SHEET COUNTRY
REPUBLIC OF INDONESIA
| No. 90, 1991 | (HEALTH. CIVIL SERVANTS. Retired. Welfare. An explanation in the Supplement of the Republic of Indonesia (Republic of Indonesia) No. 3456) |
GOVERNMENT REGULATION OF THE REPUBLIC OF INDONESIA
Number 69 1991
ABOUT
CIVIL SERVANT HEALTH CARE MAINTENANCE,
RETIRED RECIPIENT, VETERAN, INDEPENDENCE PIONEER
AS WELL AS HIS FAMILY
PRESIDENT OF THE REPUBLIC OF INDONESIA,
.,, weighed: a. That hosting the health care for the civil servants, the retired recipient and his family organized by the state-owned enterprise have provided positive benefits to the participants and their families, and therefore necessary. enhanced the quality of service and its role;
., b. That given the services of veterans and the establishment of Independence in the fight and defense and the defense of the Independence of the Republic of Indonesia, it is necessary to provide a guarantee of the health care that is being held. performed by an organizer;
., c. that in connection with it, is seen needing to fine-tune the Government Regulation No. 22 of 1984;
.,, Given: 1. Section 5 of the paragraph (2) of the Basic Law of 1945;
., 2. Law Number 9 of the Year 1960 on the Poes of Health (State Sheet of 1960 Number 131, Additional Gazette State Number 2068);
., 3. Law No. 5 Prps Year 1964 on Granting Of Awards/Improvements To The Pioneering National Movement/Independence (state Gazette 1964 Number 19, Additional Gazette Number 2636);
., 4. Law No. 7 of 1967 on Veterans of the Republic of Indonesia (1967 Gazette Number 17, Additional Leaf Country Number 2826);
. .5. Law Number 11 Year 1969 on Retirement of Employees and Retirement of Widows/Duda of State Employees (1969 State Gazette Number 42, Additional Gazette Number 2906);
., 6. Law No. 8 of 1974 on the principal of the KeEmployees (1974 State Gazette Number 55, Additional Gazette number 3041);
DECIDED:
.,, stipulating: REGULATIONS OF THE GOVERNMENT OF THE REPUBLIC OF INDONESIA ON THE HEALTH MAINTENANCE OF CIVIL SERVANTS, RETIRED RECIPIENTS, VETERANS, THE PIONEERS OF INDEPENDENCE AND THEIR FAMILIES.
BAB I
UMUM PROVISIONS
Section 1
In this Government Regulation referred to by:
., 1. Participants were civil servants, retired recipients, veterans and the study of independence paying dues for the guarantee of health maintenance.
., 2. Civil servants are the candidates for civil servants, civil servants, and state officials as referred to in the Law No. 8 of the Year of the Year in 1974 concerning the subjects of the employment of the civil servants.
., 3. Veterans are Veterans as referred to in Law No. 7 of 1987 on Veterans of the Republic of Indonesia.
., 4. The Pioneer of Independence was the Pioneer of Independence as referred to in Law Number 5 of the Ptps of the Year of 1964 on the Granting Of Awards To The Pioneering National Movement/Independence.
5. Retire recipients are:
., a., a. Civil Service employees who cease with pension rights;
., b. Soldiers of the Armed Forces of the Republic of Indonesia and civil servants in the environment of the Department of Defense Security and Armed Forces of the Republic of Indonesia who cease with pension rights;
C. State officials who cease with pension rights;
., d. Widow or widower or orphaned child of a civil servant, a soldier of the Armed Forces of the Republic of Indonesia and a civil servant in the environment of the Department of Defense Security and Armed Forces of the Republic of Indonesia as well as the Acting State Officer Got a pension.
., 6. A family is a wife or husband of a participant and a legitimate child or foster child of a participant in accordance with applicable laws.
., 7. Health care is a ceschatan effort that includes improvement, prevention, healing, and health care recovery.
., 8. The governing body is a state-owned enterprise dedicated to organizing health care for civil servants, retired recipients, veterans, independence, and their families in accordance with the rules. Applicable laws.
9. The Minister is the responsible Minister in the field of health.
BAB II
THE PARTICIPANT AND THE MEMBERSHIP
Section 2
Every Civil Servant, Retired Recipient, Veteran, Pioneer of Independence, is required to be a participant in the health care program as intended in this Government Regulation.
Section 3
Enterprise and other entity employees as well as their pension recipients can be participants of the health maintenance hosted by the Organizing Agency.
Section 4
.,, (1) At the commencement of the health care participant that is since the concerned paid dues.
.,, (2) A participant is no longer a health maintenance participant if the concerned stop paying dues.
Section 5
Widow or widower or orphaned child of Veterans or Pioneers of Independence became a participant according to this Government Regulation.
Section 6
The registration of health care inclusion is performed collectively through the Instancy/Institution/Agency concerned.
BAB III
THE PARTICIPANT ' S OBLIGATION
Section 7
Civil Servants, Retirement recipients are required to pay their dues each month as well as the order of the order is set with the President's Decision.
