Teachers, the Social Health Authority, and the Ministry of Health have reached a deal aimed at resolving medical scheme challenges and preventing a nationwide teachers’ strike. The agreement follows high-level talks held on April 28.
The discussions also involved the Kenya National Union of Teachers, focusing on fixing disruptions linked to the transition of the Mwalimu Cover to the Public Officers Medical Scheme Fund.
The parties agreed to restore the Last Expense Benefit, setting it at KSh 300,000. Authorities confirmed that 160 pending claims will be processed, with payments set for release starting April 29.
The deal introduces an Ex-Gratia Management Framework to support teachers facing high medical costs. The Teachers Service Commission will process requests while SHA handles approved payments.
The scheme now includes overseas treatment in countries such as India, Turkey, and Saudi Arabia. Teachers will also access enhanced reproductive health services, including IVF treatment.
SHA agreed to remove tariff locking from its system after criticism from teachers. Health facilities have been instructed not to charge teachers out-of-pocket during the interim period.
The agency will also begin nationwide tariff negotiations involving more than 3,500 health facilities. The process aims to standardise costs and improve service delivery across the country.
