CNN Indonesia
Tuesday, 14 Might 2024 18:36 IWST
Listing of BPJS Well being members who can’t be promoted to inpatient class in response to Presidential Decree 59 of 2024. (Photograph: REUTERS/WILLY KURNIAWAN)
Jakarta, CNN Indonesia —
The federal government formally regulates the standard lessons of sufferers (CHRIS) for members Well being BPJS in all affiliated hospitals. This provision will take impact on June 30, 2025.
The implementation of KRIS is in Presidential Regulation (Perpres) No. 59 of 2024 relating to the Third Modification to Presidential Regulation No. 82 of 2018 relating to Well being Insurance coverage.
One of many issues specified on this new regulation is that BPJS Well being companions are allowed to maneuver as much as a affected person class above the accomplice class. Later, members can pay the distinction between the prices lined by BPJS Well being and the elevated prices because of shifting up the therapy class.
“Individuals can improve care past their entitlement, together with lively outpatient care, by taking out further medical health insurance or by paying the distinction between the prices assured by BPJS Well being and the prices that must be paid ought to be paid on account of extra providers, “learn Article 51 paragraph 1 of the Presidential Decree.
Nonetheless, not all BPJS Well being members can improve to the specified therapy class. For instance, class 3 members who obtain a grant subsidy from the federal government or members who obtain grant help (PBI) whose prices are borne by the state.
On the identical time, lessons 2 and 1 can improve their therapy class by following the related guidelines, similar to being prepared to pay the distinction in prices ensuing from the change.
The next is an in depth listing of BPJS Well being members who can’t be upgraded to affected person class:
a. PBI Companions (Grant Help Recipients) for Well being Insurance coverage;
b. BP companions with service advantages in Class 3 therapy rooms;
c. PBPU companions (unpaid worker companions) with advantages from providers in Class 3 therapy rooms;
d. PPU companions (Wage Employment Employees) who expertise layoffs and their relations; or
e. Registered companions with the Regional Authorities.
(ldy/pta)
2024-05-14 11:36:30
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