I was referring to them charging outrageous prices for elderly people, because of their age the insurance company might not make so much profit!
Because age has direct correlation with higher probability in making claim related to health. And here we are referring to private health insurance not state funded and/or highly subsidized insurance program.
So are saying, if you told them about a pre-existing condition, does that mean they would charge you so much that you would basically be paying for your own operation?
If the cost of treatment will definitely be incurred, amount is already known and isn’t a distance possibility, then the answer is almost certainly yes. But if the premium is too high that will make them look bad, they will simply refuse to insure you in the first instance. After all, The private insurance are there to make profit, why would they take on a client who is guaranteed to be a loss for them?
Suppose you have a history of diabetes, high cholesterol, or another condition, and later it leads to complications like kidney failure or a stroke. What would the cost of treatment be? And that’s not even counting coverage for other illnesses, major accidents, or emergency hospitalizations. When you add it all up, is it not true that it will already exceed a few hundred USD you’ve been paying? But the loss in this case is not a certainty it is just a probability.
When you pay your premium, the insurer (especially private non subsidized insurer) takes on your financial risk, that’s their business model. If your total treatment costs end up being less than the premiums you’ve paid, they win. If the costs are higher, you win.
I was also referring to the outrageous demands of BPJS for a person to go to a clinic, then a small Hospital, then to another small Hospital to talk to an unqualified Doctor, to get him to refer you to a Specialist, when You had already been seen by the Specialist!
That’s their standard procedure. For your information, even the NHS in England and health systems in some other developed countries follow the same rule, you can’t see a specialist, go directly to hospital, exclusive hospital/clinics of your choice for operation or special treatment without a referral from your GP. Typically, there will be a queue. The exception is for accident and emergency treatment or life saving operation. If you want to jump this queue you have to go private and pay from your own pocket. Alternatively, there is a private health insurance plans that allow you to bypass this step, but those come with significantly higher premiums.
I pay the maximum amount to BPJS they ask for. I would even be happy to pay more, if They provided quicker, better service!
This is such an outrageous story of legal Criminality, being done by Insurance Companies! Where is our Governments controlling this type of thievery, when it's happening to Millions of People daily!
You’re using very strong terms like “criminality” and “theft.” Not many people on this earth would want to have a business with criminals, thieves. I wonder why do not you just terminate your subscription?
For some people especially at a certain age, the
regular expenses for health care, check-ups, and medications alone often already exceed Rp150,000? And that’s just for
routine needs, it doesn’t even include the costs of hospitalization, ICU stays, or accident-related treatments when needed.
Are you also aware that BPJS is heavily subsidized by the Indonesian government using taxpayer funds, and that it is also likely further supported by contributions from employed individuals, including foreign workers taken from the percentage of their salary.
But I personally see, BPJS is a no brainer for those living in Indonesia permanently, considering the premium of just Rp150k and the direct benefit you get. I give it the credit to the former Indonesian president Joko Widodo for implementing this.
