TheJakartaPost
Please Update your browser
Your browser is out of date, and may not be compatible with our website. A list of the most popular web browsers can be found below.
Just click on the icons to get to the download page.
Popular Reads
Top Results
No results found. Please check your search term and try again
Can't find what you're looking for?
View all search results
Popular Reads
Top Results
No results found. Please check your search term and try again
Can't find what you're looking for?
View all search resultsBPJS Kesehatan warns it may fail to pay claims next year as deficits persist
BPJS Kesehatan President Director Priharti Pujowaskito said the agency is currently paying out significantly more in healthcare claims than it collects in premium contributions, resulting in a persistent funding gap.
Change text size
Gift Premium Articles
to Anyone
Share the best of The Jakarta Post with friends, family, or colleagues. As a subscriber, you can gift 3 to 5 articles each month that anyone can read—no subscription needed!
A Health Care and Social Security Agency (BPJS Kesehatan) official helps a patient on May 14, 2024, at the agency's South Jakarta office in Jakarta. (Antara/Akbar Nugroho Gumay)
S
tate-owned health insurer BPJS Kesehatan has warned that it may struggle to meet claim payments next year after posting monthly deficits of approximately Rp 2 trillion (US$111.57 million), signaling growing pressure on the financial sustainability of the National Health Insurance (JKN) program.
BPJS Kesehatan President Director Priharti Pujowaskito said the agency is currently paying out significantly more in healthcare claims than it collects in premium contributions, resulting in a persistent funding gap.
“Every day, we process around 2 million healthcare transactions. This generates claim payments of approximately Rp 500 billion per day, equivalent to around Rp 16 trillion to Rp 16.5 trillion per month. Meanwhile, monthly premium contributions amount to only Rp 14 trillion. As a result, we are running a deficit of about Rp 2 trillion every month,” Priharti said on Tuesday, as quoted by Kompas.com.
Priharti said BPJS Kesehatan still has sufficient reserves to cover hospital claim payments through early 2027. However, he warned that the agency could face a liquidity crisis and eventually default on its payment obligations if no corrective measures are taken.
According to Priharti, BPJS Kesehatan is projected to begin missing claim payments by July 2027 unless the government intervenes to address the growing funding gap.
However, Priharti said BPJS Kesehatan is expected to receive a Rp 20 trillion capital injection from the government through the Finance Ministry and the Health Ministry, which could help ease the insurer's short-term financial pressures.
He said the funds are expected to be disbursed in July 2026, pending the issuance of the necessary government regulation.
