The Teachers Service Commission (TSC) contracted Minet on July 1, 2015 to manage the multi-billion shilling medical scheme.
Service delivery
The three-year contract is subject to renewal annually based on service delivery and efficiency.
A report from the insurer said malaria was ranked first among the top 15 ailments that took teachers to hospitals. It was closely followed by gastric disorders, pneumonia, respiratory tract infections and fractures. Hypertension, ulcers, septicaemia, cancer and urinary tract infections were the next five ailments for which teachers seek medication. Closing out the list of the top 15 are typhoid, anaemia, diabetes, gastritis and dermatitis respectively. Nearly 5,000 teachers are admitted to hospital every month. The list of approved health facilities is also expected to be expanded to include more private, mission and county referral hospitals. Sources said talks on costs were underway to allow teachers to get access to more hospitals within their medical limit range. Sources said some of the hospitals to be included in the panel were recommendations made by individual teachers, unions or the TSC. “Provider accreditation and empanelment is an ongoing process driven by client request, types of services available with the existing providers, administrative considerations and client satisfaction,” read the brief. Some of the facilities that have been criticism by teachers will be dropped and others picked in order to improve the cover.