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BPJS Kesehatan ( Health Insurance )

BPJS Kesehatan (Health Insurance)

Benefits of BPJS Kesehatan (Health Insurance) for The Company


  1. Improve company compliance and avoid administrative sanction.
  2. Easing the company’s burden by shifting employee health coverage to BPJS Kesehatan.
  3. Increase the company’s attractiveness in recruitment, because BPJS Kesehatan reflects the company’s concern for the welfare of employees.

Benefit as a Member of BPJS Kesehatan (Health Insurance)

Every employee who has been registered is covered by the program, including their family members, namely wife/husband and children (but no more than five persons in total). Furthermore, every participant of the BPJS Kesehatan program should know that not every medical service is covered by the scheme. The scheme covers two kinds of medical services, the basic (non-specialist) and the advanced (specialist).

Basic medical services include promotive and preventive services, medical treatment and consultation, medicines reimbursement, blood transfusion, first-degree hospitalization based on medical indications, and first-degree laboratorium check-up. On the other hand, advanced medical services cover medical consultation and treatment by a sub-specialist and specialist, medicines reimbursement, advanced diagnostic treatment, medical rehabilitation, blood transfusion, services from forensic doctors and corpse service, non-intensive as well as intensive hospitalization.


Sanctions if The Company Does Not Follow BPJS Kesehatan (Health Insurance)

According to Article 17  BPJS Kesehatan Regulation companies, that fail not to register their employees as participants of BPJS will be penalized in the form of written reprimands, fines and/or not getting certain public services, for example in licensing issues.

Meanwhile, if the company violates the provisions on the payment and deposit of social security dues, according to Article 55, then it can be subject to a maximum penalty of eight years imprisonment or a maximum fine of Rp1,000,000,000.00.

According to the BPJS Regulation, any company that does not include its employees in the BPJS work plan will be subject to administrative sanctions in the form of:

  1. BPJS issued a written reprimand.
  2. Fines incurred by BPJS.
  3. Do not accept certain public services provided by the government at the request of BPJS.

Sanctions imposed on employers for not receiving certain public services include:

  1. Business-related licenses.
  2. Permission is required to participate in the project tender.
  3. Allow hiring foreign workers.
  4. License of the company of the service provider of workers / workers.
  5. Building Permit (IMB).
  6. BPJS Employment Program.

Disclaimer:

The information provided here is based on our long experience. The process or requirement may vary depending on the specific facts and conditions. Besides, the law and regulations in Indonesia subject to frequent changes. Please contact us as your consultant to get an up to date information and accurate advice. More Information click here and You can also follow our social media accounts to see the latest information posts. please click on the following links: Facebook, Instagram, Linkedin, and Twitter.

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