Medical Administrators (K) Limited (MAKL), the long-serving healthcare administrator for the Teachers Service Commission (TSC) medical scheme, has issued new directives to healthcare providers and teachers ahead of the scheme’s expiration at midnight on November 30.
In a notice dated November 29, MAKL informed all contracted medical service providers that the TSC Medical Scheme will officially lapse on November 30 at 11:59 p.m., marking the end of the firm’s contract with the commission.
“This letter serves to formally notify you that the Teachers Service Commission (TSC) Medical Scheme will lapse at midnight on 30th November 2025, in accordance with the terms of our contract with the client. Consequently, Medical Administrators (K) Limited (MAKL) will cease providing healthcare administrative services under the TSC Scheme effective 1 December 2025,” read the notice.
MAKL Issues Fresh Guidelines to Hospitals and TSC Teachers Ahead of Medical Cover Lapse
The administrator has instructed hospitals to ensure that all teachers currently admitted under the scheme are fully discharged from MAKL’s system before the deadline. MAKL warned that any admissions, treatments, or services offered past the expiry time will not be recognized or covered under the TSC scheme.
“Any continued admissions, treatments, or healthcare services rendered beyond this date and time will not be considered MAKL’s liability, nor shall they be deemed authorized,” the notice further read.
Hospitals have also been directed to submit all pending claims promptly and in strict adherence to contractual documentation guidelines to avoid delays or disputes during the transition period.
Also Read: TSC Releases Criteria and Guidelines for Selection of Teachers Nationwide
MAKL further expressed appreciation to medical providers for their partnership over the years, noting that their cooperation has played a critical role in supporting the health needs of thousands of teachers across the country.
‘We extend our sincere appreciation for your continued support and invaluable partnership in managing our esteemed members. Your professionalism, dedication, and unwavering commitment have played a vital role in safeguarding the health and well-being of our members, and we are truly grateful for your consistent collaboration,” said MAKL.
The notice comes as TSC prepares to transition teachers to a new comprehensive cover under the Social Health Authority (SHA).
Benefits Teachers Will Enjoy Under SHA
The new scheme is designed to offer enhanced services and address previous challenges, such as limited healthcare facilities and delayed approvals.
The medical scheme, which will now be managed by SHA, has significantly increased the number of accredited health facilities, from about 800 under the previous scheme to more than 9,600 nationwide, including public, private, and faith-based hospitals.
Under the SHA coverage for teachers, each principal member (teacher) can include one spouse and up to five children. Provisions are also available for managing additional dependents.
Also Read: TSC Reveals Concerns That Prompted the Shift from Minet to SHA
In the new scheme, the approval and claims process is automated, which has reportedly reduced the turnaround time for authorizations, aiming to minimize delays.
In terms of the benefit structure, coverage limits are based on job groups, with higher job groups receiving more extensive coverage.
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