BPJS Dues

1. For participants of the Contribution Beneficiary (PBI) Health Insurance dues are paid by the Government.

2. Dues for Wage Recipient Workers who work in Government Institutions consist of Civil Servants, members of the Indonesian National Army (TNI), members of the National Police, state officials, and non-civil servants of government employees in the amount of 5% (five percent) per month: 3% (three percent) paid by the employer and 2% (two percent) paid by the participants.

3. Dues for Wage Recipient Workers who work in State Owned Enterprises (BUMN), Regional Owned Enterprises (BUMD) and Private Sector Workeris 5% (five percent) of Salary or Wages per month provided that: 4% (four percent) is paid by the Employer and 1% (one percent) is paid by the Participant .

4. Family dues for additional Wage Recipient Workers consisting of 4th child and so on, father, mother and father-in-law, contributions amounting to 1% (one percent) of salary or wages per person per month, paid by wage-receiving workers.

5. Dues to other relatives of workers receiving wages (such as siblings / in-laws, household assistants, etc.); the participants of workers who are not wage earners and contributions of participants not workers are equal to:

a. Rp. 25,500 (twenty five thousand five hundred rupiah) per person per month with the benefits of service in the Class III treatment room.
b. Rp. 51,000 (fifty one thousand rupiah) per person per month with the benefits of service in the Class II treatment room.
c. Rp. 80,000 (eighty thousand rupiahs) per person per month with the benefits of service in the Class I treatment room.

6. Health Insurance dues for Veterans, Independence Pioneer, and widows, widowers, or orphans from Veterans or Pioneers of Independence, their contributions are set at 5% (five percent) of 45% (forty five percent) of basic salary of Civil Servants III / a with a work period of 14 (fourteen) years per month, paid by the Government.

7. Payment of dues no later than 10 (ten) every month

There is no late payment penalty for dues starting July 1, 2016 penalties are imposed if within 45 (forty five) days after the participation status is reactivated, the participant receives inpatient health services, then is subject to a fine of 2.5% of the service fee health for each month in arrears, provided that:

1. The number of months in arrears is at most 12 (twelve) months.
2. The maximum fine is Rp. 30,000,000 (thirty million rupiah).

 

Source: BPJS Brochure

 

Other posts regarding BPJS:

1 Become a BPJS Participant

2 Benefits of BPJS

3 BPJS Participant Registration Procedure

4 Requirements for becoming a BPJS First Level Health Facility

 

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Become a BPJS Participant

BPJS Health participants are everyone, including foreigners who work for a minimum of 6 (six) months in Indonesia, who have paid contributions, including:

1. Recipients of Health Insurance Contribution Assistance (PBI): poor and needy people, with the determination of participants according to the provisions of the legislation.

2. Not a recipient of Health Insurance Contribution Assistance (Non PBI), consisting of:

* Wage Recipient Workers and their family members

a) Civil Servants;
b) Members of the Indonesian National Army (TNI);
c) Police Members;
d) State Officials;
e) Non Civil Servants Government Employees;
f) Private Employees; and
g) Workers who do not include letters a to f who receive wages.
Including foreigners who work in Indonesia for a minimum of 6 (six) months.

* Workers Not Recipients of Wages and family members

a) Workers outside the work relationship or independent workers; and
b) Workers who do not belong to letter a who are not recipients of Wages. Including foreigners who work in Indonesia for a minimum of 6 (six) months.

 *  Not workers and family members

a) Investors;
b) Employer;
c) Pension Recipients, consisting of:

– Civil Servants who stop with pension rights;
– Members of the Indonesian National Army (TNI) and Members of the National Police who stop with pension rights;
– State officials who stop with pension rights;
– Widows, widowers, or orphans from pension recipients who get pension rights;
– Other pension recipients; and
– Widows, widowers, or orphans from other pension recipients who have retirement rights.

d) Veterans;
e) Independence Pioneer;
f) Widows, widowers, or orphans from Veterans or Pioneer of Independence; and
g) Non-workers who are not included in letter a to e who are able to pay dues.

 

Family Members Borne

1. Wage Recipient Worker:

· Core families include wife / husband and legitimate children (biological children, stepchildren and / or adopted children), a maximum of 5 (five) people.
· Biological children, legitimate stepchildren, and adopted adopted children, with criteria:

a. Not or have never been married or do not have their own income;
b. Not yet 21 (twenty one) years old or not yet 25 (twenty five) years old still continuing formal education.

2. Workers Not Recipients of Wages and Non-Workers: Participants can include the desired family members (unlimited).

3. Participants can include additional family members, including the 4th child and so on, father, mother and father-in-law.

4. Participants can include additional family members, including other relatives such as siblings / in-laws, household assistants, etc.

