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A fresh storm is brewing across the country as the Social Health Authority (SHA) quietly shifts its payment policy—demanding Kenyans pay a full year’s premium upfront before accessing healthcare services.
Previously, Kenyans were allowed to contribute monthly, making the scheme accessible to low-income earners. However, patients are now being turned away at hospitals unless they settle the entire Ksh12,460 annual subscription.
This abrupt change, which caught many off-guard, has triggered a flood of complaints online. Citizens are expressing disbelief and anger, citing cases where even those who had paid monthly contributions were denied treatment.
One affected Kenyan, John Nalugala, shared, “I paid Ksh1,030 for two months, but now I’m being told to pay the full amount. Is SHA for the rich only?” Another, Linda George, recounted how Level 4 hospitals refused to serve her unless she paid the yearly fee.
Adding fuel to the fire, those unable to pay upfront are being asked to take Hustler Fund loans to cover the cost—essentially pushing them into debt just to access medical services.
This development comes despite President William Ruto’s recent launch of the ‘lipa pole pole’ model, which was marketed as a flexible payment plan for informal sector workers. But under the new arrangement effective June 2025, the monthly model has been scrapped, and staggered payments are only possible through Hustler Fund loans.
The Ministry of Health has acknowledged the outcry. Medical Services PS Ouma Oluga has urged Kenyans to document their experiences. SHA CEO Dr. Mercy Mwangangi also promised to investigate the issue and update the public soon.
Meanwhile, thousands of Kenyans who trusted SHA for affordable healthcare are left stranded and disillusioned, as the reality of an expensive and inaccessible system kicks in.
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