Insurers won’t pay all Covid hospital bills in about-turn

Insurers won’t pay all Covid hospital bills in about-turn

A patient undergoes a coronavirus test at the Kenya Coast National Polytechnic in Mombasa on June 26. PHOTO | KEVIN ODIT | NATION MEDIA GROUP Ironically, the said public hospitals are almost full with most of them not conducting Covid-19 testing.

The government has a task to increase the number of testing facilities accessible to a common Kenyan.

The IRA told the Senate that insurers will not pay for treatment in private hospitals where bills range from Sh600,000 to Sh1.2 million.

Kenyan insurers have made an about-turn on paying Covid-19 bills in what has left hundreds of patients in hospitals high and dry.

When Kenya announced its first case of coronavirus in March, the Insurance Regulatory Authority (IRA) said it had met with players in the industry and agreed to cover bills for patients despite the World Health Organization (WHO) classifying Covid-19 as a pandemic.

The IRA said in a statement that it had held meetings with Association of Kenya Insurers (AKI) chief executive Tom Gichuhi and had agreed that insured victims would be covered.

“The public is hereby assured that the insurance companies will continue to provide their services to policyholders affected or infected with the virus,” said the regulator.

TURNING AWAY PATIENTS

But it appears all that was just public relations. On the ground, things are very different.

Insurers are turning away patients in droves, who despite having hundreds of thousands of shillings still unsent on their medical covers, on grounds that the classification of the Covid-19 disease as a pandemic meant that patients have to pay for their bills.

Last week, Atieno* went to a Nairobi hospital when her child had flu, sore throat and blockage of the nose. When they got to the reception, they were told that the directive from the management is that any patient seeking healthcare at the facility has to be tested for Covid-19, however, patients have to pay in cash Sh10,000 for testing. This is before they start treatment.Being that Ms Atieno also had flu-like symptoms, she decided to test along with her son. She paid Sh20,000. She had an insurance cover that was not able to carter for the expenses.She is not alone, Awino* also experienced the same when she went to a hospital and contacted her insurer after a test is done and all she was told that they only cover tests in public facilities.“Our insurance advised us. If you get tested […]

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