Vigogo tisa NHIF watumbuliwa

[Faana]

Wawekwe kizuizini kama wale wa mapato na kule habours

 

[chitage]

BENEFITS PACKAGE
Introduction
The National Health Insurance Fund (NHIF) has an attractive benefits package that is offered to its beneficiaries through accredited health facilities countrywide. This package has a total of eleven (11) benefits that are offered to its beneficiaries as per Standard Treatment Guidelines issued by the Ministry of Health and Social Welfare (MoH&SW) alongside the Fund`s regulations. The package includes:-

1. Registration and Consultation – This covers for costs related to Registration and Consultations.

2. Medicines and medical supplies – The Fund covers for the costs relating to medicines prescribed in Generic names and medical consumables as per the National Essential Medicines List (NEMLIT) and additional medicine list recommended (to NHIF) by experts.

3. Investigations - The Fund covers for the costs of Investigations and Diagnostic tests as per the Investigation List in the benefits package. There are 321 Investigations including Ultrasound, Echocardiography, CT-Scan and MRI.

4. Surgical Services - Includes Minor, Major and Specialized surgical services performed from Health centers to Referral level hospitals.

5. Inpatient Care Services including ICU and HDU - The Fund covers for the daily admission costs depending on the level of the facility and the agreed daily rates as per the Fee Schedule, Investigations, Medicines and Medical Consumables dispensed while the member is admitted.

6. Physiotherapy and rehabilitation services - This is provided to inpatients and outpatients where the facility has specialists for the same.

7. Eye and Optical Services - NHIF covers the costs for optical services to all beneficiaries.( Treatment of Eye diseases and refraction for visual defects.

8. Spectacles - The Fund also pays for visual corrective spectacles to the principle member (one pair for a period of 3 years).

9. Dental and Oral health Services - This is provided to inpatients and outpatients where the facility has specialists for the same. This includes dental conservation surgeries (Carries and dental filling), gum diseases, dental extractions and root canal treatment.

10. Retirees Health Benefits – Comprehensive Medical Services are offered to the Retired principle members and their spouses, for their entire lives.

11. Medical/Orthopedic Appliances – The Fund provides supportive orthopedic and medical appliances including White Cane for blind people, Neck and Thoracic Spine Collars, Hearing Aids, Lumbar Cossets and Braces, Walking Crutches and leg orthopedic Supports, (ankle, knee and above knee orthopedic supports).

The benefit package contains a wide range of Outpatient and Inpatient Services. These services include 321 Investigations, 48 Ordinary Procedures, 65 Specialized Procedures, 118 Minor Surgeries, 217 Major Surgeries, 126 Super Specialized Surgeries,11 Medical and Orthopedic appliances, 612 types of Medicines, 67 Cancer Medicines, 17 Immunosupressant and Immunostimulants and 43 Medical Supplies.
Special approval services (read more on its page)

These are services that are offered through a special permit, these include:

• • • • Cancer chemotherapy for cancer patients
      • Immunosuppressant medicines for patients, who have organ transplants,
      • Haemodialysis and erythropoietin for patients with renal failure,
      • Reading glasses and special radiological imaging such as CT scan and MRI
      • Medical and Orthopedic appliances

 

[misasa]

Jipu uchungu

 

[MANG'ONYI]

Hayo ni mabadiliko kupisha muundo mpya wa shirika wala sio issue za ubadhirifu, na kazi zitatangazwa ili kila mtu aombe,

 

[ras jeff kapita]

Simamisha, timua, fukuza haijawahi kuwa dira ya kukuza uchumi!

Bila kotoa wachafu watafunaji utakuzaje uchumi!!!? usikariri

 

[Majighu2015]

Uko sahihi kwa 50%... ni kweli NHIF ni jipu kwa hilo la kuchelewesha malipo wakati watumishi wa umma wanalipa KWA WAKATI MALIPO YAO.. NHIF sometimes wanchelewesha kulipa hosp...

But kuna kitu hujaangali, ume focus one sided tu.. tht's is way i give you 50%... NHIF walivunja mkataba na Agha Khan sbb gani..? Sio malipo kuchelewa.. ni GHARAMA ZA MALIPO YA AGHA KHAN.. sijui kama unanielewa..!!

Eg.. Malaria unapima eti 4000, vipimo vyao Agha Khan ni mara mbili karibu ya hosp. zingine.. hata gharama zao ziko juu sana sana kuliko hosp. zingine zote, almost double the cost of medical treament za hosp. zingine.. huu ndio wizi tunaokataa..!! Haiwezekani Hosp. ya Agha Khan itibu matajiri tu... Gharama zao ni mbaya sana, na Serikali inaangalia tu.. wangetakiwa wapewe onyo kali na gharama za vipimo, dawa na matibabu iwe REASONABLE... sio wana inflate tu gharama za matibabu hovyo.. ni ghali sana Agha Khan... huu ni wizi..

