Procedures And Terms For BPJS Kesehatan Mandiri Participants Move To PBI

YOGYAKARTA - Moving from BPJS Health independently to the PBI program is not complicated, but requires a number of requirements and procedures that must be followed. So, what are the requirements for BPJS health participants to independently move to PBI?

For participants who want to make a move, it is important to know what requirements must be met so that the transfer process can run smoothly.

This article will provide complete guidance on how to move from independent BPJS to the PBI program, including requirements that must be met and procedures that must be passed.

BPJS Kesehatan has two categories of participants, namely Contribution Assistance Recipients (PBI) and Non Contribution Assistance Recipients (Non PBI). The main difference between these two BPJS Health services lies in the facilities, costs, and registration requirements.

BPJS Non PBI participants have the freedom to choose the first hospitalization class and health facility (faskes). They are also required to pay monthly dues according to the selected class.

On the other hand, BPJS PBI participants, who generally come from underprivileged families, get classroom 3 facilities and due to government coverage.

Finally, the first health facilities for PBI participants are usually determined based on domicile. To become a participant in PBI. Thus, one must meet the criteria as poor or incapable in accordance with applicable regulations.

BPJS Kesehatan sendiri telah memberikan kesempatan bagi peserta mandiri yang kesulit membayar iuran untuk beralih menjadi peserta PBI.

However, it is important to know that duer arrears when they are still independent participants still have to be paid off. Even though they have switched to PBI, participants are given six months to pay off the arrears.

The arrears of BPJS Kesehatan participants are considered as receivables that must be paid even though they are no longer independent participants.

Before continuing, also read the article discussing whether BPJS Patients Can Enter the ER Without Referral? Check The Answer Here

Reporting from the website of the East Belitung District Health Office, in order to move from the BPJS Health program independently to the Contribution Assistance Recipient Program (PBI), you need to prepare several documents, including:

After all the document requirements, the registration process will go through the following stages of verification:

Officers will check your Population Identification Number (NIK) to ensure you are registered as a participant in BPJS Health independently class 3 and have paid off the last dues.

Furthermore, the officer will check the completeness of all documents that you bring, including KTP, KK, SKTM, proof of payment, and materai.

The third step, the officer will fill out a transition form from BPJS independently to PBI. You will be given an explanation regarding the transition process and asked to take the form to the nearest BPJS Health office.

Related to the cost of this transition process, it is free of charge. Then the transition process from BPJS for independent health to PBI can usually be completed within 1 working day.

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