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TSC, SHA reassure teachers on comprehensive medical cover

Acting CEO Mitei said TSC had “combed every rule book” and reviewed every regulation governing medical schemes.

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by SHARON MWENDE

News12 November 2025 - 15:56
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In Summary


  • Mitei said the commission had been engaging all key stakeholders, including unions and teacher associations, to ensure the process protects teachers’ benefits.
  • "We have walked through the Minet journey, and now we want to shift gears and see what the Public Officers Medical Scheme Fund has to offer our teachers.”
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TSC Acting CEO Evaleen Mitei and SHA CEO Mercy Mwangangi during the KEPSHA meeting in Mombasa on November 10, 2025/ TSC

The Teachers Service Commission (TSC) and the Social Health Authority (SHA) have reassured teachers that the migration from Minet Kenya to the government-managed Public Officers Medical Scheme Fund, will ensure that they receive better health packages.

Speaking during the KEPSHA/KCB National AGM and Conference in Mombasa on Wednesday, TSC Acting CEO Evaleen Mitei said the commission had been engaging all key stakeholders, including unions and teacher associations, to ensure the process protects teachers’ benefits.

“Teachers, let’s not perish for lack of knowledge,” Mitei told delegates.

“We have all the information on the comprehensive medical scheme that we have prepared for teachers. This journey started way back in 2015," she said.

"We have walked through the Minet journey, and now we want to shift gears and see what the Public Officers Medical Scheme Fund has to offer our teachers.”

She said the commission had “combed every rule book” and reviewed every regulation governing medical schemes to guarantee compliance and quality service.

“We have engaged with all our key stakeholders and received policy direction from our Board on what to include in the medical scheme to ensure that teachers get a comprehensive cover,” she said. “We’ve worked this journey with SHA.”

Mitei added that the TSC’s goal is to ensure a smooth transition from the current Minet-managed medical scheme to the Public Officers Medical Scheme Fund, which will operate under the broader framework of the Social Health Authority (SHA).

She assured teachers that the TSC would continue to prioritise their welfare as the medical cover transitions into the government-managed system.

“We have walked this journey carefully with all stakeholders to ensure our teachers get a cover that is comprehensive, transparent and responsive to their needs,” she said.

She urged teachers to familiarise themselves with the ongoing reforms and to take advantage of the available information on the new framework.

“We want every teacher to have confidence in this system. It’s been a long journey and it is for your health and well-being,” Mitei said.

The new scheme is set to take effect on December 1, 2025, following a meeting between union leaders, SHA and Teachers Service Commission (TSC) officials in Nairobi, where they apprised themselves of the migration details.

The union leaders were drawn from the Kenya National Union of Teachers (KNUT), Kenya Union of Post-Primary Education Teachers (KUPPET), and Kenya Union of Special Needs Education Teachers (KUSNET).

In her remarks, SHA Chief Executive Officer Dr Mercy Mwangangi said the government’s health sector reforms are already improving outcomes, with Kenya’s life expectancy rising from 63 years in 2023 to 67 years in 2025.

She attributed this to increased investment in primary healthcare and preventive programmes that make care more accessible and affordable.

“For the first time, we have a government investing in primary healthcare services, ensuring that every Kenyan has access to a preventive and promotive package,” Mwangangi said.

Over the past 13 months, she said, six million Kenyans had received free services in health centres across the country under the Primary Health Care Fund (PHCF).

Parliament has since appropriated Sh13 billion for primary healthcare, up from Sh1.8 billion, representing an eightfold increase.

As of November 2025, 27.4 million Kenyans had registered with SHA.

Mwangangi urged teachers to support the government in rallying Kenyans to register with SHA.

“My dear teachers, you are such an important constituent, meeting with parents, students and the community. I want you to support us and be champions of ensuring Kenyans register so that they can access primary health care services,” she urged.

Dr Mwangangi outlined the three funds managed by SHA including the Primary Health Care Fund (PHC) - finances preventive and promotive care at public health facilities, Social Health Insurance Fund (SHIF) – a contributory scheme funded through a 2.75 percent deduction from employees’ payslips, offering comprehensive inpatient and outpatient care.

The third is the Emergency, Chronic and Critical Illness Fund (ECCI), which supports emergency and high-cost treatments, including accidents and life-threatening conditions.

“We have Sh8 billion for emergency care,” Dr Mwangangi said. “Any Kenyan who needs emergency services for the first 24 hours does not need to be registered with SHA. You just have to be in the country and you’ll receive care.”

She said that from January, 2025, President William Ruto will launch a national emergency evacuation service that allows Kenyans to dial a short code for an ambulance to the nearest SHA-designated facility.

“After the first 24 hours of emergency care, your comprehensive cover under SHA will take effect,” she explained.

The SHA CEO said service efficiency had improved, with pre-authorization times averaging 4.5 minutes across a network of 10,451 accredited providers, including public, private and faith-based hospitals at levels 4, 5 and 6.

She added that SHA is working with schools and communities to address vulnerable groups, including teenage mothers.

“We have a budget to cover 100,000 teenage mothers across the country,” she said. “We will partner with teachers to help mobilise them to access care.”

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