SHU-Managed Community Health Prepayment Scheme
Area of operation and target membership
The scheme currently operates in the districts of Kampala, Wakiso, Luwero, Nakaseke, Nakasongola and Masaka targeting formally and non-formally organized groups/ institutions/ organizations.
The scheme location
The scheme has 3 offices in Kampala, Luwero and Masaka districts.
The Management of the scheme
Save for Health Uganda manages the scheme and therefore plays the following functions;
a) Carrying out health insurance education to prospective and enrolled members
b) Developing the health insurance products
c) Managing members, the medical insurance beneficiaries and their complaints
d) Contracting and purchasing health care services
e) Managing the scheme funds
On the other hand, the members/ groups have the following responsibilities
a) Mobilizing and sensitizing group members about health insurance and the CHI scheme
b) Registering members and collecting premiums
c) Giving feedback to the scheme management and ideas for managing the scheme
A group enrolls to become a scheme member by signing an MOU with the scheme and pays a membership fee of UGX 20,000. The group appoints a contact person who acts as the scheme coordinator and afterwards provides bio data of the beneficiaries to the scheme management by filling in an annual group/ family members’ details. The scheme issues a premium invoice/ bill to the group which is a total sum of individual group member premiums for one year. The group management pays the premiums as one lump sum or two installments for all its group members. The scheme registers the prospective beneficiaries by capturing their figure prints. The group management makes a premium payment for each individual in the group. The scheme management issues the medical insurance cards and trains beneficiaries on their use. Group members (beneficiaries) with valid ID cards start accessing medical services from the contracted health care facilities.
Two months before the end of the group membership year, the scheme management issues a premiums bill for the following year.
The services offered by the scheme/ activities
1) Medical insurance with shared risk management
2) Health Insurance education to prospective and enrolled members
3) Advocacy for quality health care services
The scheme partners
Partner health care providers
Our future plans
1. Reaching out to more groups in Kampala, Wakiso,
2. Luwero, Nakasongola, Nakaseke and Masaka for enrollment
3. Contracting more health care facilities in the target districts to serve the target communities.
4. Developing more demand driven products to respond to the community’s health care needs.
Our office locations and contact persons
Plot 580, Sekabaka Kintu Road, Mengo – Rubaga,
P.O. Box 8228, Kampala
Tel : 077/070 -2318313
Kasoma zone, Luwero Town Council,
P.O. Box 123, Luwero
Mob: 0772/ 0701-188544
Twin tower building (Opp Stanbic Bank – Masaka Town, P.O. Box 16, Masaka
Off: Tel: 0414695182