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Medical cover for civil servants, teachers, police and prisons officers (POMSF via SHA)

Social Health Authority · sources read 2 Oct 2026

If you're a civil servant, TSC teacher, or police or prisons officer, your employer's medical scheme is run by SHA under the Public Officers Medical Scheme Fund (POMSF). Go to a facility on SHA's approved POMSF list; SHA cover is used first, then your scheme, and the hospital can't charge you while your limits last.

Fee
We couldn't confirm a fee from the official page. Check it there before you pay.
Where
At any SHA-approved POMSF hospital or clinic. Questions: SHA toll-free 0800 720 601.
Go to SHA

Steps

  1. Find a hospital or clinic on SHA's approved POMSF list on sha.go.ke. Police and prisons officers also have their own contracted-facilities list.
  2. At the facility, staff check your scheme and eligibility on SHA's system before non-emergency treatment.
  3. For admission, surgery, costly scans or chronic care, the hospital gets SHA pre-authorisation first.
  4. Your SHA cover is charged first, then your employer scheme pays within your limits.

Watch out

  • The hospital can't charge you or ask for a deposit while your benefit limit isn't used up and your treatment is approved. Emergencies are treated without a deposit.
  • At some higher-tier hospitals, TSC cover only applies from Job Group D, and police and prisons cover only for Job Groups M to T.
  • What you're covered for, and how much, depends on your employer and job grade.

Who can apply

  • Public officers: people appointed by the Public Service Commission to a ministry or state department, staff of the Attorney-General's office, and staff of other public bodies that pay into the Fund.
  • Members of the Civil Servants Medical Scheme.
  • Teachers employed by TSC.
  • Officers of the National Police Service and Kenya Prisons Service.
Official sources (5)
  1. Part B4 - Public Officers Medical Scheme Fund Contract (HCP contract 2026-2029) sha.go.ke · read 2 Oct 2026
  2. Annexure B4-A - POMSF Employer Scheme Access Matrix sha.go.ke · read 2 Oct 2026
  3. Approved list of Public Officers Medical Scheme Fund (POMSF) Healthcare Providers sha.go.ke · read 2 Oct 2026
  4. Contracted Facilities for the National Police Service and Kenya Prisons Service sha.go.ke · read 2 Oct 2026
  5. POMSF Payments Report (SHA contact footer) sha.go.ke · read 2 Oct 2026

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