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Patient Visits Increase, BPJS Kesehatan Burden Increases Until October 2025

Adi Ahdiat 10/02/2026 12:54 WIB

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According to a report from the National Social Security Board (DJSN), the number of BPJS Health patients visiting hospitals from January to October 2025 increased compared to previous years.

The number of visits to utilize services and the burden of health insurance coverage of BPJS Kesehatan during the period of January-October (2023-2025)*

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The number of visits to utilize services and the burden of health insurance coverage of BPJS Kesehatan during the period of January-October (2023-2025)*

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According to data from the National Social Security Board (DJSN), an increasing number of Indonesians are seeking medical treatment using BPJS Kesehatan services.

In January-October 2023, there were only around 530 million visits to healthcare facilities using BPJS services.

Then in January-October 2024, the number rose to 593.5 million visits.

The upward trend continued in January-October 2025, with the number reaching 602.9 million visits.

As the number of patient visits increases, the burden of insurance or the costs paid by BPJS Kesehatan for participants' needs is also increasing.

In January-October 2025, BPJS Kesehatan's insurance burden reached Rp156.1 trillion, higher than the same period in previous years, as shown in the graph.

However, this burden exceeds the collected participant premiums.

According to DJSN data, BPJS Kesehatan premium income in January-October 2025 was only Rp144.56 trillion, lower than the insurance burden.

Therefore, the ratio of insurance claims to premium income in January-October 2025 reached 107.98% of the premium income.

"This claim ratio above 100% has been consistent since 2023, indicating that total revenue has not been able to offset the high cost of healthcare services," said DJSN in the October 2025 edition of the Monthly Report Monitoring JKN.

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."

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Patient Visits Increase, BPJS Kesehatan Burden Increases Until October 2025

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