The Social Health Insurance Administration Body (BPJS Kesehatan) is the most common state health insurance owned by Indonesian citizens. Recently, BPJS Kesehatan has started testing the standard inpatient class (KRIS) as a substitute for classes 1, 2, and 3 in several health facilities spread across Indonesia. Then, does this policy lead to an increase in tariffs?
Pps Head of Public Relations of BPJS Kesehatan, Arif Budiman, explained that the scheme and the number of contributions were still the same as before.
Referring to Presidential Regulation Number 64 of 2020 concerning the Second Amendment to Presidential Regulation Number 82 of 2018 concerning Health Insurance, the number of contributions is determined based on the type of participation of each participant in the JKN program,” he explained.
“Furthermore, regarding the contribution, there is currently no discourse on changing the fee,” he said some time ago.
Arif said, for the poor and underprivileged who are registered as PBI participants, the fee is Rp. 42,000 paid by the Central Government with the contribution of the Regional Government according to the fiscal strength of each region.
Furthermore, for PPU Participants (Wage Recipient Workers) or formal workers, both state administrators such as ASN, TNI, POLRI, and private workers, the contribution amount is 5% of wages, with details of 4% being paid by the employer and 1% by workers. For the calculation of this contribution, the lower limit, namely the district/city minimum wage and the upper limit of Rp. 12 million, applies.
“So the calculation of contributions from a person’s income only applies to the type of PPU membership, formal workers who receive regular wages from their employers,” he added.
Finally, the informal sector participants who do not have a fixed income are grouped as PBPU (non-wage workers) and BP (non-workers) participants.
For this type of participation, participants can choose the number of dues they want. Class 1 is Rp. 150,000 per person per month, class 2 of Rp. 100,000 per person per month and 3rd class Rp. 35,000 per person per month.
It should also be noted that specifically for class 3 PBPU actually received assistance from the government in the amount of Rp. 7,000 per person per month, so the total is actually Rp. 42,000.
“So for someone who does not have an income or has no income, he can choose to be a PBPU participant with a choice of class 1, 2, or 3. PBI participants whose contributions are paid by the government,” he concluded.