REPUBLIC OF INDONESIA STATE NEWS

No. 100, 2008 POLICING. Health Services. Replacements. COST.

REGULATION OF THE Indonesian REPUBLIC OF INDONESIA

NUMBER 11 IN 2008 ABOUT

REIMBURSED HEALTH CARE FOR CIVIL SERVANTS ON THE STATE POLICE OF THE REPUBLIC OF INDONESIA

WITH THE GRACE OF GOD ALMIGHTY ESA HEAD OF THE INDONESIAN STATE POLICE,

DRAWS

: A. that in order to maintain and improve the health of the civil servants of the Indonesian state police in support of the successful implementation of the duties of the Indonesian National Police, it is necessary to take care of health services;

b. that health care in the State Police environment Indonesia uses the health facilities of the State Police of Indonesia or the non-State Police of the Republic of Indonesia, if there are any expert power or resource Other health facilities in the health facilities of the State Police of Indonesia or the location of the Indonesian National Police health facilities are difficult to reach;

c. that the utilization of health care on non-police health facilities State of the Republic of Indonesia as referred to in letter b, get expense reimburs;

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d. that based on the consideration of the letter a, the letter b, and the letter c, need to establish the laws of the State Police of the Republic of Indonesia on the Replacement of the Cost of Health Service to the State Police on the State Police. Republic of Indonesia.

Given

: 1. Law No. 2 of 2002 on the State Police of the Republic of Indonesia (Gazette of the Republic of Indonesia in 2002 No. 2, Additional Gazette of the Republic of Indonesia Number 4168);

2. President's decision No. 70 of 2002 on the Organization and the Working Tata of the Republic of Indonesia;

DECIDED:

SET: REGULATION OF THE HEAD OF STATE POLICE OF THE REPUBLIC OF INDONESIA ON THE REPLACEMENT OF HEALTH CARE COSTS TO THE CIVIL SERVANTS OF THE INDONESIAN STATE POLICE.

CHAPTER I OF THE GENERAL PROVISION

Article 1 In this Regulation is referred to as: 1. The next Indonesian National Police of Indonesia (Polri)

is a tool of the state responsible for maintaining security and order. The public, enforcing the law, and providing protection, forage, and service to the community in the course of the domestic security.

2. Civil servants in Polri are members of the Police and civil servants (civil servants) in the Polri whose duty or office is in the Polri neighborhood and/or who is on duty outside of Polri on the assignment of the Kapolri.

3. The Polri's later health facilities were abbreviated as Polri's Faskes, which provided the service and health support.

4. The Faskes non-Polri are government or private-owned faskes that have permission from the Department of Health of the Republic of Indonesia or the local Health Service.

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5. The replacement of the health care costs later called health restitution is the replacement of financing for the Civil Servants on Polri and his family who used health care at the Faskes non-Polri and have the right to bail on the health care of the country. Health care which is the source of funds from the Health Maintenance Fund (DPK).

6. An outpatient service is a health care service given to the Civil Servants on Polri and his family for observation, diagnosis, treatment, medical rehabilitation and other health care without staying in the hospitalization.

7. The hospitalization is a health care service given to the Civil Servants on the Polri and his family for observation, treatment, diagnosis, treatment, medik rehabilitation and/or other health services by staying in an outpatient's room. Stay.

8. Diagnostic assessment is an examination in the health care service to support diagnostics.

9. The medik act is a surgical action, treatment and diagnostic support action.

10. Maternity and maternity checks are the examination of pregnant mothers and the help of mothers giving birth to both the midwife and the physician/doctor of the obstetrics and the content.

11. Pharmacy service is a service to get a cure, a health care supply run from the pharmacy through a doctor's prescription.

12. The optical service is a service to get an eye glass with a Doctor Mata recipe.

13. Dental and oral health care is the examination and treatment of dentistry and mouth performed by dentists and specialist dentists.

14. Medik rehabilitation is an attempt to restore the physical health and mental health of the patient.

15. The norm of tariff is the highest tariff in accordance with the provisions of the cost of treatment at the Bhayangkara Hospital, the Department of Health of the Republic of Indonesia or the Health Service.

Article 2 The purpose of this regulation is: a. as a guideline for processing health restitution awares

right and right;

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b. This is the uniformity in processing of the health restitution of the use of non-Polri Faskes and the applicant may receive both proper and immediate health restitution.

Article 3 of the principles in the granting of health restitution, include: a. honesty, that is the suitability between policy and facts; b. the right target, i.e. health restitution rights are not abused for

other interests; c. not discriminatory, i.e. do not discriminate in giving

services; d. transparent, i.e. openness in the management of health restitution funds; e. account, that is to be legally liable.

Article 4 of the scope of this regulation, covering: a. type of health care; b. health restitution; c. requirements; d. procedure; e. authority.

CHAPTER II OF THE TYPE OF HEALTH CARE

Article 5 of the type of health care service, includes: a. Outpatient; b. Hospitalization; c. medik act; d. Diagnostics check diagnostics; e. Maternity inspection and childbirth; f. A pharmacy; g. tooth and mouth health; h. optikal.

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CHAPTER III RESTITUTION OF HEALTH

PART OF THE RIGHT TO OBTAIN HEALTH RESTITUTION

ARTICLE 6 (1) ENTITLED TO HEALTH RESTITUTION, IS:

A. Civil servants on the Polri; and b. family.

(2) The family as referred to in paragraph (1) letter b, consists of: a. istri/husband; b. child and foster child.

