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Nepal - Health Insurance Board

Nepal - Health Insurance Board

Overview

Country/Region

Nepal

Solution

Health Insurance

Program Operator

Health Insurance Board (HIB) Nepal

Program 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 / BMZ

Version

 

Functionalities used

  • Beneficiary Management

  • Claims Management

  • Claims Review

  • Reports

Coverage

Nationwide, 749 local levels in all 77 districts of Nepal

Number of beneficiaries

Since the inception of the HIB, 2,212,814 households (33.19%) and 7,215,098 individuals (24.7%) have been enrolled.

Number of users

7147

Number of health facilities

375

Last update

January 2025

Scheme Features

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 households covered

2,212,814 households (33.19%)

Number of households covered

2,212,814 households (33.19%)

Average size of a household

4.6

Household contribution amount

NPR 3500

Individual contribution

-

Average amount paid for a claim

-























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