Finding quality healthcare when you need it shouldn’t be a stressful experience. With the introduction of the Social Health Authority (SHA) in Kenya, accessing affordable medical services has become more streamlined. However, knowing which hospitals accept SHA coverage near your location can save you time, money, and unnecessary worry during medical emergencies or routine care visits.

Understanding SHA and Healthcare Access

The Social Health Authority replaced the former National Hospital Insurance Fund (NHIF) as part of Kenya’s healthcare reforms under the Universal Health Coverage (UHC) initiative. SHA aims to provide comprehensive health insurance coverage to all Kenyans, ensuring that quality healthcare is accessible and affordable regardless of your economic status. The system covers a wide range of medical services including outpatient care, inpatient treatment, surgical procedures, maternity services, emergency care, and chronic disease management.

Not all healthcare facilities in Kenya are accredited to accept SHA coverage. Accreditation means the hospital or clinic has met specific quality standards set by SHA and has entered into a contractual agreement to provide services to SHA members. This is why knowing which facilities near you accept SHA is crucial for maximizing your health insurance benefits.

Methods to Find SHA-Accredited Hospitals Near You

1. Use the Official SHA Provider List

The most reliable way to find SHA-accredited hospitals is through the official SHA provider network list. The Social Health Authority maintains an updated database of all accredited healthcare facilities across Kenya. You can access this comprehensive list at the SHA official website or through their dedicated provider search portal.

Visit the official SHA accredited facilities list here: https://www.sha.go.ke/facilities

This online directory allows you to search for hospitals by county, sub-county, or facility name. The list includes detailed information such as facility type (hospital, clinic, health center), services offered, contact information, and exact location. This resource is regularly updated as new facilities join the network or existing ones are removed.

2. Contact SHA Customer Service

SHA operates a customer service helpline that can provide real-time information about accredited facilities in your area. By calling their toll-free number, you can speak with a representative who will guide you to the nearest SHA-accepting hospital based on your location and specific medical needs. This is particularly helpful when you’re in an unfamiliar area or need specialized services.

The customer service team can also verify whether a specific hospital you have in mind accepts SHA coverage, saving you the inconvenience of arriving at a facility only to discover they’re not in the network.

3. Use the SHA Mobile App

For convenience and quick access on the go, download the SHA mobile application available on both Android and iOS platforms. The app features a facility locator tool that uses your phone’s GPS to identify SHA-accredited hospitals near your current location. The app also provides turn-by-turn directions, facility contact details, and information about available services.

Beyond finding hospitals, the app allows you to check your SHA coverage status, view your contribution history, and access your digital SHA card—making it an essential tool for every member.

4. Visit County Referral Hospitals

If you’re uncertain about where to seek care, county referral hospitals and major public health facilities typically accept SHA coverage. These include Kenyatta National Hospital, Moi Teaching and Referral Hospital, and all county-level referral facilities. While these may not always be the closest option, they serve as reliable fallback choices when you cannot immediately locate a nearby SHA facility.

5. Ask Your Employer’s HR Department

For those enrolled in SHA through formal employment, your human resources department often maintains a list of preferred SHA-accredited facilities. Some organizations negotiate additional benefits or establish relationships with specific hospitals to ensure their employees receive quality care. Check with your HR team for this information.

What to Do Before Visiting an SHA Hospital

Once you’ve identified a nearby SHA-accredited hospital, take a few preparatory steps to ensure smooth service delivery. First, confirm your SHA membership is active by checking your contribution status through the app or website. Ensure you have your SHA card—either physical or digital—as facilities require this for verification.

Call the hospital ahead of your visit to confirm they’re still accepting SHA patients and to inquire about any specific requirements for your type of visit. Some facilities may require referral letters for specialist consultations, while others accept walk-in patients for general services.

If you need emergency care, proceed directly to the nearest SHA-accredited facility. Emergency services are covered under SHA, and facilities are obligated to provide care regardless of referral requirements.

Maximizing Your SHA Benefits

Understanding your coverage package helps you make informed decisions about where to seek care. SHA offers different benefit packages, and knowing what’s covered ensures you choose facilities that can provide the services you need without unexpected out-of-pocket expenses.

Keep your SHA membership information updated, especially if you change residence or contact details. This ensures smooth communication and access to facilities in your new area.

Finding a hospital that accepts SHA near you is now easier than ever with these resources and tools. Take advantage of the official SHA directory, mobile app, and customer service to locate quality healthcare facilities in your area, ensuring you and your family receive the medical attention you deserve when you need it most.