BPJS Kesehatan: JKN Participants Guaranteed Service Even With Full Rooms

BPJS Kesehatan has reiterated that all active participants of the National Health Insurance (JKN) program are entitled to healthcare services as per their rights and applicable regulations. This statement comes in response to a JKN participant's social media post detailing an eight-hour wait for a room before their passing.

"As long as participants are actively registered in the JKN Program and meet medical indications, their healthcare services are guaranteed by BPJS Kesehatan, and collaborating health facilities are obliged to provide the necessary medical care," stated Rizzky Anugerah, Head of Public Relations for BPJS Kesehatan. He emphasized that partner health facilities must adhere to government standards, ensuring services are accessible, prompt, equitable, and non-discriminatory for all patients, including JKN participants.

Anugerah explained that while hospitals manage bed availability based on capacity and patient medical conditions, JKN participants have a right to care aligned with their medical needs and assigned room class. According to Ministry of Health Regulation No. 28 of 2014, if a participant's designated inpatient room is unavailable, the hospital may place them in a room one level higher for a maximum of three days without additional charges. If no rooms are available at any level, the hospital must refer the patient to an equivalent facility with available beds.

To enhance participant access to information, BPJS Kesehatan has introduced a Bed Availability feature within the Mobile JKN application. This allows participants to independently monitor room availability at hospitals before seeking medical services.