Jakarta, CNBC Indonesia – The Social Safety Administering Physique (BPJS) for Well being is a authorized entity established to manage the medical health insurance program and is immediately accountable to the President of the Republic of Indonesia (RI).
Since working in 2014, BPJS Well being has grow to be a part of the nationwide social safety system that gives well being safety to the general public. Thus, sufferers with illnesses coated by BPJS Kesehatan can get well being services without cost.
Based mostly on Legislation Quantity 24 of 2011 regarding Social Safety Administrative Our bodies, everybody, together with foreigners who work for no less than six months in Indonesia, is required to grow to be a BPJS Well being participant.
Much like insurance coverage, BPJS Well being individuals should pay participant contributions each month. So long as the membership standing is energetic, individuals can get free well being companies at cooperating clinics and hospitals.
Nonetheless, BPJS can also be much like different medical health insurance merchandise that don’t cowl all well being companies. The next is a listing of well being companies that aren’t coated by BPJS Kesehatan.
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Ailments within the type of outbreaks or extraordinary occasions.
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Therapies associated to magnificence and aesthetics, corresponding to cosmetic surgery.
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Alignment of enamel like braces.
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Ailments ensuing from prison acts, corresponding to abuse or sexual violence.
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Sickness or harm ensuing from intentional self-harm or tried suicide.
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Ailments attributable to alcohol consumption or drug dependancy.
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Therapy of infertility or infertility.
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Sickness or harm ensuing from an occasion that might not be prevented, corresponding to a combat.
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Well being companies carried out overseas
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Medicines and medical actions which might be categorized as trials or experiments.
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Complementary, various and conventional medication that has not been declared efficient primarily based on well being expertise assessments.
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Contraception.
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Family well being provides.
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Well being companies that aren’t in accordance with statutory provisions consisting of referrals at their very own request and different well being companies that aren’t in accordance with statutory laws.
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Well being companies in well being services that don’t work with BPJS Well being, besides in emergencies.
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Well being companies for illnesses or accidents ensuing from work accidents or work relations which have been assured by the work accident insurance coverage program or are the duty of the employer
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Well being companies assured by the visitors accident insurance coverage program that are necessary as much as the worth borne by the visitors accident insurance coverage program in accordance with the individuals’ class rights
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Sure well being companies associated to the Ministry of Defence, the Indonesian Nationwide Armed Forces (TNI), and the Police.
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Well being companies organized within the framework of social service.
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Providers already coated in different applications.
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Different companies that don’t have anything to do with medical health insurance advantages supplied.
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