Table 1 Health insurance schemes under the NHIF
| Type of scheme | Premium contribution | Population covered |
|---|---|---|
| Civil servants schemea [13, 14] | Mandatory/automatic | Civil servants in the national and county governments, their declared spouse and up to 5 children of up to 21 years of age or 25 years if enrolled in fulltime formal education [13, 14] |
| County government schemea [15] | Mandatory/automatic | Employees of County governments that have contract arrangements with the NHIF, their declared spouse and up to 5 children of up to 21 years of age or 25 years if enrolled in fulltime formal education [16] |
| Parastatal/ private company schemesa [15] | Mandatory/automatic | Employees of parastatals or private firms that have contract arrangements with NHIF, their declared spouse and up to 5 children of up to 21 years of age or 25 years if enrolled in fulltime formal education [16] |
| National police and Kenya Prisonsa [17, 18] | Mandatory/automatic | Kenya Police Force, Administration police, officers in the Criminal Investigations Department, prisons and other security related officers, their declared spouse and up to 5 children up to 21 years of age or 25 years if enrolled in fulltime formal education [16] |
| Secondary schools’ scheme [EduAfya] [12, 19, 20] | Mandatory/automatic | All students in public secondary schools in Kenya |
| National scheme [21] | -Mandatory for formal sector workers, -Voluntary for informal sector workers | Any person who is a resident of the republic of Kenya, who is self-employed or in the informal sector, their declared spouse (s) and children up to the age of 18 years |
| Health Insurance Subsidy for the Poor [HISP] Scheme [22] | Mandatory/automatic | Households with orphans and vulnerable children; poor elderly; and/ or persons, persons with disabilities and destitute families |
| Linda Mama Free maternity scheme [15] | Mandatory/automatic | All pregnant women who are Kenyan Citizens |