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Mutuelle de santé (CBHI) in Rwanda

Mutuelle de santé (CBHI) in Rwanda

Categories, amounts and how to pay on Irembo

Short answerChecked 31 October 2026
Mutuelle de santé, or Community Based Health Insurance (CBHI), is the household health insurance run by RSSB for Rwandans and residents who have no other medical insurance. Each person pays a yearly contribution set by the household's category: 4,000 Frw in Categories I and II (Category I fully paid by the Government, Category II 3,000 Frw from the member), 5,000 Frw in Category III, 8,000 Frw in Category IV and 20,000 Frw in Category V. You pay for the whole household on Irembo, by dialling \*909#, by Mobile Money or at a bank; the mutuelle year runs from July to June.
Pay mutuelle through the official channels
  • Online: irembo.gov.rw → Health → Community Based Health Insurance (Mutuelle); no IremboGov account needed.
  • By phone: dial \*909# and select Mutuelle (Irembo).
  • Other channels: commercial banks, Mobile Money and Irembo agents (RSSB).
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Answers come from the law, the regulator and the insurers' own documents, with the source under each answer. General information, not advice.

On this page · 6 sections
  1. What mutuelle de santé is and who joins
  2. How much mutuelle de santé costs in 2026
  3. How to pay mutuelle on Irembo or *909#
  4. The rules that trip people up
  5. FAQ
  6. Sources

What mutuelle de santé is and who joins

RSSB describes CBHI as "a solidarity health insurance system in which persons (families) come together and pay contributions" for medical care, covering Rwandans from both the formal and informal sectors (RSSB, CBHI scheme).

Who is eligible: "All Rwandan citizens and residents who are not covered by other medical insurance schemes". Cover is household-based: all eligible family members are registered under one household, not individually (RSSB).

Treatment starts "from RWF 200" at public health facilities. CBHI "primarily covers public and approved partner facilities"; some private facilities may accept it under specific agreements (RSSB).

How much mutuelle de santé costs in 2026

Category (monthly income)Contribution per person a yearWho pays
I — no income4,000 FrwThe Government (100% subsidised)
II — below 30,000 Frw4,000 FrwMember 3,000 Frw + Government 1,000 Frw
III — 30,001 to 60,000 Frw5,000 FrwMember, no subsidy
IV — 60,001 to 120,000 Frw8,000 FrwMember, no subsidy
V — above 120,000 Frw20,000 FrwMember, no subsidy

Your category is your Ubudehe (income) category, assigned by the local authorities (RSSB). Work out your household total with the mutuelle calculator.

How to pay mutuelle on Irembo or *909#

  1. On irembo.gov.rw, under Health, select Community Based Health Insurance (Mutuelle) and click Apply. You do not need an IremboGov account.
  2. Enter the head of household's national ID number. The insurance details, the amount due and the household members appear by themselves; enter the amount you want to pay.
  3. Add a phone number or e-mail, tick the verification box and submit. A billing number starting with 88 is generated: click Pay and choose the payment mode.
  4. By phone: dial \*909#, select Mutuelle, then Household Contribution & Members, enter the head of household's ID, check the members and go on to payment.

After payment you receive an SMS or e-mail confirmation (Irembo). RSSB also lists commercial banks, Mobile Money and Irembo agents as payment channels (RSSB).

The rules that trip people up

  • The year runs July to June: "The fiscal year of paying for mutuelle starts in July of the current year and ends in June of the next year" (Irembo FAQ).
  • Arrears first: if you did not pay the previous year, you pay it first on IremboGov, then the current year (Irembo FAQ).
  • When cover starts: "After payment, the head of the household and the family members are eligible for treatment for the year they paid for" (Irembo FAQ).
  • Members with other insurance (for example RSSB medical): take copies of their insurance to the nearest health centre to update their status, then pay for the others (Irembo FAQ).
  • Wrong category or members: check your registration level with \*195#; to add or remove members or correct the level, see the Socio-Economic Development Officer (SEDO) at your cell office (Irembo).

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Frequently asked questions

How much is mutuelle de santé in 2026?

Per person and per year: 4,000 Frw in Category I (paid by the Government) and Category II (3,000 Frw from the member), 5,000 Frw in Category III, 8,000 Frw in Category IV and 20,000 Frw in Category V (RSSB).

How do I pay mutuelle on Irembo?

On irembo.gov.rw, choose Health, then Community Based Health Insurance (Mutuelle), enter the head of household's ID, check the amount and members, submit and pay the bill number starting with 88. Or dial *909# and choose Mutuelle.

When does the mutuelle year start?

In July. The mutuelle year runs from July to June of the following year (Irembo).

How do I check my mutuelle status and members?

Dial *909#, select Mutuelle, then Household Contribution & Members (Irembo).

Can I use mutuelle in a private hospital?

CBHI mainly covers public and approved partner facilities; some private facilities accept it under specific agreements (RSSB). Ask the facility before treatment.

Sources

  1. RSSB — CBHI / Mutuelle de Santé scheme (contribution categories, how to join and pay)
  2. Irembo support — How to apply and pay for Community Based Health Insurance (Mutuelle)
  3. Irembo support — Frequently asked questions about Community Based Health Insurance (Mutuelle) on IremboGov
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