Nepal | July 07, 2020

Health insurance made mandatory for all

Himalayan News Service
Share Now:

Kathmandu, November 4

The Health Insurance Act, 2017 requires every Nepali citizen to get his/her health insured.

Section 3 of the act makes all parents and guardians responsible for insuring the health of their newborn, children, senior citizens and persons with disabilities.

“All persons taking asylum in old age homes, children’s homes and orphanages shall also be brought under health insurance coverage by the concerned organisations,” it says. Civil servants and persons going abroad for foreign employment shall also be required to get their health insured. Similarly, any organisation established under the prevailing laws should involve their employees in the health insurance programme.

Under the health insurance programme, the insured shall enjoy services like nutrition, yoga, psycho-social counselling, vaccination, family planning, safe motherhood, out-patient and emergency health service, operation, medicines, curative and preventive services, rehabilitation and ambulance service, among others.

However, the insurance programme doesn’t cover health-related equipment like spectacles and hearing aid, plastic surgery and artificial reproduction service. “The service to be enjoyed by the concerned insured is not transferable to other persons. Any service provider (health institution) willing to operate health insurance programme shall enter into an agreement with the Health Insurance Board,” the Act says.

There shall be a Health Insurance Fund for the implementation of the programme. Upon signing of the agreement, the concerned health institution may provided service to the insured. The Board pay the medical bill of the insured to the health institution on the basis of per case rate or per service fee. The contribution amount chargeable to the insured shall be determined by taking his/her annual income as its base. However, the persons from economically deprived groups may be entitled to special concession for the insurance premium.

The insured may file a complaint at the Board if he/she thinks that the health institution refused to provide service or did not deliver quality service as per the laws. “If the health institution is found guilty during investigation into the complaint, the board may impose of fine of up to Rs 25,000 on it while issuing order to it to pay a compensation equivalent thereto,” the Act reads.


A version of this article appears in print on November 05, 2017 of The Himalayan Times.


Follow The Himalayan Times on Twitter and Facebook

Recommended Stories:

More from The Himalayan Times:

Nepal Covid-19 Update: 180 new cases, 264 recoveries, one death recorded on Monday

KATHMANDU: Nepal’s Health Ministry, in its regular press briefing, shared the latest updates on coronavirus contagion from across the country, and government’s response to the health crisis. As of today, 255,728 tests through Polymerase Chain Reaction (PCR) method and 311,724 Rapid Diagn Read More...

Sushant Singh Rajput's last film Dil Bechara's trailer released Monday

KATHMANDU: The trailer for the last movie -- Dil Bechara -- of late Indian actor Sushant Singh Rajput has been released posthumously. Shooting of the movie -- based on the 2012 English-language novel 'The Fault in Our Stars' by John Green -- had been completed and was scheduled to be originally r Read More...

Ronaldo scores from free kick, Buffon breaks record in Juve win

TURIN: Cristiano Ronaldo finally scored from a free kick for Juventus and goalkeeper Gianluigi Buffon made a record 648th Serie A appearance as the league leaders beat their smaller neighbours Torino 4-1 in the Derby della Mole on Saturday. Ronaldo curled his shot over the wall and into th Read More...

Adams ends long wait for Saints goal with winner against City

LONDON: Southampton's Che Adams scored his first Saints goal, a year after joining the club, with a stunning long-range strike as they beat Manchester City 1-0 to condemn Pep Guardiola's side to a third successive away defeat in the Premier League. Adams signed for Southampton from Birming Read More...

Liverpool maintain 100 percent home record with 2-0 win over Villa

LONDON: Liverpool made it 17 wins out of 17 at Anfield after goals by Sadio Mane and Curtis Jones handed the champions a 2-0 win over Aston Villa in the Premier League on Sunday which pushed Dean Smith's side deeper into trouble. Following their 4-0 mauling at the hands of Manchester City on Thu Read More...

K-drama star Woo Do-hwan enlists, Monarch co-star Lee Min-ho posts photo of them with Woo's shaved head

KATHMANDU: K-drama star Woo Do-hwan enlisted in the army on July 6. He joined the 15th Infantry Division at the new recruit training centre in Hwacheon, Gangwon Province. Soompi reports that Woo waved goodbye to fans and press outside on his way to the centre. Woo's label Keyeast also released Read More...

coronavirus

Police can apprehend anyone without mask in public places in Nepal

KATHMANDU: Authorities will now apprehend anyone that steps out in public without a mask. The Home Ministry issued a directive on Monday according to which law enforcement authorities can nab anyone who goes out of house without a mask. Going out of house sans mask will be treated as an offense a Read More...

Royal Mint pays tribute to singer Elton John with commemorative coin

KATHMANDU: Britain's Royal Mint has paid tribute to the decorated British singer-songwriter Sir Elton John on July 6, with a commemorative coin, making him the the second artist to get the honour. The coin, designed by artist Bradley Morgan Johnson, depicts John's distinctive straw boater's hat, Read More...