5 Operations Not Covered by BPJS Health, Check Before Treatment! Lifestyle – 4 hours ago

Jakarta, CNBC Indonesia – Not all operations can be covered by BPJS Health. In fact, a number of operations cannot use the national guarantee system.

For information, to receive surgery, patients need to seek treatment at a first-level health facility (faskes). You can go to a health center or clinic approved by BPJS Health.

If surgery is necessary, a referral letter to the hospital will be given. Later you will get an operation schedule from the doctor at the hospital.


Patients also need to meet the requirements to be operated on using BPJS Health. Starting from the BPJS Health Card or Healthy Indonesia Card (KIS), referral letters from primary health centers/faskes, and patient cards from hospitals.

Based on the guidelines for implementing National Health Insurance (JKN), namely Minister of Health Regulation (Permenkes) Number 28 of 2014, there are 19 types of operations covered by BPJS Health. Here’s the list:

1. Heart Surgery

2. Caesarean section

3. Cyst surgery

4. Myoma surgery

5. Tumor surgery

6. Odontectomy surgery

7. Oral Surgery

8. Appendectomy

9. Gallstone Surgery

10. Eye Surgery

11. Vascular Surgery Operations

12. Tonsillectomy

13. Cataract Surgery

14. Hernia surgery

15. Cancer Surgery

16. Lymph Node Surgery

17. Pen Removal Operation

18. Knee Joint Replacement Surgery

19. Thymectomy operation

Operations that are not covered by BPJS Health

Meanwhile, there are several types of operations that are not covered by BPJS Health. Some of them include accidents or self-injury, here is the complete information:

1. Operations Due to the Impact of Accidents

2. Cosmetic or Aesthetic Surgery (surgery that is not harmful to health)

3. Operations due to self-injury (operations due to inaccuracy or carelessness that result in injury)

4. Operations at Overseas Hospitals (operations carried out outside the reach of BPJS Health)

5. Operations that do not comply with BPJS Health Procedures (operations that do not complete the appropriate application procedures)

[Gambas:Video CNBC]

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List of Operations Not Covered by BPJS Health, Check Out!

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