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November 20, 2025

‌Rakyat Terhimpit, Diantara Oknum BPJS dan “RS nakal”

‌Rakyat Terhimpit, Diantara Oknum BPJS dan “RS nakal”
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Jakarta (ZONASATU News)–BPJS Kesehatan sudah banyak diminati oleh masyarakat seiring dirasakannya manfaat yang diterimanya. Hingga pertengahan Juli 2017, jumlah peserta yang ikut serta program JKN-KIS atau BPJS Kesehatan sebanyak 179,01 juta jiwa. Namun pelayanan rumah sakit mitra BPJS Kesehatan masih banyak yang mengecewakan.

Yang paling sering ditemui kamar penuh, sehingga peserta harus dirawat dikamar lain yang ditanggung sendiri biayanya. Ujungnya mereka terpaksa mengeluarkan biaya lagi. Padahal sebagai peserta seharusnya bisa ditanggung oleh BPJS Kesehatan. Ada juga oknum rumah sakit yang sengaja menambah biaya-biaya tertentu diluar tanggungan. Pasien hanya pasrah saja. Karena tidak tahu, ataupun juga karena takut.

Belakangan berkembang wacana akan diterapkannya cost sharing terhadap penyakit berat yang katanya menyerap biaya tinggi dan menggerus anggaran BPJS Kesehatan. Masyarakat pun banyak yang protes. Dirut BPJS Kesehatan buru-buru mengklarifikasi, bahwa cost sharing hanya wacana jangka panjang.

Anehnya, ada juga kelompok oknum tertentu yang melempar isu bahwa selain RS nakal juga ada peserta BPJS nakal. Menanggapi hal itu Koordinator Nasional Masyarakat Peduli BPJS, Hery Susanto, menegaskan bahwa senakal-nakalnya peserta BPJS kesehatan, mereka hanya menunggak Iuran. Dan jika menunggak pun, tambanya, toh peserta tidak dapat menggunakan klaim BPJS-nya, serta kena sanksi denda pelayanan.

“Namun jika oknum BPJS kesehatan dan RS nakal justeru mengerikan. Karena tidak saja mereka bisa mainkan klaim fiktif tapi juga akan membebani biaya JKN dan menyusahkan bangsa dan negara” tegas Hery kepada media ini, Rabu (29/11).

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