The New AON Minet medical cover for TSC Teachers and Staff; Benefits per Job Group and Medical Services

News Blaze Digital Team | April 26, 2024 | TSC News Portal | No Comments

More than 318,000 Teachers Service Commission employees, will now enjoy enhanced medical cover after the commission re-awarded AON Minet a three year contract. For the last four years AON minet has been providing medical services to tutors.

In the new contract, TSC has increased allocation of funds in each cover. The three year-contract will cost whooping ksh9bn. Teachers covered by AON Minet will enjoy the following enhanced insurance packages;

Inpatient
Outpatient
Optical
Dental
Maternity
Group Life
Last Expense (Funeral)

Teachers will only be required to pay sh50 as a copay for dental, optical and outpatient doctor consultation services fee will not apply on repeat visits for above services within seven (7) days from date of previous visit or when picking medication for chronic conditions.

It is important to note that teachers will access treatment while in Kenya, Uganda, Tanzania or Rwanda. However, in cases where treatment is not available locally, international evacuation can be necessitated.

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TSC AON Minet Medical insurance enhanced packages in each Job Group/Grade

All teachers in each job group/grade have been covered and this is how they will benefit in the new enhanced medical cover;

Job Group/Grade	Inpatient	Outpatient	Optical	Dental	Maternity	Group Life	Last Expense(Funeral)
G/B5	750,000	100,000	45,000	45,000	100,000	450,000	200,000
H/C1	750,000	100,000	45,000	45,000	100,000	450,000	200,000
J/C2	750,000	100,000	45,000	45,000	100,000	450,000	200,000
K/C3	850,000	100,000	45,000	45,000	100,000	550,000	200,000
L/C4	1,000,000	150,000	45,000	45,000	100,000	550,000	200,000
M/C5	1,250,000	175,000	45,000	45,000	100,000	650,000	200,000
N/D1	1,500,000	225,000	45,000	45,000	150,000	650,000	300,000
P/D2	1,800,000	250,000	45,000	45,000	150,000	1,050,000	400,000
Q/D3	2,000,000	275,000	45,000	45,000	200,000	1,050,000	500,000
R/D4	2,500,000	375,000	45,000	45,000	200,000	1,050,000	600,000

Under dental, optical and maternity cover, teachers will enjoy the following services;

Cover	Benefits
Dental	Consultation and Anaesthetists fee
	Dental X-Rays and root canal treatment
	Tooth Extraction
	Scaling
	Dentures necessitated by an accident/injury and deformation surgery
Optical	Cost of lenses and frames
Optical	Prescription for ophthalmic treatment and eye lenses and ophthalmic ultra sound
Maternity	Routine antenatal Check up
	Delivery/Doctor’s fee
	Postnatal care up to six weeks post-delivery
	Routine Immunisations and baby friendly vaccines
	First emergency caesarean section (CS)
	Subsequent elective CS and normal delivery
	Pre-maturity/Pre-term
	Congenital Conditions

Registration Process

Teachers/ Principal Members

All teachers in active service with Teachers’ Service Commission (TSC) are automatically eligible for cover. The principal member is, however, required to register themselves and their dependants.
The registration process is done in two steps:
Unstructured Supplementary Service Data (USSD) registration and biometric registration.
Ensure you have the below mandatory details:
• TSC Number
• ID Number

Principal Member Registration

Step by step Guide:

Step 1: Dial *865# from your Safaricom or Airtel mobile phone number
Step 2: Key in your TSC and National ID Numbers when prompted. The details will be verified against the AON Minet database.
Step 3: If successful, you will be prompted to enter your name (surname and other name), role and gender. Once done, you will receive a message confirming your
successful registration onto the scheme and a prompt to register dependants.

Dependants Registration

THE REGISTRATION PROCESS
Step 1: Dial *865# from your Safaricom or Airtel mobile phone number
Step 2: Select the dependant you wish to register, i.e. spouse or child
Step 3: Enter Date of Birth, full name, ID Number/Birth Certificate Number

If not successful, kindly contact AON Minet on their call centre hotline numbers for further assistance.

THE BIO-METRIC REGISTRATION PROCESS

Biometric Registration is carried out at the service provider’s premises. It follows the steps below:
Step 1: Present yourself at the service provider on their active panel (you can access the list of active providers by dialing *340#)
Step 2: Identify yourself or your dependant with the TSC number
Step 3: The service provider will generate an SMS that contains the One-Time-Pin (OTP), sent to the principal member’s mobile number
Step 4: You will present this OTP to the service provider representative to kickstart the fingerprint registration
Step 5: You will be requested to place your index finger and thumb on the biometric device and the impressions will be recorded against your membership record
NB: Children under 5 years of age will be registered under either the parent or an
appointed guardian.

HOW TO ACCESS MEDICAL SERVICES

Members of the Teachers’ Medical Scheme can access any of AON Minet service providers on the Company’s online panel countrywide. This list is accessible by dialling *340# from your Safaricom/Airtel line. Follow the on screen prompts to access the service you desire.

REFERRAL AND SPECIALIST SERVICES

Instances where a member may require referral/specialist services include:
1. Where the service sought cannot be accessed directly such as an x-ray, MRI, chemotherapy or specialised services such as gynae care, oncology, etc.
In this instance the member will visit a primary healthcare service provider who will issue a referral letter to the member allowing them to seek the service at a referral service provider within AON Minet’s panel.
2. Where the service provider is not contracted to give a particular service.
In this instance, the service provider will issue a referral letter to the member indicating the service they seek and the name of the service provider they are referring the member to.