How to Enroll in the Public Healthcare System in Nepal
Summary: A primer on how to enroll in the public healthcare system in Nepal.
If you're planning to enroll in the public healthcare system in Nepal, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.
Healthcare in Nepal is primarily provided by both the public and private sectors and is generally regarded as basic. Despite this, the government of Nepal has made significant efforts to increase the availability of healthcare services, particularly in rural areas. The public healthcare system in Nepal is known as the Ministry of Health and Population (MoHP). It is not mandatory for all residents to use the public healthcare system, and in fact, many Nepalese people prefer to use private healthcare due to the perceived higher quality of care.
The quality of public healthcare in Nepal varies widely, with services in urban areas generally being of a higher standard than those in rural areas. Costs are relatively low compared to Western standards, but the quality of care can be inconsistent. Many hospitals in Nepal, particularly those in rural areas, suffer from a lack of equipment, trained staff, and medicines.
Eligibility for Foreigners
Foreigners are allowed to use the public healthcare system in Nepal, but it is not typically recommended due to the aforementioned issues with quality. Instead, most foreigners living in Nepal choose to use private healthcare or travel to nearby countries, such as India, for more complex treatments.
Enrollment Process
While there is no formal enrollment process for foreigners to use the public healthcare system in Nepal, they are required to pay for any services they receive. This is typically done on a fee-for-service basis, with payment required at the time of treatment. It's important to note that while costs are generally low, they can quickly add up in the event of a serious illness or injury.
Alternative Options
Given the issues with the public healthcare system in Nepal, many foreigners choose to take out private health insurance. This can either be done through an international insurer or a local Nepalese company. Private health insurance will typically cover the cost of treatment in private hospitals, which are generally of a higher standard than public hospitals.
Another option for foreigners is to use the healthcare services provided by the many non-governmental organizations (NGOs) operating in Nepal. These NGOs often run clinics and hospitals that provide a higher standard of care than public hospitals, although they may charge a fee for their services.
Important Considerations
Regardless of whether you choose to use public or private healthcare in Nepal, it's important to be aware that medical evacuation (medevac) insurance is highly recommended. This is because, in the event of a serious illness or injury, you may need to be evacuated to a country with higher-quality medical facilities. Medevac insurance will cover the cost of this potentially life-saving service.
Finally, it's worth noting that while the quality of healthcare in Nepal is improving, it still lags behind Western standards. As such, it's a good idea to have a thorough health check-up before moving to Nepal and to bring any necessary medications with you, as they may not be available locally.
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About the Author
Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.
Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua on LinkedIn.