What SHA covers and how to get treated
Social Health Authority · sources read 30 Sep 2026
Once you're registered with SHA, go to a SHA-contracted facility. Primary care at Level 2, 3 and some Level 4 facilities is free, and emergency, chronic and critical illness care is covered; hospital care at Level 4 to 6 (SHIF) needs your contributions to be up to date.
- Fee
- We couldn't confirm a fee from the official page. Check it there before you pay.
- How long
- No waiting period. You can use services as soon as you're registered.
- Where
- At any SHA-contracted health facility; check your mapped facility on Afya Yangu
Steps
- Log in to Afya Yangu and open the Health Facility tab under your profile to see the primary care facility you're mapped to.
- For free primary care, go to a Level 2 or 3 facility near you. For specialised care, you can visit any facility.
- At the facility, confirm who you are with your biometrics. If that fails, a one-time code (OTP) is sent to your registered phone or email.
- If you need higher-level hospital care, you're referred to a Level 4 to 6 contracted facility and SHIF pays, as long as you're registered and paid up.
Watch out
- If your contributions lapse you still get primary care and emergency, chronic and critical illness care, but not SHIF hospital care at Level 4 and above.
- Some procedures, like certain surgeries, need SHA approval first. SHA gives it within 72 hours.
- Unpaid SHA penalties can block your access to services until you pay.
Who can apply
- Registered SHA members and their dependants. There is no waiting period after you register.
- Primary Health Care Fund: outpatient visits, tests, X-rays, medicines, immunisation, and maternal and child health care.
- SHIF: hospital stays, surgery, maternity and newborn care, mental health care, kidney care and cancer treatment.
- Emergency, Chronic and Critical Illness Fund: ambulance, accident and emergency treatment, intensive care, and care for long-term (chronic) illnesses.
Official sources (12)
- Primary Healthcare Fund sha.go.ke · read 30 Sep 2026
- Social Health Insurance Fund sha.go.ke · read 30 Sep 2026
- Emergency, Chronic & Critical Illness Fund sha.go.ke · read 30 Sep 2026
- Can I register and receive services on the same day? sha.go.ke · read 30 Sep 2026
- Can I choose my healthcare providers and facilities under SHA? sha.go.ke · read 30 Sep 2026
- How can one check their preferred facility? sha.go.ke · read 30 Sep 2026
- What if biometric data doesn't work during a visit? sha.go.ke · read 30 Sep 2026
- What is the difference between SHA and SHIF? sha.go.ke · read 30 Sep 2026
- Can a member be removed due to non-payment? sha.go.ke · read 30 Sep 2026
- I am in the hospital for surgery, and I am being asked to wait for SHA approval. Why? sha.go.ke · read 30 Sep 2026
- How is healthcare access linked to penalty payment? sha.go.ke · read 30 Sep 2026
- Contracted Facilities sha.go.ke · read 30 Sep 2026