BPJS Kesehatan (Badan Penyelenggara Jaminan Sosial Kesehatan)
is a state-owned corporation which organizes National Health insurance for all Indonesian people.
Benefits of BPJS
1. First-evel Health Facility (Fasilitas Kesehatan/FasKes), or non-specialist health service, which covers:
- Health improvement services and disease prevention. For example, health screening, immunization, family planning and chronic disease management programs.
- Medical treatment services by general practitioners and dentists, including;
Registration and administration
Medical examination, consultations and treatment
Non-specialist medical procedures: operative and non-operative
Drug and medicinal services
Blood transfusions according to medical needs
First stage laboratory diagnostic tests
First-degree hospitalization as medically needed
Obstetric and newborn care
Ambulance services between health facilities
2. Advanced health referral services that include:
- For outpatients
Service administration
Medical examinations, consultations, and treatment by specialists and sub-specialists
Specialist procedures as medically required
Laboratory, radiology, and other diagnostic support services
Drug and medicinal services
Implantable medical device services
Advanced diagnostic support services as medically required
Rehabilitation
Blood services
Medical devices
Family Planning services; limited to vasectomy and tubectomy
Clinical forensic services
- Hospitalizations
Non-intensive care
Intensive care in the ICU
Other health services as determined by the minister