The National Hospital Insurance Fund (Claims and Benefits) Regulations, 2003

Legal Notice 188 of 2003

This is the version of this Legal Notice as it was from 5 December 2003 to 30 December 2022. Read the latest available version.
The National Hospital Insurance Fund (Claims and Benefits) Regulations, 2003
Related documents

LAWS OF KENYA

NATIONAL HEALTH INSURANCE FUND ACT

THE NATIONAL HOSPITAL INSURANCE FUND (CLAIMS AND BENEFITS) REGULATIONS, 2003

LEGAL NOTICE 188 OF 2003

  • Published in Kenya Gazette Vol. CV—No. 120 on 5 December 2003
  • Commenced on 5 December 2003
1.These Regulations may be cited as the National Hospital Insurance Fund (Claims and Benefits) Regulations, 2003.
2.In these Regulations, unless the context otherwise requires—"prescribed Form" means such form as the Board may, from time to time, prescribe for the purposes of these Regulations;"declared hospital" has the meaning assigned to it in the Act;"hospital and medical treatment" includes food and bed, drugs, laboratory tests and diagnostic services, surgical or medical procedures or equipment, medicines, physiotherapy, and doctor's fees for both in-patient and out-patients in declared hospitals.
3.A claim for the payment of any benefits shall be made in writing in the prescribed Form, and shall be submitted to the Board within ninety days or such longer period as the Board may allow, from the date of dischirge from the hospital and medical treatment in respect of which it is made.
4.The Board may require such further evidence of identity and of entitlement as is in its opinion necessary to substantiate the claim for benefit, including production by the contributor of his card.
5.Where a claim is lodged in respect of hospital and medical treatment received by a spouse who was not named on the contributor's card at the time of its issue, no benefit shall be paid in respect of hospital and medical treatment received by that spouse within twenty-eight (28) days immediately following the date upon which the name of that spouse was entered on the card if at that date such contributor had more than one spouse.
6.The maximum rate of daily allowance, which may be paid in respect of any declared hospital specified in the Schedule to these Regulations, shall be the rate respectively specified in the Schedule.
7.The maximum rate of benefit payable in respect of hospital and medical treatment to a contributor paying standard contribution shall be the maximum rebate payable to that hospital.
8.The maximum rate of daily allowance to be paid by the Fund in respect of treatment in declared hospital or medical facility shall not exceed the rate approved for that hospital by notice in the Gazette.
9.The National Hospital Insurance (Claims and Benefits) (Sub. Leg.) Regulations, are revoked.

Schedule

▲ To the top

History of this document

31 December 2022
05 December 2003 this version