How To Check SHA Coverage Status: Step-by-Step Guide

With the transition from NHIF to the Social Health Authority (SHA) in Kenya, many citizens are wondering how to verify if they are covered under the new national health insurance system. Knowing your SHA coverage status is essential – it determines whether you are eligible for healthcare services under SHA or if you need to register and start making contributions.

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This guide explains what SHA coverage means, how to check your SHA coverage status step by step, and what the results mean for you.

What is SHA Coverage Status?

SHA coverage status refers to whether or not you are currently registered under the Social Health Authority (SHA) and are making the required monthly premium contributions. If you are covered, it means you are eligible to access government-supported health services under the SHA system.

You are considered “Covered” if:

• You have successfully registered under SHA.
• You are actively making contributions or are exempt (e.g., through government support).

You are considered “Not Covered” (or “Record not found”) if:

• You have not registered under SHA.
• Your registration is incomplete.
• You are not making contributions.

Checking your SHA coverage status is free and can be done online in just a few minutes.

Why Checking SHA Coverage Status Matters

It is very important to verify your SHA coverage status for the following reasons:

• Access to Health Services: Only covered individuals can receive health benefits under SHA.
• Compliance: Regular contributions keep you in good standing with SHA.
• Early Action: If you’re not covered, you can take steps immediately to register or update your records.
• Avoid Interruptions: Prevent any gaps in access to health services, especially during emergencies.

Step-by-Step Guide to Check SHA Coverage Status in Kenya

Here is how you can easily check your SHA coverage status online:

Step 1: Visit the Official SHA Website

Start by visiting the official SHA website: https://sha.go.ke

This is the main portal for the Social Health Authority in Kenya. The site contains resources for registration, contributions, and eligibility checks.

Step 2: Click on ‘RELATED SITES’ and Select ‘Eligibility’

Once on the SHA homepage:

• Scroll down to the footer or menu section of the site.
• Click on “RELATED SITES.”
• Select the option labeled “Eligibility.”

This will redirect you to the SHA eligibility portal where you can check your coverage status.

Step 3: Go to the SHA Eligibility Portal

The link to the eligibility checker is: https://eligibility.sha.go.ke/

This is the SHA verification system that pulls up your SHA registration status based on your personal identification number.

Step 4: Enter Your ID Number or CR Number

On the eligibility page:

• Enter your National ID Number or CR Number

Ensure the number is typed correctly and then click “Check” or press Enter.

Step 5: View Your SHA Coverage Status

After submitting your ID or CR number, you will receive one of the following results:

1. Covered

If you are registered and contributing to SHA, you’ll see a status like:

• Status: COVERED

This means your registration is active, and you are currently covered for healthcare services under SHA.

2. Not Covered / Record Not Found

If your details are not found, the system will display something like:

• Status: Record Not Found

This means you are not yet registered or there is a problem with your registration or contributions.

What to Do If You Are Not Covered

If the result shows “Not Covered” or “Record Not Found”, take action immediately:

• Register on the SHA Portal: Go to https://sha.go.ke and complete the registration process.
• Start Making Contributions: Pay your monthly SHA premiums through the designated mobile or bank payment channels.
• Contact SHA Customer Support: If you believe you should be covered but are not, reach out to SHA customer support for help.

SHA Contributions: What You Should Know

As of 2024, SHA requires mandatory contributions from:

• Employed Kenyans
• Self-employed individuals
• Informal sector workers

Premiums are calculated based on income brackets and payment channels include M-PESA and employer deductions. If you fail to contribute, your coverage may lapse, and your status will show as Not Covered.

Common Issues While Checking SHA Coverage Status

• Incorrect ID or CR Number: Double-check for typos.
• New Registrations: It may take a few days after registration for your status to be updated.
• Website Downtime: Sometimes the SHA eligibility portal may be temporarily unavailable.

Knowing your SHA coverage status is essential for every Kenyan. It ensures that you can access essential healthcare services without delays or unexpected costs. The process is simple, quick and can be done online in minutes.

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Whether you’re checking for yourself, your children or dependents, following the correct steps will help you confirm your SHA registration and contributions status.