Can BPJS Patients Enter The ER Without Referral? Check The Answer Here

Illustration of emergency services in hospitals (photo: Pixabay/DominiqueVince)

YOGYAKARTA BPJS Kesehatan participants who want to seek treatment must visit the first level health facility (faskes). However, in an emergency condition, patients will usually be taken to the Emergency Installation (IGD) in the hospital to get initial treatment. The question is, can BPJS patients enter the ER without a reference? Here's the full review.

Please note, the ER is a service unit in the hospital that provides initial treatment of patients according to their level of service.

Some types of patients treated in the ER are generally accident patients, patients with acute and chronic life-threatening diseases, or emergencies that require immediate treatment, such as cases of poisoning.

For BPJS patients who experience emergency conditions, they can access the service without having to attach a referral letter.

This is in accordance with the Regulation of the Minister of Health (Permenkes) Number 47 of 2018 concerning Emergency Services.

According to the Permenkes, the emergency is a clinical condition that requires immediate medical action to save lives and prevent defects.

Emergency criteria that allow BPJS patients to get services at the ER without a referral letter include:

The determination of the fulfillment of the emergency criterion was carried out by the Patient Responsible Doctor (DPJP).

BPJS participants can visit health facilities that cooperate with BPJS Kesehatan or not.

"Medical emergency services are provided by FKTP (First Level Health Facilities) or FKRTL (For Advanced Referral Health Facilities) either in collaboration or not in collaboration with BPJS Kesehatan," quoted from the JKN-KIS Service Guideline.

Health facilities will provide medical emergency services that are included in services guaranteed in national health insurance. Health facilities are prohibited from asking or charging BPJS Health participants.

If you meet the emergency criteria, participants can access emergency services in the ER without a referral letter, either at FKTP Maupuk FKRTL.

The following is a procedure for treatment to the ER without a referral letter:

Meanwhile, service procedures at the emergency room in health facilities are not in collaboration with BPJS Kesehatan, namely:

That is the answer to the question of whether BPJS patients can enter the ER without a reference. Hopefully the above review can add insight to the loyal readers of VOI.ID.