Teachers medical cover AON Minet will be scrapped as the government eyes a review to give teachers a better medical cover similar to that of the civil servants.
Teachers will be moved from AON Minet cover to Social Health Authority (SHA) starting December 2025 in new TSC changes.
Teachers will be enrolled in the Public Service Medical Fund which is popular with civil servants.
This comes shortly after President William Ruto met thousands of teachers in State House where he promised to review the current teacher medical cover.
Ruto promised to review the current medical cover to ensure it is aligned with the present health needs of teachers and their families.
Teachers are paying for their medical cover through their monthly medical allowance but there have been numerous complaints from teachers over bad services.
Teachers in lower job groups, like Primary Teacher II (Grade B5), get Ksh1 million in inpatient coverage and Ksh150,000 for outpatient needs.
Meanwhile, senior educators, such as Chief Principals (Job Group D5), enjoy larger provisions, with Ksh3 million for inpatient care and Ksh450,000 for outpatient services.
Some benefits however remain consistent across the board, regardless of your job group. For instance:
Maternity coverage, however, is scaled with job grades, ranging from Ksh120,000 for Grade B5 to Ksh300,000 for Grade D5.
If youโre a TSC-employed teacher between 18 and 65 years old, youโre covered under this scheme.
It also extends to your loved onesโyou can add one registered spouse and up to four dependent children.
These children are eligible for coverage from birth until age 18 (or up to 25 if theyโre in school). And hereโs a thoughtful inclusion: thereโs no age limit for children with certified disabilities.
Want to know what the plan actually covers? Letโs break it down:
1. Inpatient Benefits
Youโre covered for almost everything youโd need in a hospital. This includes:
Essentially, if youโre hospitalized, this plan has you sorted.
2. Outpatient Benefits
Outpatient care is equally robust and includes:
This means you donโt have to delay routine checkups or treatment for ongoing conditions.
3. Maternity Coverage
For teachers planning or expecting children, the maternity benefits are especially generous. They include:
With everything from initial checkups to delivery costs covered, itโs a reassurance every new parent will appreciate.
4. Dental and Optical Cover
Need a root canal or a new pair of glasses? This plan wonโt let you down. Dental benefits include:
For optical care, the benefits cover:
These add-ons are crucial for everyday wellness, ensuring your vision and dental health get the attention they deserve.
Additional Perks You Should Know
This scheme isnโt just about the basicsโit also addresses more complex health needs. You can count on:
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