For many couples, the journey to parenthood can be emotional, stressful, and sometimes financially challenging. There is now good news for families in Kenya seeking fertility treatment.

Social Health Authority (SHA) has now included IVF treatment under Assisted Fertility Treatment for eligible members through the Provider Portal. This means qualifying patients can now access IVF support at Fertility Point.

 

What does this mean for patients?

If you are a member under eligible POMSF schemes, part of your IVF treatment costs can now be covered by SHA, depending on your cover plan and eligibility requirements.

This support is intended to help couples facing infertility challenges access treatment while reducing their financial burden.

 

Who is eligible for the IVF benefit?

The IVF benefit is available only for:

  • Principal members under POMSF schemes (TSC, NPS, Civil Servant)
  • Their declared spouses

 

IVF cover limits

The amount covered under TSC/Mwalimu is KES 600,000, while the amount covered under other schemes is KES 400,000.

The cover amount applies to the full IVF treatment cycle, including any approved second attempt.

 

What IVF services are covered?

The IVF benefit shall cover one complete treatment cycle, including:

 

1. Diagnostic & Pre-Treatment Services

  • Baseline pelvic scan
  • Hormonal blood tests and fertility assessment
  • Specialist consultations and treatment planning

 

2. Ovarian Stimulation & Monitoring

  • Monitoring scans
  • Hormonal tracking
  • Ongoing clinical consultations

 

3. Oocyte Retrieval

  • Egg retrieval procedure under sedation
  • Theatre and related procedural costs

 

4. Laboratory Procedures

  • Sperm and egg preparation
  • Fertilization (including ICSI (Intracytoplasmic Sperm Injection) where clinically indicated)
  • Embryo culture and monitoring (up to blastocyst stage where applicable)

 

5. Embryo Transfer

  • Fresh embryo transfer procedure

 

6. Medications

  • Ovarian stimulation drugs
  • Trigger medications
  • Luteal phase support (including progesterone)

 

7. Confirmation of Pregnancy

  • Initial pregnancy test (B-hCG)
  • First obstetric ultrasound scan

 

Exclusions: The following shall not be covered;

  • Embryo, oocyte, or sperm storage costs, including cryopreservation, maintenance, and long-term storage beyond the approved storage period.
  • Donor eggs or donor sperm.
  • Surrogacy arrangements and related services.
  • Preimplantation Genetic Testing (PGT-A/PGT-M).
  • Gender selection procedures, except where medically indicated.
  • Experimental, investigational, or otherwise unproven/non-evidence-based fertility treatments or procedures..

 

Important conditions to know

Access to IVF treatment shall be available to Principal Members and/or their declared spouses, subject to the following:

  1. The beneficiary has a documented diagnosis of infertility by a registered fertility specialist.
  2. Both primary and secondary infertility are eligible for coverage.
  3. The benefit shall be limited to a maximum of two (2) IVF attempts per beneficiary over their lifetime
  4. Eligibility is not affected by whether either partner has children from previous relationships.
  5. The female partner must be aged 45 years or below at the time treatment begins Both primary and secondary infertility shall be eligible, provided, for secondary infertility, the couple has no living child at the time of treatment e) All cases must be supported by documented clinical diagnosis and specialist recommendation.
  6. All services are provided by SHA-contracted fertility centres.

 

Approved IVF facilities

SHA will only approve IVF claims from selected accredited fertility centres.

The approved facilities are:

  • Fertility Point (Afrihospital Holding Limited)- Mombasa
  • Fertility Point (NMC-Fertility Kenya Limited)- Upper Hill, Nairobi

 

Why this matters?

Infertility affects many families quietly. Access to fertility treatment has often been difficult because of high treatment costs. The inclusion of IVF support under SHA is an important step toward giving more couples hope and access to care.

At Fertility Point, we understand that every fertility journey is personal. Our team is ready to walk with patients through consultation, evaluation, treatment, and support with compassion and care.

 

Need guidance?

Our team will help explain the process, eligibility, and available treatment options in a simple and supportive way. Patients can call us on +254 792 111 222 or email us at enquiry@fertilitypoint.co.ke for guidance and support on their fertility journey with Fertility Point.