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Government seeks to implement new JKN service classes for inpatient care
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Handling a crisis: An employee of the Health Care and Social Security Agency (BPJS Kesehatan) serves a customer at the agency’s branch office in Jakarta on July 1. (JP/Dhoni Setiawan)
T
he government is working to implement new categories of inpatient coverage for National Health Insurance (JKN) in 2022, as part of its efforts to restructure benefits for policyholders and ensure the deficit-stricken program’s sustainability.
Under the planned new system, Health Minister Terawan Agus Putranto said the government would recategorize inpatient benefits into two service classes that would separate the recipients of contribution assistance (PBI) -- low-income patients whose premiums are fully paid by the state -- from non-PBI participants.
PBI recipients account for 59 percent of the total 223 million policyholders, or about 133 million as of Nov. 1, according to the Healthcare and Social Security Agency (BPJS Kesehatan), which runs the JKN program.
The new service classes will replace the current three types of JKN plan, of which PBI policyholders are only eligible for the third-class service, while non-PBI policyholders can choose their own plan and whether to pay the premiums by themselves or have them partly paid by their employers.
“We will gradually implement this new system at hospitals managed by the Health Ministry in 2022,” Terawan said during a hearing with the House of Representatives Commission IX overseeing health care and manpower on Tuesday.
Read also: Government works to redefine primary health needs, JKN services
State insurance supervisory body National Social Security Council (DJSN) head Achmad Choesni said the difference between the two new types of inpatient services would only be in the number of beds per room and the size of the beds.
