into the quality of care offered.

4. Availability of specialists

If you need special medical care for a specific condition or ailment, please ask about the availability of specialists at different NHIF facilities.

Choose facilities that have a diverse team of specialists, including cardiologists, orthopedists, gynaecologists, paediatricians, and other healthcare professionals, to ensure comprehensive and personalised treatment options tailored to your needs.

A mother and her child at Mama Lucy Kibaki hospital Pulse Live Kenya

READ: How to check your NHIF status in 2024: A comprehensive step-by-step guide

5. Facilities and amenities

Consider the facilities and amenities available, such as modern equipment, state-of-the-art technology, comfortable waiting areas, and even ample parking space.

Facilities with advanced medical infrastructure and amenities can enhance your overall healthcare experience and contribute to better treatment outcomes.

6. Affordability and cost

Evaluate the cost of healthcare services covered by the facility of your choice, including consultation fees, diagnostic tests, medications, and procedures.

Compare the out-of-pocket expenses associated with each facility, taking into account your budget, insurance coverage, and any additional costs not covered by NHIF.

Choose a facility that offers affordable, high-quality care without compromising on your financial well-being.

7. Referral system and coordination of care

Consider the referral system and coordination of care between NHIF facilities, primary care providers, specialists, and other healthcare professionals.

Ambulances at Mama Lucy Kibaki Hospital in Nairobi Pulse Live Kenya

READ: 8 must-know rights for kidney donors at KNH

Opt for facilities that facilitate seamless communication, collaboration, and continuity of care to ensure comprehensive and integrated healthcare services throughout your treatment journey.

8. Cultural sensitivity and language accessibility

Evaluate the cultural sensitivity and language accessibility of NHIF facilities, especially if you belong to a minority group or require language assistance.

Choose facilities prioritising diversity, inclusivity, and patient-centred care, ensuring respectful and effective communication with healthcare providers regardless of cultural or linguistic differences.

Conclusion

By thoroughly assessing these factors and prioritising your healthcare needs and preferences, you can select an NHIF facility that provides high-quality, accessible, and patient-centred care to support your overall health and well-being.