Can Heart Patients Use BPJS Health Insurance at a Heart Hospital?

BPJS Kesehatan (the Social Security Administering Agency for Health) is Indonesia's national health insurance program. It is a public institution funded by the state through contributions from its registered members, and it covers most of the illnesses its members suffer, including some serious or chronic ones.

But can heart patients use BPJS at a heart hospital? Here is the full rundown.

Can You Use BPJS Services at a Heart Hospital?

Social health insurance for Indonesians is currently run by BPJS Kesehatan. It provides several types of health services, including:

• First-level health care, usually at a community health center (Puskesmas).
• Advanced health care, usually provided at hospitals as either outpatient or inpatient services.
• Childbirth.
• Ambulance.

You should also know that BPJS Kesehatan now covers a range of illnesses considered serious, such as:

• Dengue fever.
• Asthma.
• Cancer.
• Epilepsy.
• Stroke.
• Acute bronchitis.
• Diabetes.
• Heart disease.
• Pulmonary tuberculosis, and many more.

Judging by this list, heart patients are also entitled to care through their BPJS Kesehatan membership, including BPJS services at a heart hospital.

Keep in mind, though, that not every heart hospital necessarily accepts BPJS members. Check with each heart hospital you plan to visit to find out whether it accepts BPJS patients.

Read also: Why Are More People Seeking Treatment at Heart Hospitals Abroad?

How to Use BPJS Health Services at a Heart Hospital

The procedure for using BPJS Kesehatan at a heart hospital may differ from one hospital to another, but in outline most follow nearly the same steps.

Here is what you need to do to use BPJS services at a heart hospital:

• Register as a new patient at the special BPJS counter.
• Fill out the form with the patient's full identity.
• Bring the original referral letter, the original BPJS Kesehatan membership card and a photocopy of the card in the patient's name.
• Attach a photocopy of the referral letter from the secondary health facility (a regional general hospital, or RSUD).
• A photocopy of the patient's national ID card (KTP).
• If the patient is a child, attach a photocopy of a parent's national ID card.

If you only need a heart examination, you don't actually have to go to a specialized heart hospital. You can be examined at a general hospital or at Heartology Cardiovascular Center. Heartology is a specialized health facility that offers a range of heart-related services, including medical check-ups. So you don't need to use BPJS services at a heart hospital if all you want is a routine check-up.