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November 19, 2025

Cost sharing BPJS Kesehatan bisa dilaksanakan, ini syaratnya

Cost sharing BPJS Kesehatan bisa dilaksanakan, ini syaratnya
Kornas MP BPJS Hery Susanto
Posted by: 42 comments

Zonasatu News–Kornas Masyarakat Peduli BPJS, Hery Susanto berpendapat cost sharing BPJS kesehatan bisa dilakukan manakala negara dalam “keadaan krisis ekonomi, kolaps, atau gawat darurat”. Demikian disampaikan Hery Susanto kepada zonasatunews.com di Jakarta siang ini (28/11).

Dia merujuk Pasal 56 UU no 24 Tahun 2011 Tentang BPJS :
Bunyi pasal 56 UU BPJS ayat (2) Dalam hal terdapat kebijakan fiskal dan moneter yang mempengaruhi tingkat solvabilitas BPJS, Pemerintah dapat mengambil kebijakan khusus untuk menjamin kelangsungan program Jaminan Sosial. (3) Dalam hal terjadi krisis keuangan dan kondisi tertentu yang memberatkan perekonomian, Pemerintah dapat melakukan tindakan khusus untuk menjaga kesehatan keuangan dan kesinambungan penyelenggaraan program Jaminan Sosial.

Dalam penjelasan pasal 56 ayat (3) Kondisi tertentu yang memberatkan perekonomian dapat berupa tingkat inflasi yang tinggi, keadaan pascabencana yang mengakibatkan penggunaan sebagian besar sumber daya ekonomi negara, dan lain sebagainya. Tindakan khusus untuk menjaga kesehatan keuangan dan kesinambungan penyelenggaraan program Jaminan Sosial antara lain “berupa penyesuaian Manfaat”, Iuran, dan/atau usia pensiun, sebagai upaya terakhir.

“Maknanya adalah pemerintah dapat melakukan langkah menyesuaikan manfaat (cost sharing_ merupakan salah satu bentuk dari penyesuaian manfaat) dengan catatan sebagai upaya terakhir”, katanya.

Tetapi untuk menuju ke upaya terakhir tersebut, lanjutnya, maka ditandai atau adanya kondisi memberatkan perekonomian, apakah bentuk inflasi, bencana alam skala nasional yang mengakibatkan sumber daya ekonomi terkuras.

“Pertanyaannya apakah kondisi NKRI sudah seperti itu??? Jika ya, maka Presiden Jokowi harus umumkan bahwa negara dalam keadaan gawat darurat. Jika tidak, tentu cost sharing BPJS kesehatan tidak bisa dijalankan dalam program JKN”, terangnya.

Masalahnya defisit keuangan BPJS Kesehatan itu problem pengelolaan BPJS kesehatan. Bukan status negara dalam keadaan gawat darurat.

“Karena itu, saatnya direksi dan dewan pengawas BPJS Kesehatan berhenti berwacana di ranah publik. Kerja ! Kerja ! Kerja! Kata Presiden JKW. Jika tidak siap kerja maka Direksi dan Dewa pengawas BPJS Kesehatan mundur saja”, pungkasnya.

 

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