BPJS Keshatan Premium Increase

[scouser59]

Ah, here in this kota of Jakarta -starting tomorrow morning- they will sweep the city and inquire at every house how many people live there (check KK) and request proof of the BPJS membership.

just a thought mr jstar ,what is the sanction if they dont have bpjs ?

 

[jstar]

I haven't discovered any sanctions (yet) for those individuals who don't have it. Of course companies who (should) offer it to their employees is a different story.

Now I know there are some pilot projects ongoing in which there is an agreement between district attorney and BPJS Health. If there are (e.g. traffic) fines to be paid, the contribution of BPJS will also be looked at and the reclamation gets priority. But you can hardly call that a sanction.

 

[dafluff]

That is a humongous burden for the state. Can they keep it up? I’m not so sure.

Well, just a quick calculation, 96 million x Rp 42,000 x 12 months = about Rp 48 trillion. Not an unreasonable expenditure for a country with a budget of about Rp 2400 trillion....

 

[Nimbus]

Well, just a quick calculation, 96 million x Rp 42,000 x 12 months = about Rp 48 trillion. Not an unreasonable expenditure for a country with a budget of about Rp 2400 trillion....

Indonesia’s deficit is budgeted to be Rp 296 trillion this year. That 48 trillion doesn’t help.

The controversial fuel subsidy is ‘only’ Rp 33.55 trillion. It doesn’t seem prudent to wean people off fuel subsidy, only to add an even bigger entitlement program.

 

[fastpitch17]

The government needs to do a better job in stopping people from going to a doctor for the slightest ailments. Going into a clinic you can sense immediately with all the sniffles and sneezes that these people do not need a doctor. They go because it's free. The management of the program needs better attention. They need to start telling people they do not need a doctor and turn them away. Doctors and clinics will not turn them away because it is a charge to collect on.

When they implemented BPJS hospitals started cutting cost anywhere they could find since they were getting less per patient. Even means in hospitals were downsized and cheapened. Doctors complain that they got more per patient when the patients were paying and now receive so much less. Of course, they never mention they are making more overall since they are seeing many patients more now.

I do not mind the raise in fees but I feel they need to better their services in the hospitals and clinics and can do that with better BPJS management.

 

[scouser59]

I noticed yesterday on metro ,many people switching from class 1 to 3 ,it would be ironic if the income in premiums actually goes down in reality following the increase .
It seems to me me cost controls to minimise wastage in the the system by nefarious means should be prioritised ,followed by incentives to attract people to class 1 , less waiting times ,more hospital choices and maybe private rooms ?

 

[Helpful Herbert]

I heard that if you have class 3, you can upgrade to class 1 if you need to use the service.

 

[jstar]

Yes but there is a latency of some weeks isn’t there? To avoid people paying less All that time and upgrading ‘on the spot’.

 

[dafluff]

I heard that if you have class 3, you can upgrade to class 1 if you need to use the service.

You can "upgrade" by paying the cost difference between what Class 1 and class 3 services. Not the difference in premium, the difference in actual cost. This is probably preferable for relatively healthy people who don't forsee many hospital visits.

Otherwise you can upgrade to class 1, but the service kicks in only after a grace period.

 

[jstar]

I heard the Class III premium will NOT increase per 1/1/2020?

But they apply more scrutiny.

 

[fastpitch17]

I always have a problem with the fee differential between classes. I understand the class you pay for determines your room in a hospital and you pay the difference if you upgrade in the hospital. I just don't understand the price difference in let's say visiting a doctor. A class 3 may pay 60,000 for it where a class 1 pays 120,000. There does not seem to be a difference in service and would seem the doctor and clinic are paid more depending on the class. If the service is going to be the same than why is there such a difference in prices regarding class? You don't get less for having the lower class or more with the higher more expensive class. How is this justified?

 

[Helpful Herbert]

It's like if you have an operation, the normal surgeon's fee could be 10jt, and if you opt to stay in the VVIP room in the hospital the surgeon's fee becomes 25jt instead. I wonder who gets the extra money.

 

[colroe]

The government needs to do a better job in stopping people from going to a doctor for the slightest ailments. Going into a clinic you can sense immediately with all the sniffles and sneezes that these people do not need a doctor. They go because it's free. The management of the program needs better attention. They need to start telling people they do not need a doctor and turn them away. Doctors and clinics will not turn them away because it is a charge to collect on.

When they implemented BPJS hospitals started cutting cost anywhere they could find since they were getting less per patient. Even means in hospitals were downsized and cheapened. Doctors complain that they got more per patient when the patients were paying and now receive so much less. Of course, they never mention they are making more overall since they are seeing many patients more now.

I do not mind the raise in fees but I feel they need to better their services in the hospitals and clinics and can do that with better BPJS management.

And anyone who has been to a BPJS hospital for their sniffles and ailments receives a paper bag full of often unnecessary drugs. The pharma bill must be huge!! And the paperwork is staggering!!

 

[jstar]

^ Wait till the NHS sources the medication in the US (what Boris and Donald were discussing)...

You don't get less for having the lower class or more with the higher more expensive class. How is this justified?

the normal surgeon's fee could be 10jt, and if you opt to stay in the VVIP room in the hospital the surgeon's fee becomes 25jt instead.

But that's is also quite common in Europe. And then the specialist earns more or less depending on the room type of the patient.