Mfano: Agha Khan wanawatibu wabunge tu... sbb wana fedha...!! hii haikubaliki...!! Kama hawataki wafunge hosp. yao... wananchi wetu ni maskini... bei zao wapeleke kwao huko..!! Hili ni jipu

Ile ni private hospital gharama wameziweka kuwa hivyo ili waweze kuhakikisha huduma inatolewa vizuri. Lakini bado sio tatizo la Agha Khan,kama wizara ya afya inalifahamu hilo kwa nini hawaingilii kati ili hizo gharama zinazodaiwa zipunguzwe. Kuna mambo mengi ya kuangalia kwenye hili.

 

[KakaJambazi]

Tutegemee kuwaona gerezani lini?

 

[Majighu2015]

Samahani! Uaatumia maneno... "kwenye hiyo Biashara" Una hakika huduma za afya ni biashara? Uozo unaanzia hapo. Wengi wanajiingiza kwenye huduma za afya na elimu kwa lengo la biashara, wakati hizo siyo biashara!

Mkuu unategemea mtu anaanzisha hospitali ya private ili apate hasara?? Cost za private hospital lazima ziwe juu kidogo ya zile za serikali ili hospitali iweze kujiendesha na faida pia. Wewe unadhani huduma za afya ni for free au wenye mahospitali wanafanya kazi ili tu kusaidia taifa?? Wanafanya bishara

 

[twahil]

Simamisha, timua, fukuza haijawahi kuwa dira ya kukuza uchumi!

Tangu lini ujengeji wa taasisi imara zinazojali accountability isiwe dira ya kukuza uchumi?.

Ukiwabaini wabadhirifu ktk taasisi uwaache tu waendelee kufisidi au uwaondoe kwa kuwafukuza???

 

[nuruyamnyonge]

Hii taarifa haijakamilika bado.

 

[TRUVADA]

Simamisha, timua, fukuza haijawahi kuwa dira ya kukuza uchumi!

Kwa na maana gani kukuza uchumi huku makupe wakiwa wananyonya damu maskini

 

[Come27]

Mkuu unategemea mtu anaanzisha hospitali ya private ili apate hasara?? Cost za private hospital lazima ziwe juu kidogo ya zile za serikali ili hospitali iweze kujiendesha na faida pia. Wewe unadhani huduma za afya ni for free au wenye mahospitali wanafanya kazi ili tu kusaidia taifa?? Wanafanya bishara

Katika afya hakuna biashara. Kama wangekuwa wanafanya biashara basis wangetakiwa wasajiriwe kwy daftari la Mlipa Kodi (TRA)

 

[Mafwi Munda]

Katika afya hakuna biashara. Kama wangekuwa wanafanya biashara basis wangetakiwa wasajiriwe kwy daftari la Mlipa Kodi (TRA)

Wewe ndiye umesahau nadhani. Hospitali wanafanya biashara usipumbazwe na hilo neno huduma. Unaweza kuwa unalipia hizo huduma direct cash au indirect kwa insurance. Na hata ukiwa na insurance still bado unalipia asilimia fulani kutegemeana na aina ya insurance uliyonayo. Ile premium unayolipa kila mwezi kwenye insurance ndiyo malipo ya huduma hayo. Tena mbaya unaweza kulipa na usiugue mwaka mzima na hurudushiwi pesa hiyo.
Pili kumbuka hakuna hospitali inayo tengeneza dawa. Hospitali zina nunua dawa na kuuza kwa faida, hawagawi bure. Hata diagnostic services hulipia kwasababu wao hununua hizo mashine na vitendea kazi vingine. Hospitali ni biashara kama biashara yoyote, ukitaka cheap service unaipata na ukitaka good and standardized service pia unaipata, na factor ya ubora wa huduma uitakayo nzuri au mbaya ni pesa yako unayolipia. Huduma zitolewazo bure kwako huwa zimeshalipiwa na wafadhili. Mfano kupima ukimwi au kisukari au cancer ya kizazi kwa kinamama baadhi ya hospitali ni bure kwasababu kuna donor/sponsor waliisha zilipia, na sio kila sehemu zimelipiwa. Hivyo ukitozwa gharama ujue huyo hana sponsor. Na ukipata cheap fahamu hiyo huduma imelipiwa kiasi fulani na mfadhili au serikali hivyo huyo mfadhili au serikali anaweza kutoa bei elekezi. Lakini hospitali hakuna cha bure, hata gauze inatengenezwa na cost of production inaweza ikawa ndogo lakini utainunua/kuilipia tu, iwe direct au indirect. Kizuri gharama, kila mtu angependa huduma nzuri kwenye mazingira mazuri kama Agha Khan Hospital Dar es salaam ukilinganisha na Mwananyamala Hospitali, lakini bahati mbaya sio kila mtu anaweza kumudu gharama. Hivyo kubali Hospitali wanafanya biashara kabisa. Ila zipo subsidezed services utaona ni cheap lakini zipo ghali ambazo haziko subsidized. Kutokulipa kodi hizo policy tu, lakini hispitali ni biashara.