Many Don't Know! Is Skoliosis Operation Borne By BPJS Health?

Whether the spoliosis operation is covered by health bpjs (freepic)

YOGYAKARTA - Many people ask, is a spoliosis operation borne by BPJS Kesehatan? This question is natural because the cost of spoliosis operations can reach tens to hundreds of millions of rupiah.

Skoliosis itself is a spinal cord (unnormally curved) which often requires surgery to improve the patient's condition. However, unfortunately not everyone knows what procedures BPJS takes.

Reporting from the AI Care page, scoliosis is a spinal cord abnormally curved side-to-side disorder. This condition can be experienced by anyone, from babies to adults, but is most commonly found in children and adolescents aged 10'15 years.

Both men and women turn out to have the same risk of skoliosis. The level of curvature can be light to heavy, and at the X-ray examination it is stated that the skoliosis is more than 10$. The shape of the arch usually resembles the letter C or S.

The causes of scoliosis are quite diverse. About 80% of cases in children are classified as idioptic spoliosis, where the exact cause is unknown. In addition, there is congenital or congenital scoliosis that appears due to spinal disorders since the baby. This condition can worsen with the growth of children. In advanced age, it is known that degenerate scoliosis is triggered by spinal damage due to aging.

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Other types are neuromuscular spoliosis, caused by nerve or muscle disorders, such as cerebral pally, bifide spina, spinalis trauma, to muscle dystrophy. This type of Skoliosis tends to develop faster than idioptics and often requires surgery to prevent further complications.

According to Gadjah Mada Orthopaedic Center, BPJS Kesehatan bears the cost of spoliosis operations for patients with moderate curvature degrees (20'40 degrees) and weight (more than 40 degrees).

This operation aims to improve the backbone position while preventing a more serious risk of complications.

To be able to get the benefits of skoliosis operations through BPJS Kesehatan, patients must follow the flow of official claims. First, visit the First Level Health Facility (FKTP) to obtain a referral letter.

Furthermore, patients must carry out supporting examinations such as X-rays, CT scans, or MRIs at the BPJS referral hospital. After that, the patient can undergo treatment according to the doctor's recommendation.

For claims to be approved, prepare supporting documents in the form of referral letters, examination results, payment receipts, and BPJS Health participant cards. All of these documents were then submitted to the BPJS branch office.

The claim verification process usually takes about 14 working days before the cost is fully borne.

Then, in order for your operation or treatment of skoliosis to be borne by BPJS Kesehatan, participants must comply with the following provisions:

However, you need to know if the BPJS Kesehatan policy can change at any time. To ensure the latest information, contact the 165 call center or access the official BPJS Kesehatan website.

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