Informal worker participation becomes a spectrum of BPJS Health

Jakarta, CNN Indonesia – Participants who work as informal workers constitute the main scourge deficit Social Security Organizer (BPJS) The health. In fact, the fees paid are not directly proportional to the claims obtained by the participants.

Deputy Minister of Finance Mardiasmo said that non-wage earners (PBPU) only deposited Rs 6.51 billion in contributions between January and September 2018. In the meantime, claims paid by BPJS Kesehatan for this group reached 20.34 billion rupees. Thus, in this group, there was a deficit of 13,800 billion rupees.

The value of compensation is greater than that of BPJS Health Contribution Assistance (PBI), which groups together a group of poor people. Claims for compensation under the BIP were only recorded at Rs 15,899 billion, while the contribution reached Rs 19,000 billion. So this group actually contributed to a surplus of 21 billion rubles.

"There are informal workers who have nice categories, there are those who are independent and professional, including artists.There are those who do not pay bonuses," said Mardiasmo in the House of Representatives on Monday. (10/29).

In addition, he said that a special instrument was needed for the PBPU group to make contributions to BPJS Health, even if the recoverable amount of contributions to BPJS Health is currently 54%, or claims to be superior to other countries. of Southeast Asia.

According to him, the political instruments to maintain the conformity of the PBPU are very difficult to formulate. He compared the local governments' policy regarding payment of contributions to BPJS, such as deductions from the General Distribution Fund (DAU) and the use of DHP DHP.

Personally, Mardiasmo had suggested that informal workers were allowed to use only Clbad III Health BPJS facilities. However, the proposal must certainly be carefully considered first.

"Because we still do not know if the PBPU claims are largely due to a catastrophic illness," he said.

In addition, Fahmi Idris, director of BPJS Health, said the PBPU's lack of compliance with the payment of contributions was due to the lack of strict regulations.
According to him, BPJS Kesehatan has a sanction mechanism for participants who pay a fee. It's just that, until now, the penalties have never gone well.

Sanctions for non-compliant health sector BPJS participants are currently listed in Government Regulation No. 86 of 2013.

"The only way is to strengthen regulation, there are sanctions for those who are late or paying, there are already rules that reinforce that," he said.

Until September 2018, the contributions collected by BPJS Kesehatan amounted to IDR 60.57 billion, with debts of IDR 68.53 billion. That is, there is a deficit of 7.95 billion rupees.

Previously, BPJS Health estimated that the number of deficits at the end of this year could reach Rs. 10.9 trillion according to the forecasts of the Agency for Supervision of Financing and Development (BPKP). This figure is lower than the initial projection of IDR 16.5 trillion. (glh / lav)