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Overview

Page Properties

Country/Region

Nepal

Scheme Operator

Health Insurance Board (HIB) Nepal

Scheme type

National Social Health Insurance

Implemented since

2016

Implementing Partner(s)

HIB, GIZ Nepal, and previously https://openimis.atlassian.net/wiki/pages/resumedraft.action?draftId=835682333

Supporting Partner(s)

Financial Assistance: German Development Cooperation

Version

Functionalities used

  • Beneficiary Management

  • Claims Management

  • Claims Review

  • Reports

Coverage

76 districts of Nepal

Number of beneficiaries

3,700,000

Number of users

7147

Number of health facilities

375

Last update

April 2021

Scheme Features

...

Country/Region

Nepal

Scheme type

Health Insurance Scheme

Cooperation partner

Health Insurance Board (HIB) Nepal

Implementation Support

HIB, GIZ Nepal, and previously https://openimis.atlassian.net/wiki/pages/resumedraft.action?draftId=835682333

Health scheme implemented since

2016

openIMIS 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

Number of beneficiaries

3,700,000

Average size of a household

4.6

Household contribution amount

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