Introduction
As a registered provider under Nepal’s Health Insurance Program (HIP), Birat Medical College Teaching Hospital (BMCTH) delivers essential healthcare services aligned with the government’s mission for Universal Health Coverage (UHC). However, a recent change requires insured patients to pay 20% of their treatment cost as co-payment, with the remaining 80% covered by the insurance.
Services and Benefits for Insured Patients
- Co-Payment PolicyAs per the new rule, insured patients must now pay 20% of the total treatment cost out-of-pocket, while 80% is borne by the insurance. This policy helps sustain the program by sharing costs between the government and service users.
- Coverage LimitsFamilies of up to five members receive coverage of NPR 100,000 annually. For additional family members, NPR 20,000 per person is added, with a maximum annual benefit of NPR 200,000. Vulnerable groups, such as those with HIV/AIDS, MDR-TB, leprosy, and individuals with disabilities, are supported by the government, which covers their premium.
- Special Support for the Elderly and PoorCitizens aged 70 years or older receive free premium coverage from the government. Households identified as ultra-poor or holding poverty identity cards or red cards are exempt from premium payments.
How to Access Service
- Select BMCTH as Your Primary Service PointDuring enrollment, choose BMCTH as your preferred healthcare facility for routine and specialist care.
- Referrals for Specialized ServicesFor services unavailable at other institution, obtain a referral slip to access care at our empaneled hospitals
- Bring Your Insurance Card and Pay the Co-PaymentPresent your health insurance card at registration and pay 20% of the treatment cost at the time of service
From inpatient and outpatient services to specialized care, BMCTH provides comprehensive healthcare.
MCTH works closely with HIP and other hospitals for referrals and shared care.
The hospital aligns with the government’s strategy to minimize financial risk for households and promote affordable healthcare.
Other programs
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