Table 9.
Comparison of the benefit packages across schemes
| Services | Enhanced schemes: (Civil servants and disciplined services scheme; County schemes, National Police Service and Kenya Prisons Service Medical Scheme [15, 18–20]) | National scheme and HISP [23] | |
|---|---|---|---|
| Outpatient | Consultation | Consultation | |
| Laboratory investigations | Laboratory investigations | ||
| Drug administration | Drug administration | ||
| Radiological examinations (basic x-rays) | Radiological examinations (basic x-rays) | ||
| Nursing and midwifery services | Nursing and midwifery services | ||
| Minor surgical procedures | Minor surgical procedures | ||
| Rehabilitation services | rehabilitation services | ||
| Referral for specialised services | Referral for specialised services | ||
| Dental care: | Dental consultation | Dental consultation | |
| Extractions | Extraction only | ||
| Surgical extractions (including doctors’ fees and theatre costs) | |||
| Root canal | |||
| Orthodontics | |||
| Dental Filling | |||
| X-rays | |||
| Dentures | |||
| Optical services | |||
| Vaccinations | KEPI vaccines | KEPI vaccines | |
| Rota virus vaccine | |||
| Anti-rabies | |||
| Anti-Snake venom | |||
| yellow fever vaccine | |||
| Emergency rescue services: | Local road ambulance | Local road ambulance | |
| Emergency air rescue | |||
|
Annual medical check-up i. Body mass index ii. Full Haemogram iii. Cholesterol iv. Blood sugar v. Gamma GT vi. Urinalysis vii. PSA (Prostate Specific Antigen for Men above 40) viii. Pap smear for all women ix. Mammogram |
|||
| Optical care | |||
| Specialized services | Renal dialysis | Renal dialysis | |
| Kidney care package (Renal dialysis and renal transplant) | Kidney care package (Renal dialysis and renal transplant) | ||
| Rehabilitation package: drug and substance abuse | Rehabilitation package: drug and substance abuse | ||
| Oncology: chemotherapy and radiotherapy | Oncology: chemotherapy and radiotherapy | ||
| Radiology: MRI, CT scan | Radiology: MRI, CT scan | ||
| Chronic illness: diabetes and hypertension | Chronic illness: diabetes and hypertension | ||
| Surgical services (Major and minor) | Surgical services (Major and minor) | ||
| Specialised laboratory tests | Specialised laboratory tests | ||
| Overseas treatment for conditions that warrant treatment not available in Kenya | Overseas treatment for conditions that warrant treatment not available in Kenya | ||
| Intensive care and High Dependency Unit | |||
| Last expense cover | |||
| In vitro fertilization | |||
| Hearing aids | |||
| Prosthetics | |||