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the medical facility and/or enrolled in the NHIF medical insurance service. 4. Benefits for outpatients are limited. Please check with your physician before selecting a treatment scheme on a full or part time basis. Payment is payable according to the current fees for the medical procedures. Please note that only the procedure fees are covered whereas the other fees (e.g. hospitalization, laboratory fees, etc.) will be charged separately upon admission. If you wish to receive monthly health care benefits for a specific procedure, you may elect to have a monthly payment made to the NHIF. If you wish to pay your medical care costs out of your own pocket, please refer to our contact address e-mail above. NHIF has set up a facility to help you to make a simple, convenient application for treatment by either the NHIF's staff or a registered medical facility. The NHIF health benefit form on our website serves as a template for your information. The application and related paperwork should be completed within 48 hours of your admission. If you wish to apply online the following page has a brief list of the various information you must provide under the table. Thereafter, you can access the online application form. The application form is available in English only and requires minimal technical proficiency. The form has the following sections: Name: * Family members: Name(s) of a minimum of 2 adult children, 1 adult sibling, and any dependents Address: Address(es) where you can be accommodated Age:* Total number of days of the year you will be in hospital/patient care:* Medical condition at the time the application is submitted:* Citizenship:* Status:* *The above information will be checked against your own hospitalization records You must make sure to submit your application to the correct office that registered to provide treatment according to the guidelines set out for you by NHIF . We have established a special portal for out patient treatment which is accessible from our countrywide office at www.nhif.or.ke . From September 2015 you can make a one-time online application only. You will be asked to submit the application to this specific NHIF website which will be available upon access to the website. Please send a copy of your application and your passport to: Chief Resident, NHIF, PO Box 547, Nairobi, Kenya, 2085 Contact: Chief Resident / Nairobi, Nairobi, 20