How does Medical Care work under the National Social Security Fund (NSSF) in Tanzania?

The National Social Security Fund (NSSF) in Tanzania provides employees with a range of benefits, including medical care, to ensure their health and well-being. Here's a detailed look at how the NSSF medical care benefit works and what employees need to know to access these services.

Employee Contributions and Medical Care Coverage

Contribution Rate: Employers are required to contribute 10% of an employee’s gross salary to the NSSF. This contribution is made on behalf of the employee and is part of the broader social security benefits provided by the fund, which includes medical care, retirement pensions, maternity benefits, and more.

Eligibility for Medical Care: To qualify for medical care benefits under the NSSF, employees must have contributed to the fund for a minimum period of three months. This initial contribution period ensures that the fund is sustainable and that employees are actively participating in the social security system.

Choosing a Hospital

Once an employee has met the three-month contribution requirement, they are eligible to select a hospital where they can receive medical care covered by the NSSF. The process involves filling out a form provided by the NSSF, where employees can choose from a list of designated hospitals. This selected hospital becomes the employee’s designated facility for all medical services under the NSSF plan.

Using the NSSF Card for Medical Treatment

Accessing Medical Services: After fulfilling the necessary contribution period and choosing a hospital, employees can use their NSSF card to access medical services. The NSSF card acts as proof of eligibility and ensures that the employee receives the medical care they are entitled to under the plan.

Preferential Treatment: The NSSF card allows employees to receive preferential treatment at their designated hospital. This means that employees can access necessary healthcare services, including consultations, treatments, and medications, without the financial burden typically associated with medical expenses. The NSSF plan is designed to provide comprehensive care, ensuring employees receive the medical attention they need in a timely and efficient manner.