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YOGYAKARTA BPJS Kesehatan is a public legal entity formed to provide health protection guarantees. Thus, participants who have paid health insurance fees will not be charged when seeking treatment at health facilities (Faskes) which are BPJS partners. Even so, not all diseases can be borne by health BPJS services. According to the rules, there are a number of health services and diseases that are not covered by BPJS.

Seyogyanya, BPJS sama dengan asuransi kesehatan lainnya. Ada sejumlah ketentuan tentang layanan dan jenis penyakit apa yang bisa mendapatkan klaim manfaat dan ada yang tidak bisa dijaminkan.

So, what types of health services and types of diseases cannot be borne by BPJS Kesehatan?

In this regard, the government does not specifically mention diseases that are not covered by BPJS or diseases that can benefit from guarantees. However, there is a number of important information about the category of services and conditions that cannot be claimed to use BPJS Kesehatan.

According to Presidential Regulation (Perpres) Number 82 of 2018 concerning Health Insurance, the following is a list of health services and criteria for diseases that are not covered by BPJS health, as quoted by VOI, Monday, November 28, 2022:

This is information about the list of services and diseases that are not covered by BPJS Kesehatan. Before seeking treatment at the BPJS partner health facility, make sure the disease you suffer is included in the criteria that can get claim of benefit.


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