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Jokowi Save BPJS Kesehatan from a IDR 77 Trillion Deficit by Increasing Contributions

NUSADAILY-JAKARTA-To save BPJS Kesehatan (Indonesia’s national health insurance) from the deficit, President Joko Widodo (Jokowi) has officially agreed to increase BPJS Kesehatan fees. BPJS Kesehatan is predicted to bear a deficit of Rp 77 trillion in 2024. The increase in contributions is contained in Presidential Regulation (Perpres) Number 75 of 2019 concerning Health Insurance which was signed on October 24, 2019.

Reporting from Kumparan.com, the increase in fees applies to all categories of participants, both Recipient Assistance (PBI), Wage Non-Recipient Participants (PBPU) or independent participants, as well as Wage Recipient Participants (PPU) of private business entities and government PPU.

Increase in PBPU and PPU contributions Starting January 1, 2020. The new proposal of BPJS Kesehatan tariff from the Ministry of Finance (MoF) is class III service beneficiaries of Rp 42,000, class II of Rp 110,000, and class I of Rp 160,000.

Based on Article 34 Paragraph 2 of the Perpres, the increase in fees came into force on January 1, 2020. This is the same as the proposal of the Minister of Finance, Sri Mulyani Indrawati when presenting the increase in fees in front of members of the DPR.

“This applies in January 2020. This contribution will only be able to help BPJS in 2020,” Sri Mulyani said at Rapat Dengar Pendapat of DPR RI Commission IX, Jakarta, Tuesday (22/8).

Beside PPU and PBPU, the government has actually raised BPJS Kesehatan fees for the PBI category. For PBI, the government began enacting it in August 2019. Although the Perpres was only signed in October 2019, the regulation will apply retroactively.

In Article 103A Paragraph 1 of the Perpres reads that the central government will provide assistance of Rp. 19,000 per PBI participant currently funded by the Regional Budget. The goal is that the financial burden on the Regional Government is not too heavy due to this increase.
BPJS Kesehatan is predicted to bear a deficit of Rp 77 trillion in 2024 due to the receipt of contributions of only Rp 133 trillion. While claim payment is forecast to reach Rp 220 trillion.

The Director of BPJS Kesehatan, Fachmi Idris, said that this would happen if there was no improvement in the value of contributions. Current fees are considered to be too low, so claims must be paid out of balance.

“The deficit in 2024 will reach Rp 77 trillion if it does not improve contributions,” he explained in a joint meeting at the DPR RI Commission XI, Jakarta, Monday (2/9).

He also revealed that in 2019 if contributions were not raised, the BPJS Kesehatan deficit would reach 32 trillion. While in 2020 it reached Rp 39 trillion, in 2021 it reached Rp 50.1 trillion, in 2022 it reached Rp 58 trillion, and in 2023 it reached Rp 67 trillion.

“Projections 2019-2024, if there is no policy mix effort, the deficit will widen. This deficit will increase because the cost of people per month is getting wider, and this difference is the main situation of the event,” Fachmi.(kumparan/cak)

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