Hatua Za Kujiunga Na NHIF

How do you join the Tanzania NHIF?

New members can join the NHIF at any time during the year. Individuals can sign up for the NHIF online, at insurance company offices, and at healthcare facilities.

It is recommended that individuals sign up for the NHIF three months before they are due to be admitted to a hospital. This will give members enough time to complete the signing up process and receive NHIF cards.

Guideline to join NHIF | Hatua za kujiunga Na NHIF

These are steps to joining the NHIF | Hatua za kujiunga Na NHIF:

The member must fill in the membership form which is available at the Fund’s offices throughout the country or through the Fund’s website.

NHIF Application Form Pdf Download

A member must have a National ID number.
The member should have one passport size color photograph.
A member who registers a spouse will be required to attach one color photograph of the spouse, a copy of the marriage certificate and the National ID number.
A member registering a child as a dependent will be required to attach a photograph of the child and a copy of the child’s birth certificate.

A birth announcement can be submitted as an alternative to a birth certificate if the child is less than 6 months old.

The member will be given a payment number (control number) which he will use to make payments through banks or mobile networks.
The member will make all payments in a lump sum or in installments through a special bank procedure.
The member will be given a medical ID card and start receiving the services specified in the package he has chosen based on the criteria and conditions set.
A member can register online, to register visit the Fund’s website www.nhif.or.tz with the National ID number to complete your registration.

Hatua za Kujiunga na NHIF Tanzania pdf download

About National Health Insurance Fund(NHIF)

The NHIF is a governmental institution that provides health care services to people. It is governed by the National Health Insurance Act, Cap 395, and is operated by the Ministry of Health.

The Board of Directors manages the funds daily operations, while the Director General administers them.

The Fund believes that health insurance is a societal, rather than personal, obligation, so it operates on the principles of risk sharing and solidarity among members.

In spite of the compulsory enrollment arrangement to public servants, the Fund has expanded its coverage to include Councilors, private companies, education institutions, private individuals, children under the age of 18, farmers in cooperatives, and registered organized groups such as Machinga and Boda-boda groups.

The Fund is also administering the Bunge Health Insurance Scheme, and Members of the Zanzibar House of Representatives are covered.

The National Health Insurance Fund has been ISO 9001:2015 Certified since 2018 in order to benefit from a Quality Management System that increases efficiency and reduces waste while also maximizing customer satisfaction.

Core Functions of the Fund

Register members and issue identity cards;
Collect contributions;
Certify health service providers for provision of health care services to members;
Reimbursement of health service providers’ claims;
Invest the excess funds collected in order to earn income;
Carry out Actuarial Assessment and Valuation; and
Provide health insurance education to the public.

NHIF Members

Members of the Fund are categorized as follows: –

Public Employees
Non Public Employees
Retired Public Employees
Students
Children under 18 years
Farmers in Cooperative Societies
Members of Organized Socioeconomic Groups e.g. Machingas, Boda-boda, Drivers, etc.
Individual members under Health Insurance Bundles
Bunge Health Insurance Scheme for Members of Parliament
Councilors

NHIF Benefits Package

The following medical services are covered by NHIF at all health facilities certified by the Fund:-

a) Registration and consultation;

b) Medicines and medical consumables;

c) Investigations;

d) Dental and ophthalmological services;

e) Inpatient care services;

f) Procedures;

g) Surgical services;

h) Medical and orthopaedical appliances;

i) Rehabilitative services.

However, the following services shall require special approval of the Fund before access:-

a) CT-Scan and MRI

b) Chemotherapy

c) Dialysis services

d) Anti-cancers

e) Immuno-stimulant

f) Immuno-suppressant

g) Orthopedic appliances

h) Reading spectacles

Through special agreements based on the employer’s needs, NHIF facilitates the provision of services that are normally outside the standard package.

Categories and Network of Certified Health Facilities

The Fund certifies health facilities that are fully registered with the Ministry of Health, Community Development, Gender, Elderly and Children to serve beneficiaries.

Government, faith-based health facilities, and privately owned ones are all included in this category.

More than 7,900 health facilities with different levels of accreditation have been certified by the Fund to serve the Fund’s beneficiaries.

These categories are:-

National Referral,
Zonal Referral,
Regional Referral,
District Hospitals,
Diagnostic Centers
Specialized Clinics,
Health Centers,
Dispensaries,
Pharmacies, and
Accredited Drugs Dispensing Outlets.

Network of NHIF Regional Offices

NHIF has established offices in all regions in Tanzania Mainland and Zanzibar to bring its services closer to members and the general public.

Each regional office is managed by a Regional Manager and contacts of offices can be seen through this link

Hatua za Kujiunga na NHIF Tanzania pdf

Who is eligible to join the NHIF?

Every person residing in the country is eligible to join the NHIF. This includes expats, students, tourists, and individuals on special visas, such as diplomatic visas.

Members are required to pay a monthly fee based on tier selection. Members are also entitled to receive medical treatment at any registered healthcare facility across the country.

Why was the NHIF created?

The NHIF was established as part of the universal healthcare initiative. The organization was created primarily to manage the country’s universal healthcare services, provide insurance for all citizens, and create equity in healthcare access.

The NHIF was created to ensure that every individual in Tanzania is able to afford quality healthcare services and treatments.

NHIF was also created to facilitate the creation of a sustainable healthcare system that is self-sustaining and relies on minimal government intervention.

The organization is also charged with implementing a standardized health insurance system that is interoperable across all regions in the country.

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Hatua za kujiunga Na NHIF – National Health Insurance Fund 2022