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Expat Exchange - Enrolling in the Public Healthcare System in Tanzania
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Zanzibar, Tanzania


Enrolling in the Public Healthcare System in Tanzania

By Betsy Burlingame

William Russell
William Russell

Summary: A primer on how to enroll in the public healthcare system in Tanzania.

If you're planning to enroll in the public healthcare system in Tanzania, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

The public healthcare system in Tanzania is known as the National Health Insurance Fund (NHIF). It was established by the government to provide health insurance coverage to all Tanzanians. The NHIF is a significant part of the Tanzanian healthcare system, providing a wide range of services from primary care to specialized treatments.

The quality of healthcare in Tanzania varies widely. In urban areas, the quality of healthcare is generally good, with well-equipped hospitals and trained medical staff. However, in rural areas, healthcare facilities may be under-resourced and the quality of care can be lower. The cost of healthcare in Tanzania is relatively low compared to many Western countries, but it can still be a significant expense for many Tanzanians.

Enrollment in the NHIF is not mandatory for all residents. However, most Tanzanians do use the system, either through their employer or by paying into the system themselves. The NHIF is funded through a combination of government funding, employer contributions, and individual premiums.

Eligibility for Foreigners

Foreigners living in Tanzania are eligible to enroll in the NHIF. However, they must have a valid residence permit and be employed in Tanzania. Self-employed foreigners can also enroll in the NHIF, but they must provide proof of their self-employment status.

Steps for Enrolling in the NHIF

  1. Obtain a residence permit: Before you can enroll in the NHIF, you must first obtain a residence permit from the Tanzanian immigration authorities.
  2. Obtain employment: You must be employed in Tanzania to enroll in the NHIF. If you are self-employed, you must provide proof of your self-employment status.
  3. Complete the NHIF enrollment form: The NHIF enrollment form can be obtained from any NHIF office or downloaded from the NHIF website. The form requires personal information, employment details, and health history.
  4. Pay the NHIF premium: The amount of the premium depends on your income. The premium can be paid at any NHIF office or through a bank transfer.
  5. Receive your NHIF card: Once your enrollment is processed, you will receive an NHIF card. This card must be presented at any healthcare facility to receive services.

While the NHIF provides a wide range of services, some foreigners choose to purchase additional private health insurance to cover services not included in the NHIF, such as medical evacuation or treatment abroad. It's also worth noting that while the NHIF is widely accepted, not all healthcare providers accept it, particularly private hospitals and clinics in urban areas.

Overall, while the healthcare system in Tanzania has its challenges, the NHIF provides a valuable service to both Tanzanians and foreigners living in the country. By understanding the enrollment process and the services provided, foreigners can make the most of the healthcare options available to them in Tanzania.

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About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


William Russell
William Russell

William Russell
William Russell

Zanzibar, Tanzania

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SJB Global is a top-rated financial advisory firm specializing in expat financial advice worldwide, offering retirement planning & tax-efficient solutions with a regressive fee model.
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