Health Insurance Board Clarifies No Reduction in NPR 100,000 Treatment Coverage for Insured Individuals
english.ratopati.com · Wed Feb 11 20:49:24 GMT 2026

Kathmandu. The Health Insurance Board has clarified that the treatment service facility of NPR 100,000 that insured individuals have been receiving has not been reduced. The Board's Information Officer, Bikesh Malla, informed that the treatment fee equivalent to NPR 100,000 for which insurance was purchased remains unchanged. He stated that the annual total treatment service limit of NPR 100,000 available to a family of five under the insurance program, based on a contribution of NPR 3,500, remains the same.
Information Officer Malla stated that the Board has allocated NPR 25,000 for OPD services and NPR 75,000 for hospitalization and emergency services. Under the health insurance program, health service coverage up to NPR 100,000 is provided to families of up to five members based on a contribution of NPR 3,500. Furthermore, there is a provision where the contribution amount increases by NPR 700 per additional member, and the service coverage increases by NPR 20,000 per additional member.
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