42,000 beneficiaries confirmed to remain as national health insurance assistance recipients
Jakarta — The Ministry of Social Affairs has announced that 42,000 individuals are confirmed to remain as participants in BPJS Health, the government-subsidised health insurance segment known as Penerima Bantuan Iuran Jaminan Kesehatan Nasional (PBI JKN).
These tens of thousands of beneficiaries represent a portion of 11 million PBI JKN participants whose membership was temporarily deactivated by the government in February as part of a verification process based on the National Socio-Economic Data Registry (DTSEN).
“Out of this figure, 44,500 have already been reactivated through regular procedures, with 42,000 resuming active status as PBI JKN participants, and 2,133 transitioning to self-funded segments or receiving support from local governments, particularly in regions that have already achieved Universal Health Coverage (UHC),” said Social Affairs Minister Saifullah Yusuf in Jakarta on Tuesday.
He noted that the government, through the Ministry of Social Affairs, previously automatically reactivated 106,153 PBI JKN participants who are also survivors of chronic diseases.
The Ministry of Social Affairs considers the status verification process for PBI JKN participation to be proceeding productively in line with its objective of ensuring government health insurance subsidies reach poor and near-poor populations, classified as the bottom five deciles (Desil 1-5) of the DTSEN.
Meanwhile, BPJS Health participants assessed as financially capable, classified in the top five deciles (Desil 6-10), are being transitioned to pay insurance premiums independently, whether they are Class 1, 2 or 3 participants.
To accomplish this, the Ministry of Social Affairs has deployed over 30,000 field officers from the Hope Family Programme (PKH) to conduct on-the-ground verification of the 11 million deactivated PBI-JKN participants alongside teams from the Central Statistics Agency (BPS).
“This PBI JKN process will continue on a monthly basis because, as we reiterate, social data is dynamic,” said Social Affairs Minister Saifullah Yusuf.