Indonesia’s health scheme still suffering financially

August 15 2019 by InsuranceAsia News Staff

Indonesia is struggling to fill a huge gap in the finances of its compulsory national health insurance system.

BPJS Kesehatan, Indonesia’s healthcare and social security agency, which covers around 200 million people, has consistently posted losses since mandatory universal healthcare was introduced on January 1 2014 through the integration of multiple insurers. The insurer has been hit by consistently large claim payouts.

This year the shortfall between spending and premium income is set to climb to Rp28 trillion (nearly US$2 billion), more than double the gap in 2018.

In an attempt to balance the books, BPJS has announced a planned rise in premiums, and removed 5.2 million people from a list of beneficiaries.

The program was aimed at bringing millions who had no health care provision into state care. The universal insurance gives all citizens access to a wide range of services at public facilities as well as private institutions that opt to join the program, covering treatments from common flu to emergency operations.

Nearly 80% of the Indonesian population of 260 million are now covered, up from around half when the program was launched in 2014.