Section 8
.,, (1) Iuran for Veterans and Pioneers of Independence, borne Government over the burden of Revenue Budget and State Shopping.
.,, (2) Iuran as referred to in paragraph (1) and the implementation of the payment is done by the Minister of Finance.
Section 9
.,, (1) Employees and Organizational Pension Recipients and other Bodies who are health maintenance participants as referred to in Section 3 are required to pay their dues every month.
., (2) The subject and execution of the dues for the Employees and the Other Entity's Retirement Recipients as referred to in the paragraph (1) is performed by the Organizing Board.
Section 10
.,, (1) The participant is required to provide an actual description of who he is and his family for the drafting of the participants ' data.
.,, (2) Participants and their families are required to have self-identification published by the Organizing Board.
., (3) Participant and his family are required to find out and obey the rules of the health of the health care.
BAB IV
THE PARTICIPANT ' S RIGHT
Section 11
.,, (1) Each participant and his family have the same rights and opportunities in health care, according to the medical needs.
.,, (2) Participants and their families are entitled to a health care and/or replacement fee for the maintenance of the health care based on the health care standards set by the President.
.,, (3) Attendees are entitled to an explanation of the provisions of the establishment of health care.
Section 12
.,, (1) The cost of health care according to the standard of service as referred to in Article 11 of the paragraph (2) is paid under the rate specified by the Minister.
.,, (2) All charges exceeding the standard of service and the fare as referred to in paragraph (1) be the burden and responsibility of the participants.
Section 13
Health care as referred to in this Government Regulation applies only to health care within the country.
BAB V
THE ORGANIZER BODY
Section 14
The hosting of health care as referred to in this Government Regulation is performed by the Organizing Board which is called responsibility in accordance with the applicable laws.
Section 15
The body of the cloaking must always perfect or develop a system that can guarantee increased health care for participants and their families quickly and enough.
Section 16
.,, (1) In order to host health maintenance, the Organizing Agency is holding cooperation with various means of health care.
.,, (2) The health care Sarana as referred to in paragraph (1) must meet the requirements of the ability at the service level set by the Minister.
BAB VI
EXECUTOR OF THE SERVICE
Section 17
Health care executors are required to provide health care according to the participant's medical needs.
Section 18
.,, (1) The health care service is entitled to receive payment in accordance with the applicable tariffs.
.,, (2) Health services are entitled to an explanation of the provisions of the establishment of health care.
BAB VII
CLOSING PROVISIONS
Section 19
.,, (1) With the enactment of this Government Regulation, all regulation of the Government Regulation Law No. 22 of 1984 remains in effect as long as not contradictory or unaltered under this Government Regulation.
.,, (2) With the enactment of this Government Regulation, all participants under Government Regulation No. 22 of 1984 remain participants under this Government Regulation.
Section 20
With the enactment of this Government Regulation, the Government Regulation No. 22 of 1984 on the Maintenance of the Civilian Civil Servants and the Recipient Pension and his family members, is stated to be no longer valid.
Section 21
This Government Regulation shall come into effect on the date of the promulctest.
In order for everyone to know it, order the invitational of this Government Regulation with its placement in the State Sheet of the Republic of Indonesia.
.,, Set in Jakarta
on December 23, 1991
PRESIDENT OF THE REPUBLIC OF INDONESIA
SUHARTO
Promulgated in Jakarta
on December 23, 1991
MENTERI/SECRETARY OF STATE
REPUBLIC OF INDONESIA
MOERDIONO
ADDITIONAL
STATE SHEET RI
| No. 3456 | (Explanation Of State Sheet 1991 Number 90) |
EXPLANATION
Above
GOVERNMENT REGULATION OF THE REPUBLIC OF INDONESIA
Number 69 1991
ABOUT
CIVIL SERVANT HEALTH CARE MAINTENANCE,
RETIRED RECIPIENTS, VETERANS, PIONEERS OF INDEPENDENCE,
AND HIS FAMILY.
UMUM
., as long as this is the maintenance of the health of the state-owned enterprise, which was formed to that of the civil servants and the retired recipient and his family have provided positive benefits, and therefore, There is a need for improvement in the quality of health care, health care, and the range of its membership.
.,, enlargement of the desecration for the provision of health care to the Veterans, the Council of Independence and his family are meant to reward his services which have been given to the Nation and the State, and to the extent that it is. Her health care delivery is the responsibility of the Government, and for that it needs to be supported by the legal device that set it up.
., to further expand and improve the efficiency and effectiveness of health maintenance costs, in the Regulation of this Government being given the opportunity to the Enterprise and other Agency to participate in the maintenance warranty program The health of the nature of its participation is not an obligation but by agreement.
., based on the thinking on the need to be done to the Government Regulation No. 22 of 1984 on the Maintenance of the Civil Service of the civil servants and the recipient of the family members.
SECTION BY SECTION
Section 1
.,, Figure 1
.,, pretty clear
Number 2
., in this sense not including civil servants in the environment of the Department of Defense Security and the Armed Forces of the Republic of Indonesia, due to the health maintenance of the civil servants who are in the Department of Defense environment Security and the Armed Forces of the Republic of Indonesia guarantee his health maintenance was conducted jointly with the Armed Forces of the Republic of Indonesia.
