Quality of Healthcare and Physicians

I figure that is to support their medical tourism plan so they will be isolated to Bali.
I think it may well be to support the fat cats too, so it might not be isolated to Bali.
 
Anyone had esperience with dialysis in Bali? Later may find that treatment necessary but returning to live in Australia now on the pension with impossibly high rentals and overall inflation makes it nigh impossible. Apprehensive about dialysis treatment here
I know that Jakarta and Sumatra exists, so should in Bali. It is around 1 million Rp per treatement.
Good news is that BPJS covers, if you can enroll.
 
I figure that is to support their medical tourism plan so they will be isolated to Bali.
There are 2 changes actually.

One is the law that allows employment of foreign medical professionals, and sthe second is formation of the Special Economical Zone in Bali for health/tourism in Sanur, Bali. In SEZ, the Government is allowed to manage directly and issue regulations basically bypassing the laws (i.e. Manpower).
 
I know that Jakarta and Sumatra exists, so should in Bali. It is around 1 million Rp per treatement.
Good news is that BPJS covers, if you can enroll.
Thanks. I am aware that there is dialysis treatment in Bali where I live and that BPJS may cover it. My concern is about the actual administration of the procedure. There is always an infection possibility with treatments so much depends on how good the service providers are when it comes to scrupulous attention to avoiding infection.
 
Thanks. I am aware that there is dialysis treatment in Bali where I live and that BPJS may cover it. My concern is about the actual administration of the procedure. There is always an infection possibility with treatments so much depends on how good the service providers are when it comes to scrupulous attention to avoiding infection.
I knew two persons that do dialisys (in Jakarta and Sumatra-Medan), and in Bogor. They did 3 times a week, mening 100% kidney failure. The first one passed away after few years of kidney failure and dialisys but he was sick and had other issues. The second one is still alive and she does dialisys decade or more.

I suppose that for better equipped hospital it is a routine job, but have to do own research or to speak with existing patients.
 
I've been to Balimed, Kasih Ibu and BIMC for various things mostly related to rheumatoid arthritis. My experience is as soon as you walk through the door each hospital will try to extract as much money as possible from the Bule patient (i.e. 500.000 Rp for a small tube of Voltaren). I've had nothing but bad experiences with doctors like bloody as hell blood draws, wrong medications prescribed and very poor Doctors who really didn't know shit. Now, maybe i just had bad luck, regardless, I now travel to Jakarta for ANYTHING that can wait. I go to Pondok Indah Hospital - Puri Indah Hospital which is very modern, very clean and much cheaper than any hospital I've been to in Bali. The difference in cleanliness between Bali hospitals and Pondok Indah is shocking.

Rant over.
 
Can't comment on Bali hospitals but just spent a few days in an EMC hospital in Jakarta. Everything was excellent and I have zero complaints which is saying a lot considering BPJS paid for everything. Honestly can't imagine how I would have received better care anywhere. Maybe it's a fluke.
 
Can't comment on Bali hospitals but just spent a few days in an EMC hospital in Jakarta. Everything was excellent and I have zero complaints which is saying a lot considering BPJS paid for everything. Honestly can't imagine how I would have received better care anywhere. Maybe it's a fluke.
I am familiair with EMC hospitals in Jakarta. Expensive and like Reilek said in his post .. trying to extract money as much as possible. At first the doctor said the surgery would cost around 50 juta. In the end I paid 110 juta for my wife's surgery last year. At that time she has no insurance.
 
I am familiair with EMC hospitals in Jakarta. Expensive and like Reilek said in his post .. trying to extract money as much as possible. At first the doctor said the surgery would cost around 50 juta. In the end I paid 110 juta for my wife's surgery last year. At that time she has no insurance.
Whatever they extraced from me came from BPJS. I have no idea what the final bill was but the care was top notch even on BPJS.
 
I am familiair with EMC hospitals in Jakarta. Expensive and like Reilek said in his post .. trying to extract money as much as possible. At first the doctor said the surgery would cost around 50 juta. In the end I paid 110 juta for my wife's surgery last year. At that time she has no insurance.
Actually, I said healthcare in hospitals in Jakarta is cheaper than Bali and I suspect the reason is because there's fewer tourists there which might explain why there isn't a big push to extract as much money as possible from every Bule who walks through the door. Pondok Indah Puri hospital, Jakarta, is spotless, paint looks fresh on walls, floors clean and much more organised than the hospitals on Bali. Excellent treatment and less expensive than any place I've been to here.
 
I have recently had to use the medical system twice for serious conditions.
I have a heart condition that I was unaware of until end of September.
That was a bit hit & miss- I was ill & my BP was going crazy so I went into the ER- I was admitted immediately- but they only did electrocardiogram and the basics & let me home as soon as my BP was under control. I asked for blood tests, they refused them.
The ER dr wrote up GERD as a diagnosis.
I knew for damn sure this was not a gastric thing so I followed it up & went back to the same hospital the next day and saw the cardiology team- they were as different as chalk & cheese with the ER team. The Cardio team did a full screening of lipids etc.further ECG and also the echocardiogram and a CT angiogram scan (I think this was about 5 or 6 million IDR) & we were pretty sure I would be in need of stents from all the data that was coming back- anyway...not so.

