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The Social Health Authority medical scheme is failing teachers despite continued salary deductions, the Kenya Union of Post-Primary Education Teachers, Uasin Gishu branch, has warned.

The union said many teachers are increasingly struggling to access healthcare services despite ongoing deductions.

Kuppet Uasin Gishu executive secretary Elijah Maiyo said the current structure of the Public Officers Medical Scheme Fund (POMSF) has introduced what the union terms “oppressive and exploitative” conditions, negatively affecting both teachers and their dependents.

Maiyo said teachers are now required to pay cash for outpatient services, with a fixed limit of Sh2,500 per visit.

He noted that the amount falls far short of meeting the rising cost of healthcare, particularly for those dealing with chronic illnesses, specialist consultations, laboratory tests and prescribed medication.

He further argued that the burden has been unfairly shifted onto teachers, forcing many to meet medical expenses out of pocket despite making regular contributions to the scheme.

As a result, a growing number of educators are said to be under financial strain, especially those supporting family members with long-term health conditions.

The union also cited delays in medical approvals for hospital admissions and discharges, alongside administrative bottlenecks that are reportedly hindering timely access to treatment.

In addition, Kuppet said restrictions placed on dependants have made it difficult for teachers’ families to fully benefit from the cover.

Maiyo pointed to forced registration procedures and systemic inefficiencies as factors worsening the situation, leading to disruptions in service delivery at health facilities across the country.

The union is now calling for urgent and comprehensive reforms within the SHA framework, warning that the current model risks undermining access to quality and timely healthcare for teachers and their families.

The branch has issued a seven-day ultimatum, cautioning that failure to address the concerns could prompt further action from its members.

“We are asking the government to look into the challenges affecting SHA operations, failure to which we will review our position on the scheme,” Maiyo said.

He warned that teachers could withdraw from the scheme altogether if the government fails to resolve the issues raised.