The teachers’ employer also intends to expand the benefit brackets for Group Life Covers to between Sh450,000 and Sh1,050,000.The cover currently ranges between Sh300,000 and Sh700,000.
And for the last expense cover, TSC will increase the rates to between Sh200,000 and Sh600,000 up from the current flat rate of Sh100,000. The details are contained in the bid documents from the TSC. The commission called for fresh bids from interested insurance firms in an open tender to provide medical cover for its teaching staff. The development came as the contract of the existing provider expires end of September.
TSC contracted AON Minet in July 1, 2015, to manage the multi-billion shilling medical scheme. The contract has been renewed annually since then. Data from the TSC shows that some 1,006,673 beneficiaries have been registered under the AON scheme, with 313,333 being teachers, 178, 272 being their spouses and 515,068 being their children.
The revelations come as TSC is set to meet Kenya Union of Post Primary Education Teachers (Kuppet) today to discuss the medical scheme among other issues.“We have always called for enhanced benefits for teachers and improved choices for outpatient facilities for our members. If these are part of the deal, we will have no problem even under current arrangement,” said Akelo Misori, Kuppet Secretary-General.
Misori said today’s meeting with TSC will bring out the improvements teachers have always yearned for under the existing covers.
“We know where the complaints have always been and this is what we want fixed,” said Misori.
TSC Chief Executive Officer Nancy Macharia listed medical cover discussions among today’s agenda. Overall, the teachers’ scheme will still cover up to five family members, including the principal member. That is, a teacher will only list one spouse and a maximum of four children.
It will cover children up to 18 years and those between 19 and 25 will produce proof they are still under the care of their parents, including school details. The scheme’s geographical limit is East Africa (Kenya, Uganda, Rwanda and Tanzania). However, there will be a provision for international evacuation for cases where treatment is not available locally.
International referrals rates have been pegged at a flat rate of Sh1 million across all job groups.Scheme also suggests a flat rate of Sh200,000 for international travel (patient and one accompanying helper). International travels and referral allocations will be payments that shall be made over and above the inpatient normal cover limits specified for the members and the person accompanying the patient.
“This will be paid out where authorisation has been granted for the member to travel to another country for specialised treatment which is either not available locally or is reasonably cheaper and better quality than is locally, air ticket for patient and aide and their accommodation,” reads the document.
Very positive move BUT the outpatient package should not be overlooked and should be unlimited….i repeat unlimited…if my views as a deductee are worth the salt…thats my take …REASON: minor ailments are the majority to all teachers families…though we have some with complex ailments….take this scenario as a case study…..like for real and would never wish to be admitted in a hospital nor my family members but since the inception of this scheme all my optical, dental, and inpatient covers have never been utilised…so who is the benefactor here??? Previously, the medical allowance could pick me a loan amounting hundreds of thousands…But…but…Alas and Alark…my M.A went without my views being heard as the labourer…why this…No freedom of expression…An entittlemen in the constitution inftinged…Ok..thats my
justified concern that requires a referendum so to speak!!!!
Secondly, Why do we have two insurance schemes running for the same toiler Are you wishing us sickness…A milking cow and now a cash cow!!!….why not merge them…its a fishy deal at the expense of the teachers meagre earnings…NHIF and AON Minnet….why the two???? Its not good and it will never be…God is watching…
Something is not adding up!!!
Otherwise it would have been better if we could have been consulted as the major stakeholders..
Being forced to hospitals of ‘their’choice, no open billing system….kweli….God above all….no returns…paying 50 shillings via mpesa before treatment….biashara imeiva kweli…God is watching…muogope mungu..He can smite!!!!!