Legal Protection for Participants of the Health Social Security Organising Agency

Halik, Annisa and Hamzah, Rosyidi and Syafrinaldi, Syafrinaldi (2019) Legal Protection for Participants of the Health Social Security Organising Agency. International Journal of Innovation, Creativity and Change (IJICC), 10 (5). pp. 76-91. ISSN 2201-1323

Text 9. Legal Protection for Participants of the Health.pdf - Published Version Download (280kB)

Abstract

The Social Security Organising Agency (BPJS) as the Implementing Body is a public legal entity formed to organise a health insurance program for all Indonesians. But in fact, regarding services in fulfilling the rights of BPJS Health participants in the Teluk Kuantan District Hospital there were obstacles in 2016. BPJS services were stopped for approximately six months. The management of the Kuantan Bay Regional Hospital, Kuantan Singingi Regency, Riau Province has temporarily suspended health services for BPJS Health participant patients, because the supply of medicines for BPJS Health patients is problematic. The Regional Hospital does not have any medicine supplies because the Regional Hospital is in arrears in the amount of Rp. 2.6 billion to third parties; namely pharmacies as partners. The main problem in this study is how the legal protection of the participants of the Health Social Security Organising Agency in the Teluk Kuantan Regional Hospital in terms of the Regulation of the Health Social Security Organising Agency No. 1 of 2014 concerning the Implementation of Health Insurance. The method used in this study is included in the class of observational research conducted by survey. The information is collected from respondents using primary data and secondary data. This research is analytical descriptive, which provides a detailed, clear and systematic description of the main problems of the study. Legal protection related to BPJS of health participants who took medication at Teluk Kuantan Regional Hospital is based on a case that occurred in 2016, BPJS participant patients did not get legal protection because their rights were not fulfilled. In this case, it clearly violates the provisions of Article 25 Paragraph (1) letter d of the Regulation of the Social Security Organising Agency Number 1 of 2014 concerning Health Insurance Providers. In that article it is said that each participant has the right to obtain health insurance benefits. The intended health insurance is stated in Article 25 Paragraph (2) of the Regulation of the Health Insurance Administering Agency Number 1 of 2014 concerning Health Insurance Providers. One of the benefits of health insurance is services medicine.

Actions (login required)

View Item