Kenya’s Health Ministry Releases Treatment Tariffs and Insurance Guidelines: A Breakdown
Health Cabinet Secretary Susan Nakhumicha has released a new document detailing the tariffs for treatment under the Social Health Insurance Fund (SHIF). Kenyans holding SHIF insurance will have access to six free services at accredited hospitals in the country.
These services include Antiretroviral (ARV) treatment, HIV testing, family planning, antimalarial medication, anti-tuberculosis treatment, and immunization services for children.
The guidelines state that ARVs, antimalarials, anti-TB medications, family planning supplies, and KEPI vaccines will be available at public, faith-based, and private facilities connected to the health information system.
The Ministry also unveiled tariffs for common medical services like outpatient and inpatient care. Outpatient services, including consultation, diagnosis, and treatment, will cost Ksh2,000 per visit, limited to four visits annually.
Inpatient services at Level 4-6 facilities will be charged differently based on facility categorization: Ksh3,500 at Level 4, Ksh4,000 at Level 5, and Ksh5,000 at Level 6.
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Inpatient services cover hospital accommodation, meals, nursing care, consultations, investigations, imaging, procedures, and medications.
Normal delivery and essential newborn care will be priced at Ksh11,200, while that of cesarean section and essential newborn care will cost Ksh32,600. Maternity services under SHIF will be available to members and their dependents with up-to-date membership. Additional charges may apply for peripartum and postnatal complications, subject to surveillance.
For mortuary services, the cover includes up to 5 days at Ksh500 per day. Feedback on the proposed changes can be submitted until June 17 through various channels, including email and physical or virtual meetings.
Salaried individuals will contribute 2.75% of their income to the Social Health Authority, while the same rate applies to those with other sources of income. Unemployed individuals will pay a minimum of Ksh300.
Kenya’s Health Ministry Releases Treatment Tariffs and Insurance Guidelines: A Breakdown