SHA Issues Update on Teachers’ Insurance Coverage After Talks With TSC

The Social Health Authority (SHA) has announced the provision of medical insurance cover for teachers following high-level engagements with the Teachers Service Commission (TSC).

In a statement on April 22, SHA stressed the importance of collaborative partnerships when announcing the engagement.

The Authority emphasized that it is important to ensure effective service delivery through partnerships, as this will make it possible for teachers to have consistent quality health care services.

“The Social Health Authority has engaged the Teachers Service Commission in a consultative meeting aimed at enhancing collaboration and improving the framework for teachers’ health insurance,” reads part of the statement.

Leadership and Representation in the Talks

SHA detailed the composition of its delegation, stating that, “The Wednesday meeting is led by SHA’s Board Chairperson Dr. Abdi Mohamed, Board Member Dr. Ibrahim Matende, and Chief Executive Officer Dr. Mercy Mwangangi, supported by directors of the Authority.”

TSC was led by Chairperson Dr. Jamleck Muturi, Acting Chief Executive Officer Eveleen Mitei, and the TSC Board of Commissioners.

“The discussions focus on aligning policy direction, strengthening implementation, and advancing dependable, high-quality healthcare coverage for educators,” SHA said.

Also Read: SHA Explains How Children Over 18 Can Remain on Parents’ Health Cover

Concentrating on Policy Coordination and Service Delivery

The consultation discussion mainly revolved around coordinating strategy and execution.

This means that both entities are considering coordination when planning, and the outcome of the plan will affect the teachers.

According to SHA, “The discussions focus on policy direction, implementation, and delivering quality health care service to the educators.”

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Overview of Social Health Authority (SHA) Benefits and Coverage Structure

SHA provides a carefully formulated package of benefits to attain universal health coverage through the reduction of out-of-pocket expenses and improvement in accessibility to health services.

This package of benefits has been structured into three major funds.

Primary Healthcare Fund provides the basic outpatient health care services, including consultation and preventive health services, while the Social Health Insurance Fund takes care of advanced health care services which include inpatient services in approved hospitals.

The last fund is the Emergency, Chronic, and Critical Illness Fund, which provides care for costly illnesses such as intensive care unit admissions.

SHA insurance benefits will be delivered via contracted healthcare providers using the referral approach commencing at primary health facilities.

The delivery process will take into account the tariffs approved by the government.

The premium will cost above the stipulated amounts.

Inclusivity has also been emphasized with the coverage of formal and informal employees as well as vulnerable households, with the help of government contributions to cover costs for people who cannot afford premiums.

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Delegates drawn from the Social Health Authority and the Teachers Service Commission in Mombasa during the discussion of incorporating teachers into SHA. PHOTO/ SHA