[GENERASI CUAN] Daftar Penyakit hingga Alat Kesehatan yang Ditanggung BPJS Kesehatan

Summary

In this video, Stella explains the benefits and coverage of BPJS Kesehatan, a health insurance program in Indonesia. She discusses the various diseases covered, such as diabetes, stroke, and mental health issues, along with the types of medical equipment and dental services available under BPJS. Stella also highlights the importance of BPJS for both general and chronic conditions, detailing how people can access medical care through the program. Additionally, she encourages viewers to register for BPJS if they don't have other insurance, offering an alternative preventive healthcare option.

Takeaways

• 😀 BPJS Kesehatan covers a wide range of diseases, from common illnesses to chronic conditions like heart disease, cancer, and stroke.
• 😀 Chronic diseases such as diabetes, kidney failure, and liver issues are also covered under BPJS Kesehatan, but they must follow specific procedures.
• 😀 Mental health treatments, including psychotherapy and diagnostic tests, are covered by BPJS Kesehatan with proper documentation and referral.
• 😀 BPJS Kesehatan provides coverage for medical aids, such as hearing aids, prosthetics, dentures, and orthopedic devices like knee or back supports.
• 😀 BPJS Kesehatan offers partial coverage for glasses, with subsidies based on the coverage class (Class 1, 2, or 3).
• 😀 Dental treatments covered by BPJS Kesehatan include consultations, emergency care, tooth extractions, fillings, and scaling, but not cosmetic procedures like braces.
• 😀 BPJS Kesehatan is available to both government and private-sector employees, with employers typically paying the premiums. Freelancers or those without employer-provided benefits can register individually.
• 😀 Registration for BPJS Kesehatan is simple and can be done online via the official BPJS website or the JKN mobile app.
• 😀 As of September 2023, over 200 million people in Indonesia are enrolled in BPJS Kesehatan, covering around 94.6% of the population.
• 😀 While many people use BPJS Kesehatan, many still don't know the full scope of its benefits, including coverage for chronic and mental health conditions.
• 😀 BPJS Kesehatan serves as a valuable alternative to private health insurance, especially for those seeking preventive care or without other insurance coverage.

Q & A

What is BPJS Kesehatan?

BPJS Kesehatan is a health insurance program in Indonesia provided by the government to cover medical costs for its citizens.

What diseases are covered by BPJS Kesehatan?

BPJS Kesehatan covers a wide range of diseases, including vertigo, pneumonia, diabetes, skin diseases like herpes, and many others. There are over 144 diseases covered, ranging from common illnesses to chronic conditions.

Can BPJS Kesehatan be used for mental health treatment?

Yes, BPJS Kesehatan covers mental health treatment, including psychotherapy, diagnostic tests, and medication. However, certain requirements must be met, such as having a BPJS card, a referral letter, and a diagnosis from a doctor.

What chronic diseases are covered by BPJS Kesehatan?

Chronic diseases covered by BPJS Kesehatan include heart disease, cancer, stroke, kidney failure, hemophilia, thalassemia, leukemia, and liver cirrhosis.

What types of medical equipment are covered by BPJS Kesehatan?

BPJS Kesehatan covers medical equipment such as eyeglasses, hearing aids, prosthetics (e.g., artificial limbs, dentures), orthopedic braces, and crutches, subject to cost limits.

How does BPJS Kesehatan handle eye care?

BPJS Kesehatan provides subsidies for eyeglasses depending on the class of service (Class 3, 2, or 1). For example, BPJS covers up to IDR 15,000 for Class 3 and IDR 330,000 for Class 1, with the patient covering any additional costs.

Is dental care covered by BPJS Kesehatan?

Yes, BPJS Kesehatan covers various dental services such as consultations, basic treatments, extractions, and post-extraction medication. However, cosmetic procedures like braces (for aesthetic purposes) are not covered.

What are the procedures for claiming benefits from BPJS Kesehatan?

To claim BPJS Kesehatan benefits, you need to follow certain procedures including obtaining a referral from a primary healthcare facility (Faskes), submitting necessary documents like your BPJS card and ID, and undergoing treatments at approved facilities.

Can people who are not employees join BPJS Kesehatan?

Yes, even those who are not employed or are freelancers can join BPJS Kesehatan by registering individually through the official website or mobile app.

What are the benefits of joining BPJS Kesehatan?

Joining BPJS Kesehatan provides financial protection for medical expenses, access to a wide range of health services including treatment for diseases, chronic conditions, and mental health issues, as well as support for various medical devices and dental treatments.