Nepal Health Insurance Board Clears Claims Through Mid-December, Warns Against Unnecessary Medical Tests

Kathmandu-Nepal’s Health Insurance Board has announced that it has cleared all pending insurance claim payments up to mid-December (Mangsir) while urging insured citizens and healthcare providers to avoid unnecessary medical tests and treatments.

In a statement issued on Friday, the Board said payments for the last seven months (from Poush onwards) remain pending due to a lack of government funding. It assured that outstanding claims will be settled once the government allocates the required budget.

According to the Board, it has disbursed Rs. 23.44 billion to health service providers on various dates during the current fiscal year. Efforts are underway to secure additional funds to clear the remaining dues.The Board also appealed to insured beneficiaries not to demand unnecessary medical services or diagnostic tests and urged doctors and healthcare workers not to prescribe excessive investigations or treatments beyond clinical necessity. It stressed that rational use of health insurance services is essential to ensure the sustainability of the national health insurance programme.