TEMPO.CO, Jakarta – The Social Security Agency's healthcare division (BPJS Kesehatan) is proposing to raise the premium for aid recipient (PBI) and non-PBI policyholders in a bid to reduce deficit. The current premium of Rp19,225 per month is proposed to be raised by to Rp27,500 per person per month in 2016.
The PBI fee increase will be followed by a rise of premium for non-wage earning workers (PBPU) and wage-earning workers (PPU).
BPJS Kesehatan recorded a mismatch between the claims paid and the premium revenue they made. In 2014, there was a mismatch of Rp1.54 trillion, with Rp42.6 trillion claims paid and just Rp41.06 trillion premiums booked.
The mismatch was also triggered by the 'insurance effect' that surfaced after the BPJS was established. People who were previously reluctant to go to the hospital now flock to get their illnesses cured on the government's expenses.
The insurance effect multiplied as the majority of PBPU policyholders registered after they got sick. As a result, the PBPU claims ratio reaches 600 percent.
To patch up the deficit, the government has proposed for an additional Rp5 trillion capital for BPJS Kesehatan.
TRI ARTINING PUTRI | REZA ADITYA | ANDI RUSLI
