Did You Know: With TSC Scheme, Your Teeth And Eyes Are Covered

Within the TSC Medical Scheme, dental health is a top priority, and members can access an extensive range of dental services. This comprehensive coverage includes dental consultation and anesthetist fees, ensuring members can seek professional dental guidance without financial concerns.

Additionally, the scheme covers essential dental procedures such as Dental X-rays, Root canals, Fillings, Tooth extractions, and even accident-related dental treatments. Scaling, prescribed by a dentist due to a prevailing medical condition, is also included.

The scheme provides coverage for those unfortunate instances where dentures are necessitated by an accident or injury, and members will be required to produce an OB and a doctor’s report as proof. This additional assurance ensures that members receive the support they need when faced with unexpected dental challenges due to accidents or injuries. It’s important to note that there is no cover for cosmetic reasons, such as cases where an individual opts for dentures that do not affect their living condition. The scheme focuses on providing essential dental care and support in situations that significantly impact an individual’s well-being.

Furthermore, the TSC Medical Scheme understands that dental health goes beyond the basics. Therefore, it offers coverage for Deformation Surgery and Dental Crowns. These services are essential for individuals who require specialized dental care.

Read Also: A Letter To A Kenyan Teacher: Why Within The TSC’s Scheme Health Is The Most Precious Asset

These dental services are available in paneled facilities, which members can conveniently select using the USSD code *202*06#. This feature empowers teachers and their dependents to choose accredited facilities near them, ensuring easy access to dental care. In cases where challenges arise, or assistance is needed, our dedicated call center is just a phone call away at 1528/0730604000, ready to provide the necessary support.

Optical Benefits:

In addition to dental coverage, the TSC Medical Scheme strongly emphasizes eye health through its Optical Benefits. This benefit covers a range of eye-related expenses, ensuring members can maintain good vision and eye health.

Members can enjoy coverage for the cost of lenses and frames. However, it’s important to note that frame replacement within one year is not allowed unless necessitated by a medical condition and prescribed by an ophthalmologist. This provision encourages the responsible use of optical benefits while ensuring that members receive what they need when it’s medically necessary.

Moreover, the scheme extends coverage to Prescriptions for ophthalmic treatment and eye lenses, offering assistance with the cost of necessary prescriptions and lenses. Additionally, if prescribed by an ophthalmologist, members can benefit from coverage for Ophthalmic ultrasound, further enhancing their eye care.

These optical services are also available in paneled facilities, and members can easily select an accredited facility near them using the USSD code *202*06#. This convenient feature empowers individuals to access quality eye care. In cases where assistance is needed, our dedicated call center at 1528/0730604000 is always ready to assist.

Read Also: What Outpatient Benefits Does A TSC Teacher Get?