BPJS use

Discussion in 'Health and Medical Care' started by Anglian, Feb 4, 2017.

  1. Anglian

    Anglian Well-Known Member Charter Member Cager

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    my wife had a few aches and pains so she made use of the BPJS which we both pay into, so she asked my daughters RT man who is extremely helpful which hospital she should use and he said RS Puskemas Rengas in Bintaro, when she arrived she paid 100,000rp registration fee, she was 150 in the queue, so went home and returned in the afternoon, she had a blood test and diagnosed that afternoon, got her prescription free of charge, so now feels much better, has to go back today, no idea yet what her number will be, but she is optimistic she will be done by 3pm, other than the waiting list she liked it better than RS Pondok Indah which we have used at enormous exspence
     
  2. scouser59

    scouser59 Member Charter Member Cager

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    hi anglian , why would your wife pay a registration fee at the hospital, seems strange to me , as far as im aware it should be free ?

    As I understand things bpjs users face ques in high population areas , so far in south bali we work by telephone appointment , it works well , I hope it continues like that .

    I hope as the system evolves in your area , ie more staff , and the q length reduces .
     
  3. Anglian

    Anglian Well-Known Member Charter Member Cager

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    Most hospitals charge a registration fee, its for the hospital not BPJS, we heard at one place in Tangerang people arrived at 5 pm,
     
  4. fastpitch17

    fastpitch17 Well-Known Member Charter Member Cager

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    I thought with BPJS you fist had to be OKed in one place to go to a doctor to use the program unless it is an emergency.
     
  5. dafluff

    dafluff
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    You have to use what is called a FasKes 1, or a primary care provider, which a Puskesmas definitely qualifies.

    Good to hear positive experiences with BPJS. Come 2019 every Indonesian resident will be required to have it, so it is good to hear that it is useful.
     
  6. fastpitch17

    fastpitch17 Well-Known Member Charter Member Cager

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    So I should to check and see if the hospital/clinic I use here is a primary provider? I couldn't see the advantage if one were sick to go one place and then another. Would be good if it was only one stop.
     
  7. dafluff

    dafluff
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    You can check with them, or check the bpjs website directly: http://www.bpjs-online.com/daftar/faskes-tk-1/

    The point of FasKes 1 visit is a triage or rationing mechanism. That way people who have the sniffles don't clog up specialists or hospitals.
     
  8. Anglian

    Anglian Well-Known Member Charter Member Cager

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    I have to admit I thought that too, but my wife just went to the hospital and registered, seen the same day, she has been today, no 89, she was actually seen quite quickly, it took her longer getting through the traffic to get home than waiting for her appointment
     
  9. fastpitch17

    fastpitch17 Well-Known Member Charter Member Cager

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    Or the people really sick don't make it to the hospital. I guess either way, less work for the hospitals.
     
  10. dafluff

    dafluff
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    Well, there is the emergency exemption. As well, all government hospitals and many private hospitals are designated FasKes 1.
     
  11. fastpitch17

    fastpitch17 Well-Known Member Charter Member Cager

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    I checked and found my Hospital under hospitals and their Apotik under Apotiks. I didn't find them under clinics, general practitioners, and no one came up for specialist. Would their being approved as a hospital include their clinic and doctors both gen Prac and specialist?
     
  12. dafluff

    dafluff
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    It probably requires care to be obtained through their polyclinic or even a separate unit for BPJS first.
     
  13. scouser59

    scouser59 Member Charter Member Cager

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    The Bpjs model was partly based on the uk health service , they were involved at the start in the planning stage , for an ex uk citizen the system would be familiar .

    The health centre is the filter system before patients arrive at hospital , so as was previously stated , does not clog up the hospital with minor illnesses , ya of course in an emergency straight to hospital .

    For a developing country its a great affordable "cradle to grave" health system , ya there are issues in some areas ,queing , lack of equipment etc , but I think the country should be commended for this socially fair system.
     
  14. Anglian

    Anglian Well-Known Member Charter Member Cager

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    Oh dear, I my apologies, my wife miss informed me, to her a. Clinic is a hospital, she went to a clinic first not a hospital, she said she lost her English head and got in a muddle, so it's an approved clinic first and dependent on the symptoms they will treat you but if serious send you to a BJPS approved hospital, but my apologies for the misinformation
     
  15. Davita

    Davita Well-Known Member Charter Member

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    BPJS is a Health Insurance Service and not a Health Service per se...they don't control hospitals, doctors or anything within the health service. They administer financial subsidy payouts to private and public hospitals and clinics.

    In UK, Canada, and I believe Australia, the National Health Services area full Health Service. UK NHS has over 1.5 million employees....doctors, nurses, administrators, cleaners, drivers etc.

    Notwithstanding, I agree it's a good start for RI and hopefully will get better. One problem is, unless employed in the formal sector where registration is mandatory, others don't join, and consequently subscribe, until they get sick. It will need political will to mandate every citizen should be registered, and thus contribute, during their lifetime...in the scale of economy, bigger is better with such systems.
     
  16. dafluff

    dafluff
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    They will, starting 2018 or 2019 you won't be able to obtain driver's license, IMB, or other gov't service without BPJS...or at least that's the plan.
     
  17. Davita

    Davita Well-Known Member Charter Member

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    Thanks for the update info....that's good news and what I meant by 'political will'.
    The BPJS system currently is underfunded and the Tax amnesty scheme didn't realize the income expected to fund projects that the President wanted. Getting more social involvement is the way to go....there's no free lunch.
     
  18. Dianne

    Dianne New Member

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    By 'every Indonesian resident' what does that mean? I have tried to enroll but been denied because I do not work.. am on Kitas retirement visa. Does it mean you need to be a permanent resident/employer/ business resident? I would happily pay 'bule' price to get on BPJS even if I never used it. Civic duty etc
     
  19. Anglian

    Anglian Well-Known Member Charter Member Cager

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    My wife checked with Mayapada hospital Lebak Bulas, what would be required should a clinic send her there, first ring the hospital to let them know you are coming, bring with you KTP, KK, (passport if foreigner) birth certificate, if the procedure exceeds your BPJS limit you are liable, our BPJS is on the top limit, but I’ve no idea what that is
     
  20. Fred

    Fred Member

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    We all have BPJS but have yet to use it.
    Whilst I hope never to need healthcare at all,it's a handy fallback for us poor Indonesians that can't afford medical bills.
    The big hospitals are very nice but cost a small fortune, but smaller places are often just as good as far as treatment is concerned, but are a fraction of the price.
    The intrepid OP might want to consider a trip to RS IMC in Jombang - No bells and whistles, but they get the job sorted at a good price.
    If you don't know it, from McD sektor 9, to the Pronto lights, turn left, and it's a Kilo or so down the road on your right. Queues disappear for a few million. My wife had a tumour removed for 11 million, being operated on the day after the consultation. We had to stand a second class ward because of the speed but, If we'd waited a few days, we could have got a single room for not a lot more money.
    They're rebuilding at the moment so their pricing structure might well change soon.
     
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