32 produced by the
MOH include: two 2 Health Ministry
Regulation
PeraturanMenteriKesehatan
and a 1 MOH Decree KeputusanMenteriKesehatan Number 328 on the Drug Formulary. The two MOH Regulations are: 1 MOH
Regulation No. 712 013 on ―Healthcare Services in the Health Insurance Program‖ and
2 MOH Regulation No. 692013 on ―Standard of Healthcare Tariff at Primary and Referral Healthcare Facilities in the Implementation of Health Insurance Program.‖
5.1.1.2. JKN Objectives
National Health Insurance JKN is the governments commitment to providing health insurance to all Indonesians. National Health insurance is to ensure all
participants receive health care for their basic needs article 19 paragraph 2 in SJSN Law. The entire population needs to have access to health-care services that are
proactive, preventive, curative and rehabilitative, as well as the necessary medication and medical supplies. In line with article 19, the ideal benefits package would be
comprehensive and would guarantee health services according to an individual’s
medical needs for all forms of illness. The JKN aims to provide: a.
Personal health services; b.
Health promotion, c.
Preventive health, d.
Curative health, e.
Rehabilitative medicine services, f.
Medical consumable materials in accordance with the necessary medical indications
5.1.1.3. JKN Principles
In accordance with Law Number 40 of 2004 on SJSN, National Health Insurance is managed through the principles of:
33 1.
Mutual cooperation Gotong royong. With everyone paying their installments, the spirit of gotong royong supports the idea of the healthy helping the sick and
the rich helping the poor. 2.
Non-profit. BPJS is not permitted to make a profit. Public funds are collected in a trust to be used for the benefit of participants.
3. Openness, diligence-caution, accountability, efficiency and effectiveness.
Management principles under the management of funds from participants and the results of developments.
4. Portability. This ensures that even if participants move house or change
employment, as long as they remain in the Republic of Indonesia they maintain their rights as JKN participants.
5. Mandatory participation. All participants are protected. Applications adapt to the
financial capabilities of people and the government, as well as the feasibility of program implementation.
6. Funding body. Payments by participants to the organizing body are entrusted in
funds that are well managed and for the benefit of participants. 7.
Funds managed by in social assistance funds are to be used entirely for program development and for the greater interests of participants.
5.1.1.4. Requirement to be JKN’s Participant
