Failure to comply with procedures is the main reason for JKN application rejection.
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The Indonesian government continues to improve healthcare services for the public through the National Health Insurance (JKN) program. However, some people experience rejection when using JKN; the majority, or 46.44%, is due to procedural issues.
Quoting the BPJS Kesehatan website, failing to meet procedures can mean seeking treatment without first visiting a primary healthcare facility. Furthermore, non-payment of premiums before seeking treatment can also be a procedural reason for rejection.
Next, 9.43% of JKN cases were rejected due to insufficient types of requested services, and 5.29% due to not adhering to the service schedule.
Then, 2.34% of JKN cases were rejected due to a lack of supporting examinations, 1.98% due to the unavailability of the required medical personnel, and 0.8% due to a lack of medication.
Generally, JKN rejection cases have decreased since 2019. 0.39% of JKN holders experienced rejection when seeking healthcare in 2019. This figure decreased to 0.32% in 2020 and 0.27% in 2021.
"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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