Kathmandu. The Health Insurance Board has directed the insured to give medicines sufficient for 3 months at a time to the insured who are taking regular medicines. <\/p>\n
The Insurance Board has issued a circular in the name of health service provider organizations to make health insurance services effective. “The board meeting of the Health Insurance Board held on November 11, 2080 directed to make arrangements to provide medicines to the citizens associated with the health insurance program who are taking medicines regularly for 3-3 months,” the circular said. The board has directed to implement this provision effectively. <\/p>\n
Similarly, the health insurance board has also stated that the claim of such tests will be rejected if the service provider health institutions providing services by contracting with the Health Insurance Board as per Section 9 of the Health Insurance Act, 2074 are found asking the insured to undergo unnecessary tests such as vitamin D, vitamin B12 and TFT that are not in line with the symptoms, condition and medical necessity. <\/p>\n
The Board has also directed the insured citizens associated with the health insurance program not to make unnecessary delay in service delivery, behave discriminatoriously and create a situation of inconvenience in availing health services by making provision of quota system while providing services to the insured citizens associated with the health insurance program. <\/p>\n
The circular has also directed the insured not to buy medicines, medical products and services included in the health insurance facility bag in cash. <\/p>\n
Instructions have been issued to submit the claim to the Insurance Board only after verifying and certifying the claims submitted under the health insurance program by the internal claims review committee of the concerned service provider health institution. <\/p>\n
The circular states that action would be taken as per Clause 12 of the Health Insurance Act, 2074 BS and Rule 19 of the Health Insurance Regulations, 2075 if found violating the existing laws, regulations and agreement with the Health Insurance Board.<\/p>\n","protected":false},"excerpt":{"rendered":"
Kathmandu. The Health Insurance Board has directed the insured to give medicines sufficient for 3 months at a time to the insured who are taking regular medicines. The Insurance Board has issued a circular in the name of health service provider organizations to make health insurance services effective. “The board meeting of the Health Insurance […]<\/p>\n","protected":false},"author":16,"featured_media":146194,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[45031,45195,45159],"tags":[],"class_list":["post-319845","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-banner-news-en","category-health-insurance-en","category-news-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/posts\/319845","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/comments?post=319845"}],"version-history":[{"count":1,"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/posts\/319845\/revisions"}],"predecessor-version":[{"id":319846,"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/posts\/319845\/revisions\/319846"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/media\/146194"}],"wp:attachment":[{"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/media?parent=319845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/categories?post=319845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/insurancekhabar.com\/ikbrapi\/wp\/v2\/tags?post=319845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}