Step 1: By use of the Mobile Phone USSD short code registration; Dial *202*05# from your Safaricom mobile phone number.
Step 2: Click on membership then Self-Registration
Step 3: Key in your NPS/KPS PF Number and National ID Number when prompted. The details will be verified against our database
Step 4: If successful, you will be prompted to enter your name (surname and other names), role and gender. Once done, you will receive a message confirming your successful registration onto the scheme and a prompt to register dependents.
Step 1: By use of the Mobile Phone USSD short code registration; Dial *202*05# from your Safaricom mobile phone number.
Step 2: Click on membership and select Add Dependent
Step 3: Select the dependant you wish to register i.e. Spouse or Child
Step 4: Enter Date of Birth, Full Name, Gender, Disability Status, ID Number if over 18 years. After successful registration, the member will receive a link to complete the registration process. If not successful, you will need to contact the contact centre for further assistance. Through; 0800724631 / 0730730000
After registration on the phone, dial *202*06# for confirming membership. Always register using own phone number as this is the contact through which all scheme operations will be communicated through. You can also visit https://npskps.com/nps_kps for details on membership.
No, you do not need a medical card to access services however you will need to provide your National ID number. Currently members can access services by use of fingerprints verification and OTP.
Ideally members should be registered prior to visiting the hospitals; sensitization and awareness is ongoing to ensure that members and their dependents are registered which will greatly minimize these occurrences however the process of updating the registered members on the PSMS system ideally takes 15 minutes.
Members or the hospital can contact NPS/KPS Medical Scheme through 0800724631 / 0730730000 or send an email to [email protected]
The NPS/KPS Medical Scheme medical cover only caters for the principal member, 1(one) legal spouse and a maximum of 5 children either by birth or legally adopted. Proof of birth or adoption should be accompanied by either birth certificates, birth notification or legal adoption papers for the children.
Inpatient (Pre & Post Hospitalization, Psychiatry, Road and Air evacuation, Outpatient, Maternity, Optical and Dental, last funeral expense cover (for principal members only).
Nutritional supplements are not covered unless prescribed by a doctor with a laboratory report as part of treatment of a deficiency e.g. if a patient is anaemic
This benefit is payable to the next of kin upon the demise of a principle member at a rate of Kenya Shillings Two Hundred Thousand (KShs.200,000/=) and Kenya Shillings Fifty Thousand (KShs.50,000/=) for each declared dependant. Where husband and wife are both principal members under the cover, both will separately benefit from the last expense benefit. The last expense payment shall be made within 48 hours from the time of submission of documents. To access the Funeral Benefit, the following should be availed to NPS/KPS Medical Scheme at the earliest possible convenience;
For a principal member these benefits are provided to the person who is named as the next of kin in and for a dependant it’s provided to the PM. The principal members should therefore state clearly the person they wish their dues to go to, they should include the person’s name, telephone details and bank details where necessary. Members should also confirm these details to their HR.
These are the scheme rules as set by the employer and this is the practice in the insurance industry.
Yes, all you need to provide them is a member number. This is the number they will present in any of the contracted hospitals. Members can access services from any hospitals within the panel depending on their location and are not restricted to one hospital.
The medical scheme has a list of appointed panels of service providers who offer credit facilities at agreed and negotiated rates therefore private doctors that are not contracted are not allowed. This list is available by dialling *202*06#, and also on the NPS/KPS Medical Scheme website; https://npskpsmedical.co.ke/wp/
The scheme does not have a provision for reimbursement except in case of emergency life threatening situations. NPS/KPS Medical Scheme should also be notified within 24hrs by the member if stable, a relative or the hospital for authorization.
The medical scheme has a list of appointed panels of service providers who offer credit facilities at agreed and negotiated rates therefore private doctors that are not contracted are not allowed. This list is available by dialling *202*06#, and also on the Teachers Medical Scheme website; www.minet.com/kenya.
The scheme does not have a provision for reimbursement except in case of emergency life threatening situations. Teachers Medical Scheme should also be notified within 24hrs by the member if stable, a relative or the hospital for authorization
The scheme does not allow reimbursement except for emergency life threatening situations or a client is in an area where there are no contracted service providers. NPS/KPS Medical Scheme should also be notified within 24hrs by the member if stable, a relative or the hospital for authorization, the first point of contact is County Scheme Manager – The contact numbers are available per county.
