The aspiration of the Tanzanian government to transform Tanzania into a middle-income country seems to be linked with new forms of welfare and social protection. One of these visible initiatives is targeting the health insurance landscape. The ongoing changes considering for example the benefit packages or the membership administration of the national health insurance schemes - including the National Health Insurance Fund (NHIF) and especially the Community Health Fund (CHF) - are part of the national strategy to reach Universal Health Coverage (UHC). While most of the existing research that is addressing the experiences of community members with social health protection focusses on implementation issues and management aspects, the interplay of social health protection with class, milieu and inequality is often ignored. With our contribution, we therefore would like to go beyond the implementation focus on Universal Health Coverage, and discuss some aspects concerning the interplay of social health protection with class, milieu and inequality focusing on the experiences and activities that individuals are undertaking to continue living well with diabetes and/or hypertension in the Kilombero Valley in Tanzania. We have conducted 32 semi-structured interviews with female and male community members of a small urban town in the Kilombero Valley in Tanzania. Based on our ten-month field research and through the lens of these diabetes and/or hypertension patients, the present paper reflects on the different possibilities for individuals to make use of the available health care services as well as of the changing health environment, depending on their class and position in society. Many participants have mentioned to try to “not think too much” to go on with their life, to do things, and to engage with others. However, how they manage to do so depends on their available possibilities to exchange, to acquire new knowledge, to understand the disease and to feel that others care about their wellbeing.