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Saturday, February 22, 2014

BPJS : More Complicated and Variable Pay

BPJS : More Complicated and Variable Pay


This is a result of this Act into effect without socialization mature , and without consultation and dialogue in it with many doctors who know the needs and health problems in Indonesia .

Commented a Specialist Doctors who practice in Private Hospital in East Jakarta who also practice at the Government Hospital in Central Jakarta is encountered ASatunews in Jakarta , Saturday ( 22/2 ) .

'' With this new system may be many patients die , because the system is still chaotic and complicated , do not be surprised if a lot of Private Hospitals reluctant to engage and cooperate with the Social Security Agency ( BPJS ) 's Health , '' added the doctor again .
Complaints and complaints the doctor is not without reason , in this new system turns out that the patient must still pay for the medication requested .

'' I'm sorry ma'am , for participants Insurance BPJS , drugs are usually only given for five days , so for patients who require medication for 30 days , which is usually for diabetes and high blood pressure should consume for 30 days to three times a day , before control in the next month the patient had to spend extra Rp 500,000 , ' said nurse . -

'' And at a time using the Social Security insurance , we do not incur additional costs , pay the most for vitamins , usually only between Rp 10,000 , - up to Rp 20.00 course , now have to pay the extra cost so much , we might as ngak take insurance , even though I opt in Health BPJS One class per person to pay around Rp 59,000 per month , '' lamented Mrs. Imas , Depok residents who met Asatunews on Saturday evening ( 22/2 ) .

Then what will happen to patients who were given only able ngak medication only for five days , so ngak able to afford medication for the next 25 days , of course the danger of death threatens them , simply because the rules and system of health insurance is increasingly complicated and chaotic .

 Indeed the death of affairs , is the destiny and affairs of Allah Almighty . '' But Allah will not change the fate of a nation , if we do not try to change yourself . " Natural Wallahu ''

The participants complained BPJS Health Card services are less extensive and more distant from the consumer . Clinic and Hospital in collaboration with BPJS getting away from the house .

" At a time still managed by PT . Social Security , they are also working with the Home Sentra Medika , Jalan Raya Bogor , so that I can reference in poliklimik after Villa Pertiwi , I can immediately go to the hospital Sentra Medika , " said Imas ( 50 years ) Waga Villa Pertiwi , Depok , on Friday ( 21/2 ) .

" Now , the Hospital in cooperation with PT . Health JPPS limited , far from home , that is the Tugu Ibu Hospital , in PAL Gandaria , Polyclinic Villa Pertiwi Open hours 10 am , arrived at the hospital at 11 Morning Mother monument has been closed . " Moaned Mrs. Imas .

" Operators Registration Tugu Ibu Hospital stated , enrollment of patients to physicians in internal medicine was opened at 10 am , and closed a few minutes later because only 30 patients quotas , " lamented Mrs. Imas again . Mom forced Imas keesok a treatment day.

A participant Social Security Health Insurance Siti Nursidhah ( 40 years old ) , who now have to replace the health insurance status of the Social Security card to PT JPPS complained : " I was asked for money management services to Rp . 250,000 , so I had to postpone the transfer of the management of the health card Social Security card to BPJS , "added wells resident Stone , Village Serdang , Kemayoran , Central Jakarta was .

Yanto ( 50 years ) tricycle drivers , a resident of Villa Pertiwi also meneluh , now he has got the card after having previously BPJS Health Insurance Social Security card employment and health .

"I used to just ask at the clinic referral Villa Pertiwi , now have to ask for a referral to the clinic Mrs. Mas Cisalak Gang Jackfruit , away from home , so again had to go to hospital monument mother who is also away from home , the first to seek treatment at Sentra Medika , which close to home , "added Yanto .

Social Security Agency ( BPJS ) must be audited . Due to current funding from membership dues Login to Rp 161 trillion PT Askes

Among them , the funds from membership dues health insurance from civil servants , military and police who went into PT . Askes of Rp . 14 trillion and fund Social Security participation of workers in PT to Rp 147 trillion .

Since Askes and Social Security funds are combined into BPJS unclear until now . " Should the fund has entered into BJPS " .

" That's why we ask BPJS immediately audited , it is feared that the funds are used for political purposes what else is now approaching 2014 election , " said Rieke Diah Pitaloka Member Commission IX in Jakarta, Wednesday ( 19/2-2014 ) .

According to Rieke , there are still many poor and destitute people who do not get health insurance because of poor data collection system of government so that they do not enter the contribution recipient ( PBI ) .

It should all the Indonesian people are poor and can not afford ( including participants Jamkesda ) per January 1, 2014 automatically as Insured on Health BPJS as PBI ( beneficiary contributions) paid by the central government .

Referring to the provision criterion or tidal poor to afford the PP 101 mentahapkan government tender in 2012 the membership and cut the number of poor people and can not afford the tergabumg in PBI And before reaching 96.4 million people .

As per the results of the data collection Social Protection Program ( PPLS ) that made ​​the BPS in 2011 to 86.4 million , resulting in at least 10 million people and poor people can not afford not to get access to health insurance .

According to Rieke , responding still many poor people can not afford the bellum and entered into PBI participants Commission IX in 2014 supports additional budget of Rp 400 billion fund recycle the poor and can not afford that have not joined the Iranian Recipient ( PBI )

Since BPJS Act came into force in January 2014 and is now the manager of the Health Insurance managed by PT Askes one door that is now beganti name Health Insurance Management Board ( BPJS ) which was originally only manage health insurance servants , members of the Armed Forces and Civil Service retirees and Armed Forces and their families .

In addition to PT Askes before the enactment of health insurance BPJS UndanUndang also managed other companies , including PT Social Security .

PT . Social Security in addition to serving the health insurance for formal workers also informal sector workers , such as the seller of the food catfish , sellers cake up motorcycle, the network was expanded cooperation not only with the government-owned hospitals , but also with many private hospitals .

Not hernan range of services closer to the consumers at large.

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