144 Diseases Covered for Treatment by BPJS Kesehatan

Jakarta, CNBC Indonesia - The Social Security Organising Agency (BPJS) Kesehatan covers 144 types of diseases. Participants in the National Health Insurance (JKN) programme can utilise these services to obtain fully or partially covered treatments. The scope of these diseases is extensive, encompassing infectious diseases, chronic conditions, metabolic disorders, and medical emergencies. Since 2014, the law has mandated that every Indonesian citizen (WNI) must become a BPJS Kesehatan participant. The BPJS Kesehatan system operates like insurance, with mandatory monthly premiums paid by participants. As long as the participant status is active, they can receive free healthcare services at clinics, community health centres (puskesmas), and hospitals cooperating with BPJS Kesehatan. Referring to Ministerial Regulation on Health (Permenkes) No. 28 of 2014 on Guidelines for Implementing the National Health Insurance Programme, there are 144 diseases covered by BPJS. Here are the 144 diseases guaranteed by BPJS Kesehatan: 1. Febrile convulsions 2. Tetanus 3. HIV AIDS without complications 4. Tension headache 5. Migraine 6. Bell’s Palsy 7. Vertigo (Benign paroxysmal positional Vertigo) 8. Somatoform disorder 9. Insomnia 10. Foreign body in conjunctiva 11. Conjunctivitis 12. Subconjunctival haemorrhage 13. Dry eye 14. Blepharitis 15. Hordeolum 16. Trichiasis 17. Episcleritis 18. Mild hypermetropia 19. Mild myopia 20. Mild astigmatism 21. Presbyopia 22. Night blindness 23. Otitis externa 24. Acute otitis media 25. Earwax plug 26. Motion sickness 27. Furuncle on nose 28. Acute rhinitis 29. Vasomotor rhinitis 30. Vasomotor rhinitis 31. Foreign body 32. Epistaxis 33. Influenza 34. Pertussis 35. Pharyngitis 36. Tonsillitis 37. Laryngitis 38. Bronchial asthma 39. Acute bronchitis 40. Pneumonia, bronchopneumonia 41. Pulmonary tuberculosis without complications 42. Essential hypertension 43. Oral candidiasis 44. Oral ulcer (aphthous, herpes) 45. Parotitis 46. Infection at umbilicus 47. Gastritis 48. Gastroenteritis (including cholera, giardiasis) 49. Gastroesophageal reflux 50. Typhoid fever 51. Food intolerance 52. Food allergy 53. Food poisoning 54. Hookworm disease 55. Strongyloidiasis 56. Ascariasis 57. Schistosomiasis 58. Taeniasis 59. Hepatitis A 60. Bacillary dysentery, amoebic dysentery 61. Haemorrhoids grade 1/2 62. Urinary tract infection 63. Gonorrhoea 64. Pyelonephritis without complications 65. Phimosis 66. Paraphimosis 67. Genital discharge syndrome (gonorrhoeal and non-gonorrhoeal) 68. Lower urinary tract infection 69. Vulvitis 70. Vaginitis 71. Bacterial vaginosis 72. Salpingitis 73. Normal pregnancy 74. Complete spontaneous abortion 75. Iron deficiency anaemia in pregnancy 76. Perineal rupture degree 1/2 77. Hair follicle abscess/sebaceous cyst 78. Mastitis 79. Cracked nipple 80. Inverted nipple 81. Type 1 diabetes mellitus 82. Type 2 diabetes mellitus 83. Mild hypoglycaemia 84. Protein-energy malnutrition 85. Vitamin deficiency 86. Mineral deficiency 87. Dyslipidaemia 88. Hyperuricaemia 89. Obesity 90. Iron deficiency anaemia 91. Lymphadenitis 92. Dengue fever, DHF 93. Malaria 94. Leptospirosis (without complications) 95. Anaphylactic reaction 96. Ulcer on limb 97. Lipoma 98. Verruca vulgaris 99. Molluscum contagiosum 100. Herpes zoster without complications 101. Measles without complications 102. Varicella without complications 103. Herpes simplex without complications 104. Impetigo 105. Ulcerative impetigo (ecthyma) 106. Superficial folliculitis 107. Furuncle, carbuncle 108. Erythrasma 109. Erysipelas 110. Scrofuloderma 111. Leprosy 112. Syphilis stage 1 and 2 113. Tinea capitis 114. Tinea barbae 115. Tinea faciei 116. Tinea corporis 117. Tinea manuum 118. Tinea unguium 119. Tinea cruris 120. Tinea pedis 121. Pityriasis versicolor 122. Mild mucocutaneous candidiasis 123. Cutaneous larva migrans 124. Filariasis 125. Pediculosis capitis 126. Pediculosis pubis 127. Scabies 128. Insect bite reaction 129. Irritant contact dermatitis 130. Atopic dermatitis (except recalcitrant) 131. Nummular dermatitis 132. Nappy eczema 133. Seborrhoeic dermatitis 134. Pityriasis rosea 135. Mild acne vulgaris 136. Hidradenitis suppurativa 137. Perioral dermatitis 138. Miliaria 139. Acute urticaria 140. Exanthematous drug eruption, fixed drug eruption 141. Laceration wound, puncture 142. First- and second-degree burns 143. Blunt trauma 144. Sharp trauma