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Overview
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| Program
Current status 62 of 77 districts in Nepal are covered by the scheme
Cooperation partner Health Insurance Board (HIB) Nepal, German Development Cooperation
Implementation support Technical Assistance: GIZ Support to the Health Sector Programme (S2HSP) & Swiss Tropical and Public Health Institute (Swiss TPH)
Health scheme implemented since OpenIMIS implemented since 2016
Implementation Support
Name of openIMIS focal point
Participation in the last implementer committee meeting
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Scheme Features
Health scheme implemented since | 2016 |
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Name of openIMIS focal point | Mr. Suresh Tinkari |
Total number of health scheme employees |
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Total number of employees using openIMIS |
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7147 |
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Total number of employees not trained on openIMIS |
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- |
Number of health insurance products managed by the health scheme and using openIMIS |
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Follow up of main indications for each product:
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Product Features
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Number of insured people
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Number of households covered |
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800,000 |
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Average size of a household |
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4.6 |
Household contribution amount |
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NPR 3500 |
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Individual contribution |
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Average amount paid for a claim |
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Specifications of the openIMIS used:
Three main lessons learnedby using openIMIS:
Recommendations for Developers' Committee:
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More information here.
Training Resources
A number of creative resources have been developed in Nepal towards building capacity of various actors on openIMIS. Following are some useful examples.
Manuals
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openIMIS Application Manual
(Part 2)
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openIMIS
Mobile Applications' Manual
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Infographics
The following infographics depict the Standard Operating Procedures of the National Social Health Insurance scheme of Nepal.
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Overall SOPs
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Enrollment
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Health Service Utilization
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Overall SOPs (in Nepali)
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Health Service Utilisation
(in Nepali)
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Enrollment (in Nepali)
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Change family details (in Nepali)
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Videos
A typical Enrolment Process
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Social Health Insurance in Nepal
Scheme Design
Benefit package
Contribution
Business Processes
Enrolment
Insuree verification
Service provision
Claiming from facilities
Claim review
openIMIS Implementation
Customization
Configurations
Deployment
User base
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