The upshot is that I had an angiography (cost -expensive if private probably around 100 million if multiple stents needed. On BPJS - nil) which revealed that my arteries are not blocked but that there is something weird with one of the chambers of my heart. Medication & good luck is my treatment. My diagnosis/treatment with the cardio team was a mix of paid & BPJS the attention I received from them was consistently good and with the same team- no discrimination about payment methods.
(As I am registered with BPJS- the cardiologist told me to get the BPJS set up so that I could get this procedure done & paid for by the BPJS system. I did that- it was a bit of a pain in the arse & when one's number in the queue is 900+ it does get a bit soul destroying- sitting waiting out the best part of a day to get documents stamped & Is dotted & Ts crossed & all entered into the computer system. This in itself involved going to our local puksesmas to get a referral to the hospital they use, then to that hospital to get re-referred to the one I was dealing with- doable but as already mentioned took the best part of a day sat on hard metal hospital benches( hint & tip- take a newspaper or a cushion- however worth it- just keep in mind the tens of millions of IDR one is not going to have to pay out to help keep spirits up!)
~~~
I am currently suffering from double pneumonia.
Because of the heart condition I found myself to have a wonderful cardiology team, they spoke in English with me and have been very thorough in diagnosis. I even have their WA numbers & they have responded promptly to any messages I sent.
So, when I was very unwell, I asked one of them if they would recommend a doctor for me to see re the (pneumonia) issue. I was given 3 names.
I saw one of these doctors yesterday, she was also excellent, she communicated in very good English and was very thorough in her diagnosis.
Due to the BPJS online booking system being screwed up (or me being to dumb to figure it out properly- it did seem far too easy), I ended up paying for this. I could have gone home again & re-booked & gone back in, however, I was so sick that I just wanted to get the whole thing over & done with. I was shocked at how cheap it actually was- the consultation & the chest x-ray cost less that 500,000 IDR.
The medications I need are expensive though & they came to more than 1 million for 2 weeks prescription. As I have double pneumonia topped off with a severe asthma episode I figure the overall cost 9to date) of 1,8 million was not excessive.

Apologies for the essay-like post, I just figured that I would share my experience as it involves a mix of BPJS & private treatment. I know many people will have private insurance but I know some don't.
I just want to say that with a little navigating and persistence it is possible to get good treatment. Even if one pays it isn't always that expensive.

One important thing that I did learn is that bacterial pneumonia here is resistant to amoxicillin (cos I took a full course of that 2-3 weeks ago)- and given recent news articles re China I hope my post is useful/helpful .
 
This in itself involved going to our local puksesmas to get a referral to the hospital they use, then to that hospital to get re-referred to the one I was dealing with- doable but as already mentioned took the best part of a day sat on hard metal hospital benches( hint & tip- take a newspaper or a cushion- however worth it- just keep in mind the tens of millions of IDR one is not going to have to pay out to help keep spirits up!)
😂


I just figured that I would share my experience as it involves a mix of BPJS & private treatment. I know many people will have private insurance but I know some don't.
I just want to say that with a little navigating and persistence it is possible to get good treatment. Even if one pays it isn't always that expensive.
Interesting, yes. I wonder how BPJS procedure would work, when you get sick and have to go to the hospital, but are not admitted. Most 'inpatient insurances' here only pay for hospital admission. So with BPJS, hospital treatment is also paid for, while you are not admitted, right.
 
😂



Interesting, yes. I wonder how BPJS procedure would work, when you get sick and have to go to the hospital, but are not admitted. Most 'inpatient insurances' here only pay for hospital admission. So with BPJS, hospital treatment is also paid for, while you are not admitted, right.
Both outpatient & inpatient are covered
I was an inpatient following the angiography heart procedure- I didn't expect that, but was told I had to stay for observation under BPJS rules. I was put in a room with just 1 other woman and it was all really quite a nice standard. the food was vile- am no fan of boiled tofu and that was on the 'heart healthy diet' menu. I ordered in some Indian food instead.
 
Sorry to her that BA. Hopefully you recover soon. I know someone who get an expensive surgery and then routine medication that cost a few millions a week. All of that are paid by BPJS.
So unless it is a one off occasion, better to find a way to be paid by BPJS. That is what you are paying for.
 
I have recently had to use the medical system twice for serious conditions.
I have a heart condition that I was unaware of until end of September.
That was a bit hit & miss- I was ill & my BP was going crazy so I went into the ER- I was admitted immediately- but they only did electrocardiogram and the basics & let me home as soon as my BP was under control. I asked for blood tests, they refused them.
The ER dr wrote up GERD as a diagnosis.
I knew for damn sure this was not a gastric thing so I followed it up & went back to the same hospital the next day and saw the cardiology team- they were as different as chalk & cheese with the ER team. The Cardio team did a full screening of lipids etc.further ECG and also the echocardiogram and a CT angiogram scan (I think this was about 5 or 6 million IDR) & we were pretty sure I would be in need of stents from all the data that was coming back- anyway...not so.

The upshot is that I had an angiography (cost -expensive if private probably around 100 million if multiple stents needed. On BPJS - nil) which revealed that my arteries are not blocked but that there is something weird with one of the chambers of my heart. Medication & good luck is my treatment. My diagnosis/treatment with the cardio team was a mix of paid & BPJS the attention I received from them was consistently good and with the same team- no discrimination about payment methods.
(As I am registered with BPJS- the cardiologist told me to get the BPJS set up so that I could get this procedure done & paid for by the BPJS system. I did that- it was a bit of a pain in the arse & when one's number in the queue is 900+ it does get a bit soul destroying- sitting waiting out the best part of a day to get documents stamped & Is dotted & Ts crossed & all entered into the computer system. This in itself involved going to our local puksesmas to get a referral to the hospital they use, then to that hospital to get re-referred to the one I was dealing with- doable but as already mentioned took the best part of a day sat on hard metal hospital benches( hint & tip- take a newspaper or a cushion- however worth it- just keep in mind the tens of millions of IDR one is not going to have to pay out to help keep spirits up!)
~~~
I am currently suffering from double pneumonia.
Because of the heart condition I found myself to have a wonderful cardiology team, they spoke in English with me and have been very thorough in diagnosis. I even have their WA numbers & they have responded promptly to any messages I sent.
So, when I was very unwell, I asked one of them if they would recommend a doctor for me to see re the (pneumonia) issue. I was given 3 names.
I saw one of these doctors yesterday, she was also excellent, she communicated in very good English and was very thorough in her diagnosis.
Due to the BPJS online booking system being screwed up (or me being to dumb to figure it out properly- it did seem far too easy), I ended up paying for this. I could have gone home again & re-booked & gone back in, however, I was so sick that I just wanted to get the whole thing over & done with. I was shocked at how cheap it actually was- the consultation & the chest x-ray cost less that 500,000 IDR.
The medications I need are expensive though & they came to more than 1 million for 2 weeks prescription. As I have double pneumonia topped off with a severe asthma episode I figure the overall cost 9to date) of 1,8 million was not excessive.

