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Overview
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Health Insurance
Program type
Current status 62 of 77 districts in Nepal are covered by the scheme Cooperation partner
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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Implementation Support
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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 | |
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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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 |
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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