The hospital will ask you for a member number to verify your membership, once the number is entered in the system you will either be required to place your fingers in the biometric machine OR a One Time Pin ( OTP) will be sent to the mobile number that was used during registration which you need to provide to the hospital.
The hospital will ask you for a member number to verify your membership, once the number is entered in the system you will either be required to place your fingers in the biometric machine OR a One Time Pin ( OTP) will be sent to the mobile number that was used during registration which you need to provide to the hospital.
The hospital will ask you a few questions to ascertain why the fingerprints are mismatching thereafter they will need to contact NPS/KPS Medical Scheme for assistance, the hospital should send an email to [email protected] so that a Member Verification Code (MVC) can be generated for services to be provided. The hospital should send the request when the patient is at the facility and not afterwards. This process should take approximately 45mins, in case of any delays kindly call the contact centre on 0800724631 / 0730730000.
For children below 6 years, parents or guardians will use their own unique fingerprints for their children’s access. It is recommended that both parents be available during the fingerprints registration otherwise the hospital can contact NPS/KPS Medical Scheme through [email protected] so that a Member Verification Code (MVC) can be generated for services to be provided or call on 0800724631 / 0730730000.
The hospital should provide services to the patient and notify NPS/KPS Medical Scheme immediately through [email protected] for Member Verification Code (MVC) generation.
First point of contact is NPS/KPS Medical Scheme Call Centre; 0800724631 / 0730730000
Second point of contact is County Scheme Manager – The contact numbers are available per county
No, the referral facilities are only accessible on referral basis unless of course it’s a life-threatening emergency whereby NPS/KPS Medical Scheme should be notified. The members should access the direct facilities on the panel and if they require specialized care then a referral letter should be issued to allow them access services in a referral facility.
The hospital admitting should inform NPS/KPS Medical Scheme as soon as possible or within 24hrs; a preauthorization should also be requested via PSMS in order for NPS/KPS Medical Scheme to advise and issue an undertaking of the bill. Inpatient bills without authorization are not payable.
For NPS/KPS Medical Scheme to undertake the bills, all admissions must be reported within 24hrs, therefore if you intend to use multiple covers kindly ensure that NPS/KPS Medical Scheme is notified at the point of admission.
There are no limitations as to how many times a member can visit a hospital, however it is presumed that it’s unlikely for a member to go back to the same hospital for the same illness within 24 hours unless there was no proper diagnosis and treatment and as such the hospital should not charge again.
NHIF is a statutory obligation for all Kenyans and is mandated to provide healthcare to all Kenyan contributors. As long as you are employed money will automatically be deducted from your salary to NHIF and for this reason entitled for the benefits offered. This therefore puts you at an advantage of accessing both benefits.
t ensures that your details are available on the hospital administration system and guarantees services are offered without delay.
It is your right to receive receipts to check whether it matches with the services offered. This will ensure that service providers do not misuse your benefits.
NPS/KPS updates their database monthly hence making it impossible for retired officer to access cover.
The service provider panel has been prepared based on the scheme structure which takes into consideration member benefit limits, average cost of care, quality of service, geographical spread, scheme population amongst other actuarial data analysis. Therefore, certain service providers will not be included in the panel but alternatives that offer same quality of care at a more affordable price are included.
NPS/KPS Medical Scheme has a dedicated 24hr contact center manned by professionals, in case of emergency where a member requires an ambulance for evacuation, they should call toll free number 0800724631 or 0730730000.
You will be taken to the nearest service provider for medical care, if in a stable condition NPS/KPS Medical Scheme should be notified, if not the member can pay and visit NPS/KPS Medical Scheme for reimbursements with the original documents such as Abstract for road accidents, original receipts, hospital invoice, a claim form that can be provided at NPS/KPS Medical Scheme and a discharge summary/medical report.
You will contact NPS/KPS Medical Scheme with the medical report indicating the need for overseas treatment. NPS/KPS Medical Scheme will evaluate the request and establish the need for the referral abroad by certifying there is no locally available treatment. This decision is usually guided by the gazette notice from the Ministry of Health on Overseas treatment requirements where public funds are being utilized.
Other Schemes
Emergency Evacuation
