Complete Guide to Using BPJS Health for Treatment

Contents:

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All Indonesian people must be registered as members of the BPJS Kesehatan. This government program makes it easier for people to access health facilities. However, in fact not all people really understand how to use the correct BPJS. But you don't need to worry, because we have summarized all the information through the following reviews.

What are the facilities that can be obtained from BPJS Kesehatan?

DHF patients must be hospitalized

After you are registered as a BPJS member, you have the right to get treatment at a health facility that works with BPJS. There are five types of health services that you can get, including:

  1. First health service, First Level Outpatient (RJTP) and First Level Inpatient (RITP)
  2. Advanced referral health services, namely Advanced Outpatient Level (RJTL) and Advanced Level Hospitalization (RITL)
  3. Delivery facilities for delivery mothers
  4. Emergency services using ED facilities
  5. Ambulance services for patient referrals

How to use the correct BPJS Health?

To get the rights as a BPJS Health participant, you must also comply with the obligation to pay contributions every month.

In addition to paying BPJS contributions on time, another obligation that you must do is comply with procedures or procedures for using Health BPJS, as reported by the BPJS Health website. If these rights and obligations are carried out in a balanced manner, then your treatment process is guaranteed to run smoothly without obstacles.

Actually, how to use Health BPJS is generally the same for each type of health service. It's just that, this depends on your treatment needs, whether you just want to get regular treatment (outpatient), apply for hospitalization, childbirth, and so on.

In general, the ways to use BPJS Kesehatan are as follows:

1. Visit a local health center

good obstetrician

When you are sick and want to seek treatment using a BPJS card, the first step you must do is seek treatment at FASKES 1 (Level 1 Health Facility).

FASKES 1 itself can be a health center, clinic, general practitioner, or type D hospital. Usually, your FASKES 1 has been printed on your personal BPJS card.

Not only for regular treatment, pregnant women can also take advantage of BPJS Health for delivery. The delivery process can be done at FASKES 1 or the advanced level, depending on the health condition of the pregnant woman herself.

2. If you have to go to the hospital, ask for a referral letter

go to the obstetrician

If your health condition can still be treated and treated at FASKES 1, then you no longer need to go to the hospital. However, if your condition requires further treatment, you will immediately be referred to a hospital that works with BPJS.

Before going to the hospital, make sure you have pocketed a referral letter from the doctor. Because if not, you will be considered to undergo treatment at your own expense alias without using BPJS. As a result, the treatment process is hampered and not in line with expectations.

3. Emergency patients do not need a referral letter

emergency triage

If you experience an emergency, you can go directly to the hospital without requiring a referral letter. The purpose of the emergency itself is a precarious condition that can cause severity, disability, or even death.

If the nearest hospital does not cover BPJS, you do not need to bother looking for hospitals that work with BPJS. Because, you still have the right to get health services in any hospital closest to your home.

This aims to save the patient's life as soon as possible. Once the patient's health condition is more stable, new patients may be transferred to hospitals that work with BPJS.

However, there are certain emergency criteria that are borne by BPJS Kesehatan. Examples of heart disease, shortness of breath, burns, severe injuries, and so on.

4. Request an ambulance if needed

Source: guidbpjs.com

Ambulance services are one of the health facilities that you can get if you are registered with BPJS. This service is only given specifically to patients who get referrals to move from one hospital to another hospital, of course for medical reasons.

For example, cancer patients undergoing palliative therapy at hospital A must be referred to another hospital for hospitalization. Well, this patient may use an ambulance to help him get to the hospital. This aims to keep the patient's condition stable so that the patient's life can be saved.

Complete Guide to Using BPJS Health for Treatment
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