PBI JKN Participants to Receive Notification Three Months Prior to Deactivation
Jakarta (ANTARA) - Commission IX of the House of Representatives (DPR RI) and BPJS Kesehatan have agreed to provide notification to Penerima Bantuan Iuran (PBI) participants of the National Health Insurance (JKN) who are to be deactivated three months before the policy takes effect.
“This step is taken to strengthen the governance of participation policies, including ensuring that every deactivation is accompanied by socialisation and notification at least three months before the policy is implemented, as well as coordination with all stakeholders, along with protection mechanisms and a transition period for participants who are still classified as unable to pay,” said the Chairman of Commission IX of the DPR RI, Felly E Runtuwene, during a Hearing with BPJS Kesehatan attended online in Jakarta on Wednesday.
Felly added that, as a step to improve participation, data validity, and participant protection, every deactivation of participants also requires periodic validation and updating of participant data through cross-sector data integration, as well as re-screening of inactive participants to ensure the programme targets the right groups, particularly those in deciles 1–5.
In addition, he continued, policies need to be developed to encourage active and sustainable participation, including anticipating participant behaviour patterns that tend to be active only when services are needed.
In order to strengthen the governance and sustainability of the JKN Programme, Commission IX of the DPR RI and BPJS Kesehatan are also committed to adjusting the success indicators of the JKN Programme, which should not only focus on coverage but also on the level of participant activity, financial resilience, and the quality of services received.
Furthermore, strengthening promotive and preventive services together with the Ministry of Health needs to continue in order to curb financing due to catastrophic diseases that continue to increase every year.
BPJS Kesehatan also highlighted diabetes mellitus and hypertension in young age groups, which are now increasing and becoming one of the factors in the rise of catastrophic disease financing, which now reaches 25 percent of the total health service budget.
“Cases of chronic diseases such as diabetes mellitus and hypertension are now increasingly found in young age groups. This condition can burden long-term financing if not balanced with promotive and preventive efforts,” said the Director General of BPJS Kesehatan, Prihati Pujowaskito.
He stated that overall, the realisation of benefit costs in 2025 will increase by 11 percent compared to 2024. However, the high financing is also in line with the increasing utilisation of services. It is recorded that around 1.9 million participants visit BPJS partner health facilities every day, with hospital visits increasing fivefold compared to 2014.