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Kyambogo Council Approves Medical Insurance for Staff :: Uganda Radionetwork
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Kyambogo Council Approves Medical Insurance for Staff

Kyambogo University Council has approved medical insurance scheme to cover medical and surgical expenses for staff. All employees of the University on permanent and contractual terms are to enrol after showing proof of employment with the University. The maximum age for being a member of the medical insurance scheme has been set at 74 years.
Kyambogo University Council has approved medical insurance scheme to cover medical and surgical expenses for staff.

 

Accordingly all employees of the University on permanent and contractual terms are to enrol after showing proof of employment with the University. The maximum age for being a member of the medical insurance scheme has been set at 74 years.

 

The scheme will be funded through a contributory basis by both the staff and the University where each staff is expected to contribute 2% of their monthly gross salary towards the agreed premium deducted directly from source.

 

The staff insurance scheme has been designed to cater for one registered spouse with the University and up to four biological children or legally adopted, 21 years and below, who are registered with the University.

 

Under this scheme, the staffs are to receive outpatient services covering routine outpatient consultation, Diagnostic Laboratory and Radiology services, including CT/MRI Scans, Antenatal check-ups and postnatal care up to six weeks post-delivery, Optical Services (Only one frame allowed per annum), HIV related conditions and prescribed ARVs up to the prescribed sublimit.

 

The inpatient services are to include Hospital Accommodation Charges, Professional fees, for all cadres of Doctors and other Healthcare Professions involved in inpatient care; Intensive Care Unit (ICU and Theatre charges; Prescribed Drugs/Medicines, Dressings and Internal Surgical appliances; Pathology (Diagnostic Lab Tests), X-ray, Ultrasound and ECG.

 

Other services will include Computerized Tomography, MRI Scans; Inpatient and Day Care Radiotherapy and Chemotherapy; Prescribed In-patient Physiotherapy; Day care surgery; and Hospital accommodation for accompanying parent and/or guardian for hospitalized children below seven years.

 

Kyambogo University has a Medical Centre which provides health services to both staff and students as well as referrals to both staff and students to other designated health facilities on cases which cannot be provided for at the Centre.

 

But Professor Eli Katunguka Rwakishaya, the University Vice Chancellor says staff members who fall sick while on official duty outside the University premises face limitations in accessing medical services since they may not be able to obtain referrals.

  

Prof. John Okedi, the University Council Chairperson says the Medical Centre does not have capacity to deal with all the medical needs for most of the staff and consequently, the staff are referred to designated health facilities and hospitals.

 

"This arrangement has become a challenge in the provision of medical services to staff due to the fact that one has to pay all the medical bills and claim 80% of the total cost from the University later," says Prof Okedi.

 

Authorities at the University argue that the arrangement undermines the provision of proper and timely health services since many staff members may not afford to pay before accessing medical services.

 

The university council members contend that some of the designated health facilities where staff are referred lack specialised medical services. And that this in most cases leads to another referral.

 

 It is also a requirement that staff obtain a referral letter from the University medical Centre before receiving treatment elsewhere. "If one stays far from the University, he or she cannot be able to claim if he or she gets treated elsewhere without such referrals," Prof. Okedi.

   

In Financial Year 2015/16, the medical expenses for treating staff at the Medical Centre and medical refund claims totalled 383 million shillings. The university authorities, however, argue that a small fraction of staff actually submit claims for a refund.

  

As a result, Kyambogo University has concluded plans to acquire and implement a family medical insurance cover scheme in order to improve health service delivery for staff and their dependants.

   

The development comes days after Makerere University Council approved a similar policy and procured International Air Ambulance – IAA to provide health insurance, medical services and treatment to staff.

 

Makerere has so far committed a total of 1.7 billion shillings towards individual staff insurance scheme every year effective 2018/2019 financial year.

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