Most Kenyans don’t know the health-care benefits from the
national insurer even as employers intensify calls for the new
deductions to be based on basic pay.
The Federation of Kenya Employers said it would meet the National Hospital Insurance Fund board today over the deductions.
Federation
boss Jacqueline Mugo also said employers want the benefits to be
enjoyed by workers immediately and not after three months.
“We
want the deductions based on basic pay and not gross pay as this will
affect other statutory deductions,” Ms Mugo said on Tuesday during the
federation’s western Kenya branch annual meeting at a Kisumu hotel.
The
implementation of the new rates started last month and has been a
constant source of debate with fear that the insurer may not handle
properly the projected Sh2.3 billion monthly collections.
Kenyans the Nation spoke to said they were not aware of the benefits.
Kenyans the Nation spoke to said they were not aware of the benefits.
However,
the hospital fund chief executive, Mr Simon ole Kirgotty, said: “There
will be no increase in the daily bed compensation that the fund pays to
hospitals,” he said.
While the old scheme paid only
hospital bed charges for members, the new one has introduced cover for
inpatient and outpatient to include spouses and children. It will also
have inpatient services in private and high cost hospitals on a
co-payment basis.
A worker at the fund’s Kisumu branch,
who sought anonymity, said even the staff were not enlightened on the
kind of benefits contributors were entitled to in the new scheme. Mr
Michael Oloo from Siaya said he overheard the information over the radio
and was in the hospital fund offices to know why he was being made to
pay more.
“I am not getting the right information. The
money is deducted from my pension and I want to understand the benefits
so that when I get to a hospital, I know what I am entitled to,” he
said.
Mr Oloo said he was only told that he would get outpatient services in the new scheme.
Mr
John Olewe could not understand why the deductions began in April yet
he would start benefiting in June. “What will happen if I become sick
between now and June?” he asked.
According to Mr
Kirgotty, beneficiaries will also be entitled to dialysis services at
Kenyatta National and Moi Teaching and Referral hospitals at a discount.
The scheme will also cover vasectomy and tubal ligation.
“The new cover does not exclude any disease,” he said in an email response to the Nation yesterday.
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