Health Cabinet Secretary Aden Duale has announced a new framework under the Social Health Insurance scheme that will now allow Kenyans to access specialized medical treatment abroad when such services are unavailable locally.
The initiative, that will be implemented through Social Health Authority (SHA), aims to ensure that no Kenyan is denied life-saving medical or surgical procedures while strengthening the national health system.
In a statement Saturday September 20, 2025, CS Duale said the process is guided by the Social Health Insurance Act 2023, its regulations, and the Public Procurement and Asset Disposal Act, ensuring transparency, accountability, and evidence-based decision-making.
He said beneficiaries must be up-to-date on contributions, and treatment abroad is only allowed at SHA-contracted facilities accredited in their home countries and linked to local providers for continuous follow-up care.
An initial list of 36 specialized services not available in Kenya has been gazetted, with more expected as Health Technology Assessments continue. Referrals will undergo peer review to confirm medical necessity, comply with the SHI benefits package, and stay within a maximum treatment limit of KES 500,000.
CS Duale added that the SHA Board of Directors has been tasked with empanelling and contracting overseas facilities and informing the public of approved providers to facilitate treatment approvals. He described the framework as a “new era of transparent, accountable, and high-quality medical care abroad for all Kenyans.”
