New Benefit Tariffs For SHIF Scheme As Public Pharmacies Set To Be Free

New Benefit Tariffs For SHIF Scheme As Public Pharmacies Set To Be Free

The Ministry of Health (MoH) has announced new tariffs for the benefits package under the new Social Health Insurance Fund (SHIF) scheme.

In consultation with the Social Health Authority (SHA) board, the prescribed tariffs applicable to the SHIF benefits package are still subject to further discussion with those who will be affected.

Further discussions with relevant stakeholders regarding the proposed tariffs will take place.

Here are the proposed tariffs under the SHIF:

Outpatient care services provided in the Authority’s Level 2, 3, and 4 primary health care referral facilities will be paid for with Ksh.2,000.

The ministry added that ARVs, HIV testing and follow-up tests, family planning commodities, antimalarial medication and testing, anti-TB drugs and testing, and KEPI vaccines will be offered free of charge.

Inpatient services in Level 4-6 hospitals with a maximum admission period of 50 days will be charged at Ksh.3,500 in Level 4, Ksh.4,000 in Level 5, and Ksh.5,000 in Level 6.

𝐏𝐮𝐛𝐥𝐢𝐜 𝐍𝐨𝐭𝐢𝐜𝐞: Call for Comments and Public Participation on Tariffs for the Benefits Package. The comments, views, representation, and any written memoranda may be forwarded to the Office of the Cabinet Secretary, Nairobi; hand-delivered to the Office of the Cabinet… pic.twitter.com/aPt5w4z141

— Ministry of Health (@MOH_Kenya) June 10, 2024

Maternity, newborn, and child health services provided by Level 4-6 healthcare facilities will cost Ksh.11,200 for normal delivery and Ksh.32,600 for cesarean section.

Renal care packages in Level 4-6 facilities will cost patients Ksh.10,500 per session for hemodialysis and hemodiafiltration, as well as a monthly fee of Ksh.180.00 for peritoneal dialysis.

Outpatient mental wellness packages in Level 3-6 facilities will cost Ksh.1,200, while inpatient services will cost Ksh.3,400 (Level 4), Ksh.4,000 (Level 5), and Ksh.5,000 (Level 6).

Rehabilitation will cost between Ksh 14,000 and Ksh 125,000.

Oncological services at levels 4-6 will cost Ksh.5,000 for chemo administration, Ksh.53,000 for a PET scan, Ksh.9,600 for a CT scan, and Ksh.11,000 for an MRI.

Patients will also pay Ksh. 15,000 for bone scans, Ksh. 11,000 for radionuclide scans, and up to Ksh.40,000 for brachytherapy.

Patients will pay Ksh.11,000 for MRI tariffs, Ksh.9,600 for CT scans, Ksh.8,000 for CT Angio, and Ksh.4,000 for Fluoroscopy.

Mammography services will cost Ksh.3,000, while special ultrasounds will cost Ksh.5,000 and echocardiograms Ksh.3,500.

Pharmacy packages will be free at all public pharmacies.

End-of-life services, such as body preparation in a mortuary, will cost Ksh.500 per day, with a maximum stay of five days.

Health CS Susan Nakhumicha has now invited interested members of the public, stakeholders, and organizations to provide feedback on the proposed tariffs.

SHIF is expected to be implemented by the end of June, with President William Ruto launching the registration process during this time.

Kenyans, both salaried and non-salaried, will contribute 2.75% of their monthly income to the fund.

New Benefit Tariffs For SHIF Scheme As Public Pharmacies Set To Be Free