Medical cover: Enhanced scheme for civil servants

By Luke Anami

Civil servants and members of the disciplined forces can put aside their January stress for a while and celebrate the perfect New Year’s gift.

Their employer has just given them a medical scheme that beats many in the private sector with a generous in-patient and outpatient cover.

The scheme is unique as it also provides optical and dental cover and life insurance and burial expenses for the principal members.

Over 220,000 civil servants, as well as the police, National Youth Service and military are set to enjoy the benefits of the new scheme whose outpatient cover is worth at least Sh4.3 billion annually. Under Under the scheme, lower to middle cadre staff will enjoy inpatient and outpatient cover without limits at all public hospitals. The scheme, East Africa’s most ambitious ever, will be administered by the National Hospital Insurance Fund (NHIF) and took effect on New Year’s Day (January 1).

So generous is the scheme that principal members, their spouses and three children will enjoy full medical cover.

Those with more than three children can pay additional premiums at reasonable rates to NHIF to cover them.

The medical scheme, negotiated jointly with the Union of Kenya Civil Servants (UKCS) will be partly funded through current monthly medical allowances payable to civil servants, funds allocated to ex gratia assistance and inpatient refunds and additional funding from the Government, although the minister declined to disclose the amount only saying it will be 50 per cent of the total premiums costs. Also included in the scheme is the State Law Office.

Inpatient ceiling

"To give a little clue on what kind of benefits that we have, for the inpatient ceiling there is no limit in Government hospitals up to Job Group ‘M’. For outpatient benefits, there is no limit in Government and mission hospitals and approved private hospitals up to Job Group M," said Oriento said at a press conference in Harambee House, Nairobi.

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Medical cover: Enhanced scheme for civil servants
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