Apologies for the essay-like post, I just figured that I would share my experience as it involves a mix of BPJS & private treatment. I know many people will have private insurance but I know some don't.
I just want to say that with a little navigating and persistence it is possible to get good treatment. Even if one pays it isn't always that expensive.

One important thing that I did learn is that bacterial pneumonia here is resistant to amoxicillin (cos I took a full course of that 2-3 weeks ago)- and given recent news articles re China I hope my post is useful/helpful .
I think we could say this has been a rough patch. Hope things settle down and you are comfortable. Are prescribed medications covered by BPJS? Australia's Medicare includes medications and that makes a huge difference. This week found that a new drug for cystic fibrosis is now covered by Medicare. The actual cost is about $300,000 per patient a year which is quite staggering. Talking with a friend last night in Melbourne who has a range of serious medical issues and said his medication cost are $3000 a week but covered by Medicare. He told the doctor he wasn't worth it but the doctor said without the medication he would be in hospital and the costs would be higher. As I am sure you know, mark ups and costs for pharmaceuticals in the US are eye watering but Americans have been sold the notion that government funded health care is Communistic and a denial of their freedom. (Freedom to die from their ailments if they are poor and can't afford treatment.)
1701746290810.png
 
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I think we could say this has been a rough patch. Hope things settle down and you are comfortable. Are prescribed medications covered by BPJS? Australia's Medicare includes medications and that makes a huge difference. This week found that a new drug for cystic fibrosis is now covered by Medicare. The actual cost is about $300,000 per patient a year which is quite staggering. Talking with a friend last night in Melbourne who has a range of serious medical issues and said his medication cost are $3000 a week but covered by Medicare. He told the doctor he wasn't worth it but the doctor said without the medication he would be in hospital and the costs would be higher. As I am sure you know, mark ups and costs for pharmaceuticals in the US are eye watering but Americans have been sold the notion that government funded health care is Communistic and a denial of their freedom. (Freedom to die from their ailments if they are poor and can't afford treatment.)
View attachment 3583
My monthly medications cost 250,000IDR for the heart thing. I could probably get them covered by BPJS but it is just far more convenient to go down the local pharmacy & buy them. they never ask for a prescription, so at this stage all is cool.
The other stuff for the pneumonia, I see the majority of it as a temporary thing so I doubt I will have to worry about monthly costs. I may have to keep some of the meds going because of the asthma that I also have (eg: the Symbicort inhaler). Not sure of these costs at this stage. I guess I could get them at the hospital via BPJS but unless the costs are insanely high then , again, it will be easier to just buy at the local place. I just get the generic versions, never felt a need to go for "brands", so they are cheaper. While I can manage it I will try to keep my own burden to the BPJS to a minimum because there are many out there with greater need and less in the bank.
 

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