Advanced Inpatient Cases Heavily Covered by BPJS Kesehatan

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Adi Ahdiat 22/08/2025 12:55 WIB

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In 2024, the most frequently covered advanced inpatient services by BPJS Kesehatan were for mild non-bacterial infections and uncomplicated Cesarean sections.

Top 10 Most Frequently Covered Advanced Inpatient Cases by BPJS Kesehatan (2024)

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Top 10 Most Frequently Covered Advanced Inpatient Cases by BPJS Kesehatan (2024)

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In 2024, BPJS Kesehatan spent Rp99.1 trillion on Advanced Inpatient Care (RITL) for its participants.

This amount was the largest compared to other service costs, such as Advanced Outpatient Care (RJTL), Primary Outpatient Care (RJTP), or Primary Inpatient Care (RITP).

Advanced Inpatient Care (RITL) is a healthcare service with inpatient facilities in a hospital, and treatment from specialist or sub-specialist doctors.

In 2024, the most common RITL services covered by BPJS Kesehatan were for mild non-bacterial infections, mild Cesarean section surgeries, abdominal pain and gastroenteritis, and mild bacterial and parasitic infections.

Here are the details of the top 10 most frequent RITL cases covered by BPJS Kesehatan in 2024:

1. Mild non-bacterial infections: 1.11 million cases

2. Mild Cesarean section surgeries: 1.1 million cases

3. Abdominal pain and gastroenteritis: 1.02 million cases

4. Mild other bacterial and parasitic infections: 762,700 cases

5. Mild pneumonia and whooping cough: 593,200 cases

6. Mild other digestive system issues: 579,100 cases

7. Mild vaginal delivery: 421,900 cases

8. Epiglottitis, otitis media, acute respiratory infection (ARI): 401,600 cases

9. Mild other respiratory issues: 355,300 cases

10. Diabetes and nutritional disorders: 266,800 cases

Editor : Adi Ahdiat

"Disclosure: This is an AI-generated translation of the original article. We strive for accuracy, but please note that automated translations may contain errors or slight inconsistencies."