There is a great deal of anxiety among Kenyans around the introduction of the new Social Health Insurance Fund (SHIF) on Tuesday, October 1.
Concerns continue to be raised over the efficiency of the social health medical insurance scheme, given that it is anticipated that the benefits being provided to Kenyans would be much lower than those provided by private medical insurance policies.
On the other hand, Harry Kimtai, the Principal Secretary (PS) of Medical Services, stressed that every Kenyan will get the same advantages, and added that those who are looking for extra coverage may consider purchasing private insurance.
“According to our findings, 2.75 percent of their total gross revenue is the amount. This is not a limit. Because of this, it is referred to as SHIF, which stands for “shared income for everyone. In addition, the benefits packages are equal for all members.
“It has become no longer acceptable to assert that if you pay more, you will get greater advantages; this is the expectation. You have the option to pay for private insurance if you would like additional advantages,” Kimtai said to KTN News.
Despite assertions to the contrary, Kimtai argued that the system had been in the works for a considerable amount of time.
He reaffirmed that the state administered a great deal of testing to the newly implemented system.
According to Citizen Digital, Kimtai stated, “We had also done what we call lab testing, and we agreed since the CS declared that October 1 would be the debut and deployment of SHA. Kimtai’s explanation was cited in the article mentioned above.”
On the basis of their take-home pay, employees who make KSh 100,000 per month will have 2.75 percent of their salary removed.
They are required to make a payment of KSh 2,750 every month to the medical program, which is equivalent to KSh 33,000 per year.
Individuals who are seeking maternity treatment are now eligible to get reimbursement of KSh 10,000 for a regular birth and KSh 30,000 for a caesarean section under the new model.
On the other hand, some insurers that have salary contribution rates that are equivalent provide an additional KSh 20,000 for a caesarean section and an additional KSh 20,000 for a regular birth.
The newly implemented program provides inpatient care at a rate of KSh 2,240 per day, with a maximum of 180 days per home per year.
On the other hand, other insurance companies often give coverage of up to KSh 500,000 per year, which is a substantial amount more than what the present model provides.
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