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    Category: Issues & Ideas By : Ardian Wibisono and Gloria Haraito Read : 1469 Date : Sunday, May 04, 2014 - 17:30:46


    Ahmad Zamroni / Forbes Indonesia

    Indonesia is entering a new era of healthcare service with the launch of the Social Security Provider (BPJS). Started this year, the new body aims to provide healthcare insurance for over 250 million Indonesians—it is the largest “single payer” healthcare system in the world. The service will be introduced in stages, with full completion by 2019.

    Minister of Health Nafsiah Mboi, 74, was appointed to her position in June 2012. Last year she accepted a two-year term as the chair of the Swiss-based Global Fund, an international NGO that finances the fight against various diseases around the world, such as tuberculosis (TB), dengue and malaria. She has more than 40 years of experience in the healthcare sector. She was the chair of the United Nations Commission on the Rights of the Child from 1997 to 1999. In 2006, she was a secretary of the National AIDS Commission and currently is the vice chairman. She graduated from the School of Medicine at the University of Indonesia, trained as a pediatrician, and got a master’s degree in public health from the Prince Leopold Institute of Tropical Medicine in Antwerp, Belgium. She was also a Takemi fellow at the Harvard School of Public Health.

    What is the vision for the Social Security Provider (BPJS)?

    We want all Indonesians to be covered by a system that guarantees a comprehensive and quality healthcare service. The regulations for the National Social Security System (SJSN) says that the system should be run by two organizations: BPJS Health and BPJS Employment. The BPJS Health provides a National Health Security Scheme (JKN), while the BPJS Employment manages pensions, life insurance and accident insurance. In five years we hope the health insurance scheme will cover the entire population.

    Previously, we had several state-owned healthcare and workers insurance systems, each with its own premiums and benefits. What we actually need is an integrated organization big enough to provide health financing for everyone. With this scheme, the poor will get coverage for their medical expenses.

    What is the progress so far?

    In the past couple of months membership has rapidly grown. There are three groups of membership. First, the 86 million people classified as poor and near poor who will get premium payment assistance from the government. The second group is divided into two categories, the 18 million people working as civil servants or military and the seven million people working in the private sector. These people have to pay a total of 5% of their income as a premium, which will be partially paid by the government or employer. The third group is those who have voluntarily registered as members, estimated at about 750,000 [the number is small since it is voluntary]. This year we are targeting 121 million people and so far we have registered 117 million.

    What kind of benefits does a member get?

    The members who pay a monthly premium of up to Rp 25,500 would get third-class facilities in hospital. Those paying Rp 42,500 would receive second-class facilities and those paying Rp 59,500 would receive first-class facilities.



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