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Thursday, December 18, 2014

BPJS: Non-Generic Drugs still pay

Unfinished journey (163)

(Part one hundred and sixty-three, Depok, West Java, Indonesia, December 19, 2014, 5:33 pm)


BPJS: Non-Generic Drugs still pay

Three years ago I had a stroke after I was hit in the right eye bleeding, so they no longer see clearly.

After terapy of a stroke at the Central Medical Hospital, and elsewhere over the past year, I tried to check my eyes in the hospital Cipto Mangun Kusumo (RSCM).
After queuing up while I walked into the room examined eye examination ophthalmologist who helped the candidate senior ophthalmologist again completing his studies at the University of Indonesia.
In the room there seems doctor obstetrician Dr. famous Boyke is often interviewed by the journalist media as an expert in Human Sexuality (specialist on sex).
'' How much dock, the cost of LASIK eye at RSCM, '' Ask Dr. Boyke, the doctor examine her again. '' Rp 20 million, he replied. '' Cheap yes, if at another private hospital could reach Rp.40 million, '' says Dr. Boyke again.

After my eyes checked, I was told to come again to the RSCM for operation, after laboratory tests to be examined include my blood sugar levels.
Before I get my examination room chatting with the other patients in the outdoors, that many of the patients who entered the command-owned health insurance National Health Insurance (JKN), so they do not have to pay for the surgery, or even if asked to pay is not too heavy only partially small.

Because I asked the operationi fee of Rp 19 million, be advised since been dismissed (fired) Beijing Oristar media, online media from China and subsidiaries IT Hua Wei, due to a stroke, so I did not have enough money to finance the operation.

 I tried to take care of the card also JKN, but since I live in housing that is considered to be the abode of the '' Able '' then the RT / RW and urban refuse make card health insurance for the poor.

So, I was forced to cancel the eye surgery until now. Now with the advent of BPJS insurance, because before the end of 2013 I was a participant Social Security health insurance, is now automatically switched places so participants BPJS Health.

Three times I was treated in a private hospital monument mother, Depok, West Java, I did not pay for doctors' fees, room and laboratory, but for drugs non generic  Rp 3 million should I dug out of pocket (pocket) own.

I tried to seek treatment in hospitals, governments such as Hospital Pasar Rebo, it did not entirely pay (generics), but you must be patient patients queuing for treatment at government hospitals are usually much (booming), I myself came early can already 600 register number, and a new consultation with a specialist about 13:00 noon. So if we ngak have enough money and are poor yes go public hospitals, but must understand and be patient, if we have enough money, yak e private hospital, but should be ready to bear the drugs non-generic.



Number of Participants BPJS Health 116 Million
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TEMPO.CO, Jakarta - PT Health Insurance which will be transformed into the Social Security Agency of Health on January 1, 2014 has recorded the number of participants as of December 2013. In total, reaching 116 122 065 inhabitants.

The number of participants is a combination of new participants and the transfer of the previous program, the Health Insurance (Askes), Community Health Insurance (Assurance), the Indonesian Armed Forces (TNI), Police, Labor and Social Security (Social Security). "The data is complete with name and address," said Director of Membership PT Askes Sri Endang Tidarwati in Jakarta, Monday, December 30, 2013.

Participants transfer as much as 112 592 141 inhabitants, consisting of the transfer of Askes as many as 16,142,615 people, JAMKESNAS (86.4 million), Army (859 216 inhabitants), Police (743 454 inhabitants), and Social Security as many as 8,446,856 people.

While the new participants numbered 3,529,924 souls from Health Insurance Aceh and Jakarta Health Card. "Jamkesda Aceh approximately 1.2 million people and KJS about 2.2 million people," she said Endang.

He explained that participants can transfer cards from the previous provider or BPJS card because the system has been integrated. According to him, the participants who carry identification cards or mention of the parent population number (VIN) will also be served frontline. You see, she said Endang, the data has been connected with the population and civil registration system of the Interior Ministry.

PT Askes until now has prepared 21 million shares of new forms for participants who will register. According to the Director of Legal and Inter-Governmental PT Askes Purnawarman Basundoro new participant registration process can take place quickly if the form has been completed and integrated with the system NIK population and civil records Interior Ministry. "If you pay immediately, direct participant card active," he said.

Purnawarman say for registration in remote areas such as Atambua and Papua, Askes cooperate with local authorities to record directly to the location. "Or, people can directly apply through the clinic," he said.

So far, there are seven provinces and 107 districts / cities that have cooperated with PT Askes. Seventh provinces of Aceh, Jakarta, North Maluku, West Sumatra, North Sulawesi, Gorontalo, and Central Kalimantan.

Participation BPJS Health refers to Presidential Decree No. 12 of 2013 on Health Insurance, consisting of two groups of participants receiving tuition assistance (PBI) and participants not PBI. PBI participants are classified as poor and can not afford the premiums to be paid by the government. While classified as not PBI, namely wage workers (civil servants, members of the military police, state officials and private employees, workers not wage earners and not workers), investors, retirees, pensioners and widows.

BPJS Health Targets 2015 Participants JKN Increases 37 Million Participants
TRIBUNNEWS.COM, JAKARTA - Until now, the participants of the National Health Insurance (JKN) has reached 131.9 million participants. This amount meets the target in the government's roadmap 131.4 million participants.

"Initially the government does have a roadmap with targets 121.6 million including the former Social Security 8.1 million. In May met, then the target was revised to 131.4 million and has been met as well," said Endang Sri Tidarwati Director of Membership BPJS Health in Jakarta, Tuesday (09/12/2014).

Health BPJS own target 2015 membership reached 168 million people.
"This means that in a year there will be the addition of approximately 37 million participants were partly derived from the wages of workers recipient of a business entity," he said.

Not only bada business, BPJS Health wants all Indonesian people healthy sign.


"Do not wait for the new sick pay. The program of this nature JKN mutual cooperation so require fees to be given a healthy person sick. So do new hospital enroll a participant JKN," he said.

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