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Overview

Implemented
Page Properties
idimplementation-support

Country/Region

Nepal

Scheme

type

Operator

Health Insurance Board (HIB) Nepal

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)

Health scheme implemented since

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

Version

Functionalities used

  • Beneficiary Management

  • Claims Management

  • Claims Review

  • Reports

Coverage

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

...

Participation in the last implementer committee meeting

...

 

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 beneficiaries

...

 

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

by using openIMIS:

One

 

Two

 

Three

 

Recommendations for Developers' Committee

:

What to improve

 

What to add

 

What to remove

 

More information here.

...

hiddentrue


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

...

Include Page
Nepal HIB Implementation Details
Nepal HIB Implementation Details