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Page Properties

Country/Region

Nepal

Scheme Solution

Health Insurance

Program Operator

Health Insurance Board (HIB) Nepal

Scheme Program type

National Social Health Insurance

Implemented since

2016

Implementing Partner(s)

HIB, GIZ Nepal, and Swiss TPH

Supporting Partner(s)

Financial Assistance: German Development Cooperation / BMZ

Version

Functionalities used

  • Beneficiary Management

  • Claims Management

  • Claims Review

  • Reports

Coverage

Nationwide, 77 (out of 77) districts of Nepal

Number of beneficiaries

5,968,051

Number of users

7147

Number of health facilities

375

Last update

November 2022

Scheme Features

Health scheme implemented since

2016

Name of openIMIS focal point

 Mr. Suresh Tinkari

Total number of health scheme employees

 -

Total number of employees using openIMIS

7147 

Total number of employees not trained on openIMIS

 -

Number of health insurance products managed by the health scheme and using openIMIS

 3

Product Features

Number of households covered

800,000

Average size of a household

4.6

Household contribution amount

NPR 3500

Individual contribution

-

Average amount paid for a claim

-

Excerpt
hiddentrue

Specifications of the openIMIS used

Version

Has anything been modified (customization)

What standards are used to code services, items, diagnosis and products

Three main lessons learned

One

Two

Three

Recommendations for Developers' Committee

What to improve

What to add

What to remove

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