Figure 3
.,, pretty clear
Figure 4
.,, pretty clear
Number 5
.,, pretty clear
Figure 6
.,, pretty clear
Figure 7
.,, pretty clear
Figure 8
.,, pretty clear
Figure 9
.,, pretty clear
Section 2
.,, pretty clear.
Section 3
.,, the Entity and Other Agency are given the opportunity to be a health care participant based on the consideration of the benefits and services he will receive and are voluntary or not mandatory in its membership.
It is referred to by the Agency and other Bodies in this provision among other State-owned enterprises, Regional-owned businesses, private enterprise entities, private hospitals and schools/private schools.
Section 4
.,, Verse (1)
.,, while being a participant for the Veterans and the Pioneer of Independence is since the government was paid for by the Government.
Verse (2)
.,, the iuran payment outage results in an unending as a health maintenance participant.
The outage is:
., a., a. To the civil servant, if the person is no longer a civil servant, and no longer accept retirement.
., b. For Veterans and Pioneers of Independence or Janda/duda, the legitimate child remains a liability since the mandatory dues are no longer borne by the Government.
., c. for the Organizational Employee and the Other Body or the Recipient of the Pension, if the person is not paying the dues or the dues are not paid by the Agency in question.
Section 5
.,, the Widow or duda referred to here is the legal one according to the applicable laws.
The orphan child referred to here is the legal child or legal adopted son of the Veterans and Independence Pioneers who are still in the dependents in accordance with the laws applicable.
Section 6
.,, the participant Registration is collectively through Instancy/Agency/Agency to be obtained correct and accurate participant data.
The truth of the data is the responsibility of the Instancy/Agency concerned.
In addition to that with the data there is an ease in awarding the participant's card and the calculation of the amount of dues payable to the host body.
.,,-for civil servants the registration is performed by the Instancy in question.
.,-for the Veterans and Pioneered Independence is conducted by the Department of Defense Security.
-For Pioneering Independence the registration is done by the Department of Social Affairs.
.,,-for the Enterprise or other Agency the registration is performed by the Agency in question.
Article 7
.,, pretty clear.
Article 8
.,, Verse (1)
.,, pretty clear
Verse (2)
.,, pretty clear
Article 9
.,, Verse (1)
.,, pretty clear
Verse (2)
.,, pretty clear
Article 10
.,, Verse (1)
.,, pretty clear
Verse (2)
.,, pretty clear
Verse (3)
.,, pretty clear
Article 11
.,, Verse (1)
And it is He Who has the power of the people of the world, and He is the best of those who are in the land of the world. Commerce and/or medical equipment and other health care facilities are required and available.
Verse (2)
.,, the health care standards set out by the President include basic health services, referral health services and other support health services.
.,-basic health care is a service given through the means of government and private health services among other public doctors, dentists, treatment halls, mother and child health halls (BKIA), maternity home and means of Other basic health.
.,-referral health care services are health care provided through the means of referral health services among other specialist physicians, dentists, hospitals, and other specialized health care facilities.
.,-health care support among other drug services, laboratories and others.
.,-including those in the health service above are the delivery services provided by the public health center (Puskesmas), the mother and child treatment hall (BKIA), maternity home and hospitals.
The standards of service and the cost of health care for the Employees/Workforce Pension Agency and other Bodies are set by the Organizing Board based on an agreement between the Organizing Agency and the Agency in question.
Verse (3)
.,, pretty clear
Article 12
.,, Verse (1)
.,, pretty clear
Verse (2)
., in question, the responsibility of the participant in this verse is that the participant uses health care that exceeds the standards of health care.
Article 13
.,, pretty clear.
Section 14
.,, pretty clear.
Article 15
.,, the System referred to in this Section includes:
.,,-The health care system for example family doctors, referral systems, and others.
.,,-The financing system for example (co payment, cost sharing), payment based on the number of participants (the capitation system), the budget/budget system, the fare system based on the service group (package system), the diagnostics on the basis of diagnostics (DRG).
Section 16
.,, Verse (1)
.,, pretty clear
Verse (2)
.,, pretty clear
Section 17
., which can be the executor of health care is all the means of health care appointed by the Organizing Agency in accordance with the discretion the Minister designates or who holds the bond of cooperation with the Organizing Agency. Such health care facilities include both Government and private health care facilities.
The obligation to provide the service is intended for each participant to obtain a health service as well as the medical needs. In the provision of health care, it is according to the standard measure of the profession in which the reference needs to be made.
Article 18
.,, Verse (1)
.,, the Payment referred to in this Article is the payment that the health care provider receives according to the specified system.
Verse (2)
.,, in question, the right to an explanation in this verse is a must for the Health Service to continue to follow the various provisions of the implementation of the health care part of how it is set up in this Government Regulation.
Section 19
.,, Verse (1)
.,, pretty clear
Verse (2)
.,, pretty clear
Section 20
.,, pretty clear.
Section 21
.,, pretty clear.