 

Source: BPJS Brochure

 

Other posts regarding BPJS:

1 BPJS Dues

2 Benefits of BPJS

3 BPJS Participant Registration Procedure

4 Requirements for becoming a BPJS First Level Health Facility

 

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Benefits of BPJS

The benefits of the National Health Insurance (JKN) BPJS include:

 

A. First-level health services, namely non-specialist health services include:

1. Administration of service
2. Promotive and preventive services
3. Medical examination, treatment and consultation
4. Non-specialist medical actions, both operative and non-operative
5. Medical services and consumables
6. Blood transfusion according to medical needs
7. Investigation of first-degree laboratory diagnosis
8. First level hospitalization as indicated

B. Advanced referral health services, namely health services include:

1. Outpatient, including:

a) Administration of services
b) Examination, treatment and specialist consultation by specialist doctors and sub-specialists
c) Specialistic medical measures in accorandce with medical indications
d) Disposable medical services and medical materials
e) implant medical equipment services
f) Advanced diagnostic support services in accorandce with medical indications
g) Medical rehabilitation
h) Blood services
i) Forensic medicine services
j) mortuary services in health facilities

2. Hospitalization which includes:

a) Non intensive hospitalization
b) Intensive inpatient care
c) Other health services stipulated by the Minister

Source: BPJS Brochure

 

Other posts regarding BPJS:

1 Become a BPJS Participant

2 BPJS Dues

3 BPJS Participant Registration Procedure

4 Requirements for becoming a BPJS First Level Health Facility

 

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BPJS Participant Registration Procedure

A. Registration for PBI Beneficiaries

Poor Public Data Collection and Poor People who are PBI participants are carried out by institutions that administer Government affairs in the field of statistics (Central Statistics Agency) that are verified and validated by the Ministry of Social Affairs.

In addition to PBI participants determined by the Central Government, there are also residents who are registered by the Regional Government based on the Decree of the Governor / Regent / Mayor for Local Governments that integrate the Jamkesda program into the JKN program.

 

B. Registration for Wage / PPU Recipient Workers

1. The company / business entity registers all employees and their family members to the BPJS Health Office by attaching:

a. Business Entity Registration Form / Other Legal Entity

b. Migration data of employees and family members in the format determined by BPJS Kesehatan.

2. The Company / Business Entity receives a Virtual Account (VA) number for payment to Banks that have cooperated (BRI / Mandiri / BNI)

3. Proof of contribution payment is submitted to the BPJS Health Office to be printed on the JKN card or to print the e-ID independently by the Company / Business Entity.

C. Registration for Participants of Wages / PBPU Workers and Non-Workers

* PBPU Registration and Not Workers

1. Prospective participants register individually at the BPJS Health Office

2. Registering all family members on the Family Card

3. Fill in the Participant Registration Form (DIP) by attaching:

– Photocopy of Family Card (KK)

– Photocopy of ID card / passport, 1 sheet each

– Photocopy of Savings Book of one of the participants on the Family Card

– Photos of 3 x 4, 1 sheet each.

4. After registering, prospective participants obtain a Virtual Account Number (VA)

5. Make payment of contributions to banks that work together (BRI / Mandiri / BNI)

6. Proof of contribution payment is submitted to the BPJS Health office to be printed on the JKN card. Registration other than at the BPJS Health Office can be through the BPJS Health Website

* Non-Employee Registration Through a Legal Entity (BUMN / BUMD Pension)

The registration process for pensioners whose pension funds are managed by legal entities can be registered collectively through legal entities, namely by filling out the registration form and participant data migration form.

 

Source: BPJS Brochure

 

Other posts regarding BPJS:

1 Become a BPJS Participant

2 Benefits of BPJS

3 BPJS Dues

4 Requirements for becoming a BPJS First Level Health Facility

 

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Requirements for becoming a BPJS First Level Health Facility

A. For Primary Clinics or equivalent must have:

1. Operational License

2. Practice License (SIP) for doctors / dentists and Practice Permits or Work Permits (SIP / SIK) for other health workers

3. Permit for Pharmacist Practices (SIPA) for Pharmacists in terms of clinics providing pharmaceutical services

4. Taxpayer Identification Number (NPWP) of the body

5. Cooperation agreements with networks, if needed

6. A statement of willingness to comply with the provisions related to the National Health Insurance

B. For Practice Doctors or Dentists must have:

1. Practice License

2. Taxpayer Identification Number (NPWP)

3. Cooperation agreements with laboratories, pharmacies and other networks

4. A statement of willingness to comply with the provisions related to JKN

C. For Puskesmas or equivalent must have:

1. Operational License

2. Practice Permit (SIP) for doctors / dentists, Pharmacist Practice License (SIPA) for Pharmacists, and Practice Permits or Work Permits (SIP / SIK) for other health workers;

3. Cooperation agreements with networks, if needed

4. A statement of willingness to comply with the provisions related to JKN

D. For Primary D Class Hospitals or equivalent must have:

1. Operational License

2. Practice License (SIP) for health workers who practice

3. Taxpayer Identification Number (NPWP) of the body

4. Cooperation agreements with networks, if needed

5. A statement of willingness to comply with the provisions related to the National Health Insurance

 

Note:

· Requirements and Forms are submitted to the local BPJS Health Branch Office.

· Primary Clinic is preferred to have a network with Dentists, and if the Primary Clinic has fulfilled the credentialing requirements, and in accorandce with the needs of the First Level Health Facilities in the Branch Office area, the Primary Clinic can enter into a Cooperation Agreement with the local Branch Office.

 

Source: BPJS Brochure

 

Other posts regarding BPJS:

1 Become a BPJS Participant

2 Benefits of BPJS

3 BPJS Participant Registration Procedure

4 BPJS Dues

 

Share to your friend? Choose one below: