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October 20, 2025

Bebankan Biaya Tambahan Bagi Peserta, Direksi BPJS Kesehatan Sebaiknya Mundur

Bebankan Biaya Tambahan Bagi Peserta, Direksi BPJS Kesehatan Sebaiknya Mundur
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Jakarta (Zonasatu News)–BPJS Kesehatan berencana tidak akan tanggung semua biaya perobatan delapan penyakit kronis, yakni :

1. Jantung
2. Gagal ginjal
3. Kanker
4. Stroke
5. Sirosis hepatitis
6. Thalasemia
7. Leukimia
8. Hemofilia.

Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan terus berupaya mencari jalan untuk mengatasi defisit keuangannya.

Yang terbaru, BPJS Kesehatan berencana untuk melibatkan peserta untuk mendanai biaya perawatan (cost sharing) untuk penyakit yang butuh perawatan medis lama dan berbiaya tinggi (katastropik).

Direktur Utama BPJS Kesehatan Fahmi Idris mengatakan, pembiayaan perawatan penyakit katastropik selama ini cukup menguras kantong BPJS Kesehatan.

Merujuk UU No. 40 tahun 2004 Tentang Sistem Jaminan Sosial Nasional (SJSN) Pasal 22 ayat (1) diamanatkan “Manfaat jaminan kesehatan bersifat pelayanan perseorangan berupa pelayanan kesehatan yang mencakup pelayanan promotif, preventif, kuratif dan rehabilitatif, termasuk obat dan bahan medis habis pakai yang diperlukan.”

Ayat (2) “Untuk jenis pelayanan yang dapat menimbulkan penyalahgunaan pelayanan, peserta dikenakan urun biaya.”

Dari dua ayat dari UU SJSN, BPJS kesehatan wajib melayani seluruh peserta JKN atas seluruh jenis pelayanan kesehatan termasuk kuratif, dan urun biaya bisa dikenakan bila ada penyalahgunaan pelayanan.

Jika penderita katastropik harus urun biaya maka wacana kebijakan BPJS Kesehatan dinilai melanggar Pasal 22 ayat (1) dan (2) UU Nomor 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional (SJSN).

Masyarakan Peduli BPJS menilai tidak adanya kebijakan cost sharing itu saja sudah banyak rakyat yang masuk jebakan batman dari oknum RS nakal, dengan menambah biaya lain diluar iuran BPJS. Apalagi wacana itu jadi kebijakan.

Koordinator Nasional Masyarakat Peduli Badan Penyelenggara Jaminan Sosial (KORNAS MP BPJS), Hery Susanto, dengan tegas menolak wacana pembebanan urun biaya untuk 8 penyakit dimaksud bagi peserta BPJS Kesehatan.

“Itu sebagai bentuk ketidakmampuan jajaran direksi BPJS kesehatan dalam mengelola JKN”, kata Hery.

Dihubungi terpisah Irwan Maryulin, Sekretaris Korwil MP BPJS Sumbar, Riau, Kepri, menegaskan, wacana kebijakan itu, menurutnya,  dinilai telah melanggar UU SJSN.

“Karena itu maka kami mendesak agar seluruh Direksi BPJS Kesehatan mempertanggung jawabkan diri kepada Presiden RI dan rakyat Indonesia, dengan menyatakan mundur dari jabatannya yang diamanahkan”, tegas Irwan.

 

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