How to use BPJS for treatment, here's the procedure

All Indonesian people must be registered as members of the Health BPJS. This government program makes it easier for people to access health facilities. However, in fact, not everyone really understands how to use the correct BPJS. But you don't need to worry, because we have summarized all of this information through the following review.

What are the facilities that can be obtained from BPJS Kesehatan?

After you are registered as a member of the BPJS, you are entitled to receive treatment at health facilities that work with BPJS. There are five types of health services that you can get, including:

1. The first health services, namely First Level Outpatient (RJTP) and First Level Inpatient Care (RITP)
2. Advanced level referral health services, namely Advanced Level Outpatient (RJTL) and Advanced Level Inpatient Care (RITL)
3. Delivery facilities for mothers giving birth
4. Emergency services using IGD facilities
5. Ambulance services for referral patients

How to use the correct BPJS Kesehatan?

To get the rights as a BPJS Health participant, of course, you also have to comply with the obligation to pay dues every month.

Apart from paying BPJS dues on time, another obligation that you must do is to comply with the procedures or procedures for using BPJS Kesehatan, as reported on the BPJS Health website. If these rights and obligations are carried out in a balanced manner, then your treatment process is guaranteed to run smoothly without hindrance.

In fact, the way to use BPJS Kesehatan is generally the same for each type of health service. It's just that this depends on your medical needs, whether you only want regular treatment (outpatient care), applying for hospitalization, childbirth, and so on.

In general, how to use BPJS Kesehatan is as follows:

1. Visit the local Puskesmas

When you are sick and want to seek treatment using a BPJS card, the first step you have to do is go to FASKES 1 (Level 1 Health Facility).

FASKES 1 itself can be a Puskesmas, clinic, general practitioner, or type D hospital. Usually, your FASKES 1 has been printed on your personal BPJS card.

Not only for regular treatment, pregnant women can also take advantage of BPJS Kesehatan for childbirth. The delivery process can be done at FASKES 1 or at the advanced level, depending on the health condition of the pregnant woman.

2. If you have to go to the hospital, ask for a referral letter

If your health condition can still be treated and treated at FASKES 1, then you no longer need to go to the hospital. However, if your condition requires further treatment, you will be immediately referred to a hospital that works with BPJS.

Before going to the hospital, make sure you have a referral letter from your doctor. Because if not, you will be considered to be undergoing treatment at your own expense, aka without using BPJS. As a result, the treatment process is hampered and does not match expectations.

3. Emergency patients do not need a referral letter

If you have an emergency, you can go straight to the hospital without needing a referral letter. The meaning of emergency itself is a critical condition that can cause severity, disability, or even death.

If the nearest hospital does not cover BPJS, you don't need to bother looking for a hospital that works with BPJS. The reason is, you are still entitled to health services at any hospital closest to your home.

It aims to save the patient's life as quickly as possible. Once the patient's health condition is more stable, then the new patient may be transferred to a hospital in collaboration with BPJS.

However, there are certain emergency criteria that are covered by BPJS Kesehatan. For example heart disease, shortness of breath, burns, serious injuries, and so on.

4. Request ambulance assistance if needed

Source: guidancebpjs.com

Ambulance service is one of the health facilities that you can get if you are registered with the BPJS. This service is only provided specifically for patients who get referrals to move from one hospital to another, of course for medical reasons.

For example, cancer patients undergoing palliative therapy at hospital A should be referred to another hospital for hospitalization. Well, this patient may use an ambulance to help him get to the hospital. This aims to keep the patient's condition stable so that the patient's life can be saved.