Services with the Highest BPJS Health Costs in Indonesia, August 2025

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Erlina Fury Santika 27/10/2025 13:54 WIB

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Inpatient care at advanced healthcare facilities will be the highest category of utilization for health insurance, or BPJS Kesehatan, as of August 2025.

Value of Health Insurance Financing in Indonesia by Service (August 2025)

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Value of Health Insurance Financing in Indonesia by Service (August 2025)

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BPJS Kesehatan data processed by the National Social Security Council (DJSN) shows that the value of Indonesia's health insurance financing reached Rp123.4 trillion in August 2025.

This figure increased by 5.1% compared to August 2024 (year-on-year/yoy), which was Rp117.4 trillion.

The allocation of the insurance burden was dominated by advanced hospital inpatient services (RITL), amounting to Rp69.8 trillion. This figure is equivalent to 56.6% of the total insurance burden in August 2025.

"The most common cases were non-bacterial infections (mild), followed by deliveries with minor cesarean sections, as well as abdominal pain and gastroenteritis," DJSN wrote in its August 2025 monthly report.

Furthermore, advanced outpatient care (RJTL) amounted to Rp37.5 trillion or 30.4%. This financing value increased by 5.6% (yoy).

DJSN stated that visits to hospitals or advanced healthcare facilities reached 90.4 million visits. The most common diagnoses in RJTL were other minor chronic diseases, physical therapy procedures and minor musculoskeletal procedures, dialysis procedures, wound care, other minor acute diseases, and others.

Next, primary outpatient care (RJTP) amounted to Rp13.8 trillion (11.2%), primary inpatient care (RITP) Rp1.6 trillion (1.3%), and the smallest was the allocation for promotive and preventive care, amounting to Rp700 billion or Rp0.7 trillion (0.6%).

Editor : Erlina Fury Santika

"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."