This is the Cost of Disease Treatment and Surgery that KIS Covered

Diseases and operations supported by the Health BPJS or the Indonesian Health Care Card (KIS) are regulated by a regulation of the Minister of Health (Permenkes). No. 28 of 2014. BPJS Health provides broad guarantees for various health care and treatments that you need.

Benefits of the National Health Insurance (JKN) BPJS Health not only includes hospital treatment but also outpatient care. Realizing the benefits are so broad, it helps you understand the various medical conditions that are supported by BPJS Health.
Medical Conditions Covered by Health BPJS

The benefits offered by BPJS Health allow all participants from different classes to benefit from the same services and health insurance. Diseases and medical conditions covered by BPJS include:

Heart disease
asthma
AVC
Traffic accident
cancer

Operating costs are borne by KIS
In addition to the diseases and medical conditions mentioned above, BPJS Health or KIS also covers operating costs. This is regulated by the National Health Insurance Application Guide (JKN), which is a regulation of the Minister of Health (PMK). 28 of 2004. These types of transactions include:

Heart surgery
caesarean section
Cyst surgery
Myoma Surgery
Tumor surgery
Odontectomy surgery
Mouth surgery
appendectomy
Bile surgery
Eye surgery
Vascular surgery
tonsillectomy
Cataract Surgery
Hernia surgery
Cancer Surgery
Lymph node surgery
Pen extraction operation
Knee arthroplasty
thymectomy

Policies issued by BPJS Health help the community. Unfortunately, there are still people who do not understand BPJS Health policy. For example, during a surgical procedure, it turns out that the cost is not supported by BPJS, which makes it very difficult for patients.
Requirements do not include BPJS health services
Therefore, it is important to know some of the policies implemented by the government based on other considerations. The following policies regulate some services not covered by BPJS.

Services guaranteed by the guarantor, for example due to work or traffic accidents
This type of surgery is aesthetic or aesthetic to improve its appearance
Health Care Due to Accidental Injury, Actions Caused by Unclearity or Negligence which results in Injury
Services due to drug abuse because there is an element of abuse that is carried out on the patient's decision
Services are provided at health facilities that do not cooperate with BPJS Health, except in emergencies
Health services are provided abroad
Services that are not in accordance with BPJS health procedures and do not complete the appropriate submission procedures
Some pregnancy-related services, such as contraception, baby food and drinks after giving birth
Health Services to Overcome Infertility (Fertility Problems), such as IVF
Disaster and epidemic services, especially those that can be prevented
Medications and medical procedures are classified as experimental (experimental)
Additional, alternative, traditional treatments, etc. which has not been declared effective based on the assessment of health technology

Lack of understanding of procedures and policies issued by BPJS by the public hindered the implementation of this program. Therefore, to be able to enjoy the benefits of this service, participants must understand and follow all BPJS Health procedures and policies.