TSC unveils expanded medical cover offering stronger protection for teachers and their families

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Director Ibrahim Mumin confirmed teachers’ seamless transition to the SHA medical scheme, noting KNH successfully onboarded 57 cases as TSC assured uninterrupted care during changeover.

The Teachers Service Commission (TSC) has launched an expanded medical cover for all teachers and their dependents under the Public Officers Medical Scheme Fund (POMSF).

The new scheme takes effect today, and it promises improved access, broader benefits, and stronger healthcare security for educators across the country.

In a circular signed by Evaleen Mitei (MS), Acting TSC CEO, the Commission confirmed that the Social Health Authority will now administer the medical scheme.

The circular states: “The Teachers Service Commission has contracted the Social Health Authority through the Public Officers Medical Scheme Fund (POMSF) to offer a medical cover for all teachers in their employment, together with their dependants.”

A significant highlight of the new scheme is its inclusivity and expanded protection for dependants. Teachers will be able to cover their spouses and up to five children, with the circular emphasising that “No maximum age limit shall apply to child dependants with proven disability status.” This provision has been widely applauded for supporting families with dependants who require long-term specialised care.

The scheme’s financial scope has also been strengthened.

Inpatient cover ranges from Ksh 1,000,000 to Ksh 3,000,000, depending on job group.

At the same time, the overseas treatment allocation stretches up to Ksh 2,200,000. The Commission clarified that the package operates on a “fee for service” model, meaning teachers will access healthcare without making upfront payments at accredited facilities.

The medical benefits are expansive, covering everything from ICU/HDU services, surgery, medication, and diagnostic imaging to rehabilitation, wellness programmes, and chronic disease management. As the circular outlines: “Doctor’s (Physician, Surgeon & Anaesthetist) Fee, ICU/HDU/Critical care and theatre charges, Drugs/Medicines, dressings and internal surgical appliances” are included under inpatient treatment.

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Outpatient care similarly been improved, covering diagnostics, physiotherapy, specialist referrals, HIV/AIDS treatment, chronic conditions such as hypertension and cancer, preventive health services, and wellness camps.

The circular further highlights: “Preventive care: to include mobile clinics for events, free medical camps, counselling on lifestyle and wellness.”

Emergency support has also been upgraded. Teachers and their dependents will now be entitled to ambulance, fixed-wing aircraft, and helicopter evacuation within East Africa.

The scheme confirms: “This benefit allows for emergency transportation… using road ambulance, fixed-wing and helicopter services within East Africa.”

To maintain integrity, TSC has warned against abuse of the scheme. Teachers are reminded that “Teachers are strongly advised to desist from engaging in fraudulent activities, which may lead to disciplinary action.”

By Joseph Mambili

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