BPJS Health is no longer foreign to the eyes and ears of Indonesian society.

Already several
years have passed since its implementation in Indonesia, Social Security Administering Body or
BPJS is assigned to provide services in the form of new health insurance insurance substitute
system (health insurance) to the public against the costing, especially health. However, in its
application, there are several cases that one of them is health insurance BPJS is still not fully
provide good service to the community and tend to membenani BPJS participants themselves.

In the implementation of BPJS Health requires all Indonesian people to follow the service and
will sanction those who do not follow it. According to BPJS Health regulations, all companies
are required to register their employees in BPJS Kesehatan as of January 1, 2015. The
regulation has been agreed by BPJS Kesehatan and APINDO (Indonesian Employers
Association).

The organizers BPJS target, in the next 3 years that in 2019, all the people of Indonesia has
been thoroughly following the program BPJS Health. However please note that through the
services provided by BPJS, before registering the program, it is good to know the service
procedures provided. In addition, there will be positive and negative impacts that must also be
known by the public.

Outpatient Procedures BPJS Health

In practice, it is important for prospective users and users of BPJS Health itself to know the
outpatient procedures BPJS Health provided by the government because this is sometimes
also a determinant of the impact of BPJS Health itself, sometimes such trivial things can
becomes complicated for users and service providers so that it often creates problems that are
not good for both parties. Outpatient procedures BPJS Health services include:

1. Patients should seek treatment at first level health facility, ie puskesmas, or individual
medical practice, and if the patient's illness cannot be handled by puskesmas or individual
doctor then the patient will be given referrals according to the rules on BPJS health to go to
the hospital.
2. Then the patient carries the referral letter and BPJS Health card to the outpatient unit of the
intended hospital to be recorded.
3. Then the patient will then be eligible letters of the participant (SEP) by the officer as
evidence that the patient is eligible to receive outpatient health services in the hospital.

It is important to note that referral letters are required for first-time hospital treatment
(advanced health care facilities) further if still recommended for control or re-treatment will
no longer be needed referral letters from a first-rate health facility (Puskesmas or individual
medical practice) will use a certificate still in care. If no longer recommended for the treatment
control then it will be given referral letter to the first level health facilities. Please note also if
the patient is in an emergency emergency referral is not required, the patient can go directly
to the emergency room, with a note of emergency conditions in accordance with the
provisions BPJS Health.

Indeed, the procedure of outpatient care BPJS Health is often regarded as the side or negative
impact BPJS Health, because it is considered too complicated and impressed troublesome
people who want to get health, but back again every policy must have consideration other
than indeed because the organizers want the existence of a good system, with the enactment
of this stratified procedure the government hopes that only patients who really need intensive
care alone who can use the hospital facilities, not funny if there are patients who only mild
illness and ask for hospitalization while at the same time there are critical patients who need
immediate treatment, so these critical patients can not be treated because the facilities are
used instead by patients with mild disease.

Negative Impact of BPJS Health

In the implementation BPJS Health certainly has a positive or negative impact that can be
taken into consideration for potential users to register or users themselves whether you want
to rely on BPJS Health alone or add other insurance. The negative impact of BPJS, ie BPJS only
limits the service on drugs that are budgeted only, is not all drugs you can get from BPJS. If you
really need a drug that is outside BPJS coverage you must buy it yourself, and in addition to
room service for inpatients only enter the category class 1 only. Although the services of
doctors remain the same in all patients, the comfort of each class remains different.

Not only that, the implementation of BPJS conducted by the Health Authority or commonly
abbreviated as PPK I (health center and clinic) and PPK II (hospital) in the field still encountered
several problems. Some facts such as the abandonment of patients BPJS when seeking
treatment at health centers and hospitals, the difficulty of finding hospital treatment rooms,
and the slow handling of patients BPJS. The number of cases of hospital rejection of BPJS
patients to date is still a problem in the implementation of the BPJS program, especially for
BPJS Health.

For health insurance, your health is guaranteed either in terms of medicine or inpatient room.
You simply show the insurance card to the insurance company's insurance partner, then the
cost will be covered by the insurance without worrying about drugs that can not be claimed.
Positive Impact of BPJS Health
Positive impact of BPJS can be seen from the existing procedure, so it requires before referring
to the hospital you must first pass the examination at the Health Facility or abbreviated Faskes.
Faskes in question are general practitioners and puskesmas. So if you suffer serious illness and
require to hospital you have to go into puskemas first, but if according to puskesmas disease
suffering you enough handled with medicated potency, you can not ask for referrals.

On the other hand, in health insurance you can refer to the hospital directly and see a
specialist who specializes in your illness. The positive impact of BPJS can increase the income
received by hospitals so that hospitals can improve services for BPJS users, besides the positive
impact of other BPJS is this procedure can also save time because only patients who need the
most can be treated in hospital for patients mild disease is treated quite simply in puskesmas.

After reading this article, you can find out the side information or negative impact of BPJS and
the positive impact of BPJS, whether the procedure will work effectively or the government
should facilitate the outpatient procedure of BPJS Kesehatan.

Although BPJS Health services have a negative impact BPJS and positive impact BPJS, but the
equality of services from both layers of rich and middle to lower community remains
preferred. But for you who are able to financially, better also have health insurance as a
complement BPJS Health. By using both of these insurance you can be protected from risk
optimally.