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Jakarta Post

From military to national coverage: 75 years of Indonesia’s health insurance

From the Dutch colonial era policy of primarily covering civil servants and military personnel to present-day national coverage, Indonesia’s public health insurance and welfare program has reached some 221 million of its 271 million population, nearly 75 years after independence.

Ardila Syakriah (The Jakarta Post)
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Jakarta
Wed, August 12, 2020

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From military to national coverage: 75 years of Indonesia’s health insurance A resident peeks through the glazed window of a Health Care and Social Security Agency (BPJS Kesehatan) office in Bogor regency, West Java, on July 30, 2018. (Antara/Yulius Satria Wijaya)

“Documenting 75 years of resilience” is a series of special reports by The Jakarta Post to celebrate Indonesia’s Independence Day on Aug. 17, 1945.

From the Dutch colonial era policy of primarily covering civil servants and military personnel to present-day national coverage, Indonesia’s public health insurance and welfare program has reached some 221 million of its 271 million population, nearly 75 years after independence.

Said to be the world's largest single-payer national health insurance by targeted coverage, the National Health Insurance (JKN) was launched in 2014 a decade after the government adopted the program under the 2004 law on the national social security system (SJSN).

The program began with 112 million participants, less than half of roughly 255 million Indonesians at that time, who were registered by integrating the policyholders of separate insurance schemes. The program now provides coverage to 83 percent of the population today.

But the current figure still falls short of the government’s 2019 coverage target of 95 percent of the population, or around 257 million people. Experts have also said that the deficit-stricken program has much room for improvement.

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