SHIF Scheme Contribution and Benefit Tariffs
Kenyans are set to contribute 2.75 percent of their gross salaries to the Social Health Insurance Fund (SHIF) starting July 1, according to the final Social Health Insurance (General) Regulations, 2024.
This marks a change from the initially announced date by the Ministry of Health, confirming that registration for SHIF should be completed by June 30.
SHIF Contributions Summary
| Category | Current NHIF Contribution | New SHIF Contribution |
|---|---|---|
| Top Earners | Sh1,700 | Significantly Higher |
| Non-Salaried | Sh500 | Sh300 |
The Ministry of Health (MoH) has announced new tariffs for the benefits package under the Social Health Insurance Fund (SHIF) scheme.
The Social Health Authority (SHA) board, in collaboration with the MoH, has proposed these tariffs, which are still subject to further discussions with the affected parties.
SHIF General Services:
| Service | Facility Level | Tariff (Ksh) |
|---|---|---|
| Outpatient care | Level 2-4 | 2,000 |
| Pharmacy (public pharmacies) | – | Free |
| End-of-life services (per day, up to 5 days) | – | 500 |
Timothy Olweny, chairman of the Social Health Authority (SHA), confirmed the updated timeline, explaining that contributions and access to health services under the Act and these regulations will begin on July 1, 2024.
The regulations mandate that every resident in Kenya must apply for SHIF membership by June 30, 2024, under Section 26(1) of the Act, ending the confusion regarding the start date for deductions.
Maternity, Newborn, and Child Health Services:
| Service | Coverage Amount | Details |
|---|---|---|
| Normal Delivery | Sh10,000 | Standard delivery fee for expectant mothers |
| Caesarean Section | Sh34,200 | Coverage for a maximum stay of three days |
| Dialysis for Kidney Patients | Full coverage | Up to five sessions for acute kidney injury (3 by SHIF, 2 by ECCIF) |
Initially, Health Cabinet Secretary Susan Nakhumicha had announced that SHIF deductions would start in March, later adjusting the date to July before reverting to March. She had stated that services would be available from July, noting that the regulations would take effect once gazetted, with deductions beginning at the end of March.
She projected that three months were needed to prepare, implement a digital registration system, test it, and collect funds starting the new financial year in July.
Renal Care Packages:
| Service | Facility Level | Tariff (Ksh) |
|---|---|---|
| Hemodialysis and Hemodiafiltration | Level 4-6 | 10,500 per session |
| Peritoneal dialysis (monthly) | Level 4-6 | 180,000 |
Robert Pukose, chairman of the National Assembly’s Health Committee, stated that Kenyans would continue contributing to the National Health Insurance Fund (NHIF) until December.
The NHIF will cease operations at the end of the year, and SHIF will take over. During this transitional period, the NHIF ceiling remains at Sh1,700, which will increase significantly for top earners under SHIF.
For non-salaried individuals, the monthly contribution will decrease from Sh500 to Sh300 under the new regime.
Medical Imaging Packages:
| Service | Tariff (Ksh) |
|---|---|
| MRI | 11,000 |
| CT Scan | 9,600 |
| CT Angio | 8,000 |
| Fluoroscopy | 4,000 |
| Mammography | 3,000 |
| Special Ultrasounds | 5,000 |
| Echocardiograms | 3,500 |
Free Services
- ARVs
- HIV testing and follow-up tests
- Family planning commodities
- Antimalarial medication and testing
- Anti TBs and testing
- KEPI vaccines
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Oncological Services:
| Service | Facility Level | Tariff (Ksh) |
|---|---|---|
| Chemotherapy | Level 4-6 | 5,000 |
| PET Scan | Level 4-6 | 53,000 |
| CT Scan | Level 4-6 | 9,600 |
| MRI | Level 4-6 | 11,000 |
| Bone Scan | – | 15,000 |
| Radionuclide Scan | – | 11,000 |
| Brachytherapy | – | Up to 40,000 |
SHIF Scheme Contribution and Benefit Tariffs
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