Outpatient coverage drastically slashed under government's health insurance
Summary
The government's health insurance scheme has drastically reduced outpatient coverage to Rs25,000 per patient or family, down from Rs100,000, to address financial strain at the Health Insurance Board.
Key Points
- The government’s health insurance scheme has reduced outpatient service coverage from Rs100,000 to Rs25,000 per patient or family.
- Tribhuvan University Teaching Hospital and other hospitals have stopped or threatened to stop services due to delayed reimbursements.
- The Health Insurance Board faces a financial crisis, with a funding shortfall of Rs10.5 billion owed to health facilities.
- Experts warn that the reduced outpatient coverage may contradict policy promises and affect insurance policy renewals.
