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November 10, 2025

Dapat Predikat WTM, tapi Pelayanan BPJS Kesehatan Kian Ribet

Dapat Predikat WTM, tapi Pelayanan BPJS Kesehatan Kian Ribet
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Foto : Antri di RSUD Gunungjati Cirebon (17/5/2018)

Cirebon, Zonasatu News –Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan meraih predikat Wajar Tanpa Modifikasian (WTM). Predikat keempat kali berturut-turut tersebut, diberikan akuntan publik yang mengauditnya.

Sayangnya, menurut Koordinator Nasional Masyarakat Peduli BPJS, Hery Susanto, predikat itu tak seiring dengan peningkatan pelayanan yang diterima masyarakat. Dia mencontohkan dengan kejadian di Rumah Sakit Umum Daerah Gunung Jati, Cirebon, Jawa Barat, Kamis (17/5/2018).

Pasien antri di RSUD Cirebon

 

“Pagi tadi, saat hari pertama puasa, antrean panjang masih mengular. Mereka adalah peserta BPJS Kesehatan yang ingin merasakan layanan rawat jalan,” ujarnya di Jakarta, beberapa saat lalu.

Seharusnya, menurut Hery, BPJS Kesehatan memprioritaskan pelayanan prima terhadap masyarakat yang menjadi peserta. “Buat apa predikat bagus, tapi masyarakat masih harus mengantre panjang untuk merasakan manfaatnya,” kritik dia.

Dia lantas mencontohkan dengan pasien thalassemia atau yang harus rutin kontrol di RS. Sejak beberapa bulan lalu, mereka diharuskan meminta surat rujukan dari fasilitas kesehatan tingkat pertama, agar bisa dilayani di RS.

“Tiap tiga bulan harus meminta rujukan itu. Sebelumnya, hanya cukup sekali. Urusan administrasi begini, kan, terlalu bertele-tele, malah makin ribet. Akhirnya, malah menambah panjang antrean di RS,” jelasnya.

Apalagi, lanjut Hery, beberapa jenis obat yang harus dikonsumsi pasien penyakit berat sudah tidak ditanggung BPJS Kesehatan. Kebijakan tersebut diterapkan pascatereksposenya defisit anggaran penyelengga sistem jaminan sosial nasional (SJSN) bidang kesehatan itu.

“Kan, seharusnya enggak boleh begitu, karena sudah menjadi kewajiban negara untuk menjamin kesehatan warganya. Masalah nyawa jangan dihitung dengan duit. Ini harus jadi prioritas utama,” tuntasnya.

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