Teachers’ medical service provider, AON MINET, while giving some of the challenges they face, clarified some situations where teachers will not pay ksh. 50 for consultation whenever they seek services from MINET accredited hospitals.

Without knowing, teachers have been paying the ksh. 50 prior to being attended to even in cases where they should not pay it.

MINET CEO Sammy Muthui has stressed on the seven-day rule, threatening to withdraw contracts of facilities that abuse that rule.

According to the rule, teachers who attend a particular hospital with a similar condition within a span of seven days should not pay consultation fees. However, hospitals breech this rule and get money from teachers even minus probing the last time they were there.

According to Muthui, many facilities have been blacklisted and others presently put under investigations for abusing the seven-day rule.

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“If a patient is treated for a condition and within seven days returns to the hospital to be cared for over the same ailment, they should not be charged. The member should never be asked to pay out of pocket. But we have had cases where this rule has been breached and patients asked to pay money or turned away. This is fraud and we take it seriously,” he said.

Muthui said as per the capitation agreement they signed with the service providers, health facilities are required to provide quality services to all the teachers without warranting a return to the hospital for primary healthcare, unless for a different diagnosis or a complication.

“In fact, hospitals are not supposed to even discuss the seven-day rule. They are just required to offer services as per the agreement. But we have had to blacklist many facilities for this misbehaviour,” said Muthui.

There are 607 medical service providers available on both direct and referral access.

Muthui, however, said the fraud has been detected in just a small fraction of the health facilities contracted to treat teachers and their dependents.

“We have a small number of service providers that we are already investigating and we are taking disciplinary action against them because they provide poor services that are not impressive under the scheme,” he said.

Muthui said they have embarked on a new system of rating hospitals listed under the scheme and noted that those that will post poor scores will be struck off the roll.

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“We pick facilities that are accredited by the government, but it is emerging that somewhere along the way some of them start to provide dismal services,” he said.

“We are talking about public funds and we have a duty to care. We have a legal and investigations department dealing with these. As we speak, many cases are under investigation and dozen others in court,” added Muthui.

Teachers service provide Aon Minet has introduced an app, deemed walimucare app to enhance better medical service among the teaching staff. The app was developed after there emerged several complaints among teachers. Some of the complaints included, among others; poor services, inadequate specialized medical personnel and lack of drugs in some hospitals. To visit your preffered healcare service, click here.

Walimucare app is projected to solve all these problems. Through the walimucare app, registered teachers will be able to access the following services;

• Order for medication
• Find a minet accredited hospital close to them
• Manage their dependents list by adding more dependents
• Give feedback on medical services for instant action
• Track hospital visits
• Get access to covid-19 health tips

Apart from the app, minet has also developed most of its healthcare service providers. For instance, it has broken its contract with some of the hospitals that were giving teachers a raw deal for dirty gains, and signed new contracts with more competent health facilities.

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Minet has also increased the number of health care providers, and tried to install facilities even in village market centres to save teachers the agony of spending too much money travelling to access services in towns. In case of any harrasment at any hospital, teachers are free to speak to the minet managers here.

To access walimucare app, all that teachers need is a smart phone. Walimucare app can be downloaded from google play store.

The teachers’ health service provider, AON MINET, has assured teachers of an enhanced comprehensive medical cover. This comes a few days after nominated senator Rose Nyamunga triggered a probe into the teachers’ medical scheme by the senate committee on education. Nyamunga accused AON MINET of humiliated teachers and offering them very substandard services, among other wrongs.

So far, TSC and the teachers unions, KNUT and KUPPET have been interrogated by the senate committee on education.

AON has reacted to the senator’s sentiments on twitter by posting that teachers can now enjoy enhanced comprehensive medical cover. In her twitter handle timeline, AON MINET posted in part, “teachers and their dependants can now access the benefits below at any of our accredited facilities across the country.” The benefits tabulated in the screen shot below are indeed comprehensive, as per the report from thorough analysis by a team of medical experts interviewed by elimupedia team.

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According to Minet, the comprehensive cover will be enjoyed by :

• All the teachers employed by the Teachers Service Commission and are actively in service, between age 18 up to the mandatory retirement age.
• One legal spouse to the teacher.
• Four biological or adopted children of the teacher, aged between 0 and 18 years. For teachers in post secondary learning institutions, the age limit for the children will be between 0 to 25 years. Dependants having disabilities will enjoy these covers till death since there is no age limit for children with disabilities.

Read also: List of AON MINET Accredited Hospitals in Kenya

All TSC employed teachers who are actively in service are automatically eligible beneficiaries of AON MINET medical scheme as principal members with full benefits.

TSC praised AON MINET, claiming it is the best medical scheme in the country and within the region. These sentiments were echoed by KNUT, secretary general Wilson Sossion and KUPPET secretary general, Akello Misori.