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Overview
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Program type Health Insurance Scheme
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)
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Scheme Features
Health scheme implemented since |
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OpenIMIS implemented since
2016 |
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Participation in the last implementer committee meeting
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Name of openIMIS focal point |
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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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Follow up of main indications for each product:
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- |
Number of health insurance products managed by the health scheme and using openIMIS |
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3 |
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 |
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Household contribution amount |
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NPR 3500 |
Individual contribution |
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- |
Average amount paid for a claim |
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- |
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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.
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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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