(3) The provisions of the child as referred to in paragraph (2) of the letter b, as follows: a. child up to second child (second), special until 3rd child

(third) for those born before March 1, 1994 according to Keppres Number 16 of 1994;

b. children aged above 21 (twenty-one) years up to under 25 (twenty-five) years, still school/college, and unmarried, given health restitution by attaching a lecture/school certificate of school/college In question;

c. A child who has aged over 21 (twenty-one) years in a flawed condition cannot seek its own income, granted health restitution by attaching a defective letter from a government doctor.

Part Both Provisions of Health Restitution

Article 7 of the granting provisions Health restitution, including: a. public; and b. special.

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Article 8 (1) of the common provisions as referred to in Section 7 of the letter a, as

following: a. Civil servants on the Polri and families in need

treatment or treatment at Faskes non Polri; b. Civil servants on Polri and families who require

treatment or treatment at Faskes Polri which due to its limitations require expert power and/or special equipment from the Faskes non Polri;

c. Great health restitution accordingly with tariff norms applicable to government hospitals (Rumkits) of the government, tailored to the care classes and health services provided;

d. the implementation of the health service at Faskes non Polri is required to be reported by the concerned/family or superiors concerned to the local Chief of the Polri Health Unit in the longest time 7 X 24 (seven times twenty-four) hours after obtain health services, and reporting can be delivered via electronic media;

e. In the event of a civil servant in Polri and/or her family that requires treatment or treatment outside the area of the Polda where duty is required to report to the head of the Polri Health Unit of origin;

f. If the local Polri does not yet exist or has yet to have adequate skills, health care can be performed on the government's private façade and private faskes;

(2) The use of the government Faskes as referred to in paragraph (1) the letter f, among other government rumkits, special rumkits for example soul, heart, lung, etc., Puskesmas, medicine hall, health laboratory.

(3) The use of private Faskes as referred to in verse (1) letter f, among other private rums and polyclinics.

(4) The use of private Faskes as referred to paragraph (3) If the location of the government's Faskes is far enough away and/or has not yet had adequate skills.

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Article 9 (1) Of the specific provisions as referred to in Section 7 of the letter b, for:

a. Outpatient: 1. The outpatient service at Faskes non Polri can be implemented,

when the patient is in an emergency and requires immediate treatment at the nearby Faskes;

2. The treatment as intended on the number 1 should be sought by its continued service at Faskes Polri who is able to provide the necessary services;

3. if the local Polri Faskes are not yet there, then outpatient services can be done at Faskes non Polri;

b. Hospitalization: 1. The inpatient service in non Polri rumkit is implemented if

the patient is in an emergency or requires immediate help in a nearby rumkit;

2. if the patient ' s health condition is already possible, it is immediately moved to a nearby Polri rumkit that can provide an adequate service;

3. If the Polri Rumkit is meant to be unable to provide the necessary advanced hospitable services while the Polri formula can be too far away, advanced health care can be carried out in the more Polri house. be able at the permission of the local Polri Health Unit Chief;

4. for patients from the area referred to the Rumkit Central Polri Raden Said Soekanto as a referral center in the Polri neighborhood, when Rumkit Central Polri Raden Said Soekanto was also not able to provide an outpatient service in patients with special cases because limiting facade and human resources, then patients are referred to the non-Polri rumkit that has more complete faskes and human resources among other the Central General Hospital Cipto Mangunkusumo Jakarta and the Heart Hospital of Our Hope Jakarta;

c. medik action, must be authorized by the Chief of the local Polri Health Unit or for referrals Local Polri Rumkit except in case of emergency or the Polri faskes needed too far;

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d. Diagnostic support checks, must permit the head of the local Polri health unit or for the local Polri formula referral, except in case of emergency or the Polri faskes needed too far;

e. Pregnancy and rescue: 1. If pregnancy has an uncapable abnormality

is handled in the faskes Polri; 2. the residence is too far away from the Polri faskes that can

provide the necessary health care; 3. a copy in an emergency or there is an abnormality in

childbirth; f. pharmacy:

1. The inpatient treatment of non-Polri drug patients must be obtained from the pharmacy/Polri medicine room according to the doctor's prescription of the faskes, in accordance with the DOE List of Essential Medicines/Health Services/Health Insurance, unless otherwise The pharmacist/drug room Polri is too far away, the drug is not available in the pharmacy/Polri drug room and in an emergency;

2. medications for outpatient patients most to meet the needs of 5 (five) days, except for certain chronic diseases such as Diabetes Melitus, Hypertension, Heart, and Tuberculosis (TBC) which require treatment of more than 5 (five) days;

g. tooth and mouth health: 1. dental and mouth health services on non Polri faskes can

be implemented, if the patient is in an emergency and require immediate treatment in the nearest faskes or not yet available dental health on the faskes Polri or Polri faskes are too far away;

2. if the examination and treatment of dental and emergency mouths have been performed on the non Polri ' s faskes, then for the next treatment must be done on the Polri faskes;

3. Advanced treatments, as referred to in number 2, can be performed on the nearest non-Polri faskes better able to permit the head of the Polri health unit's head;

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h. optikal: 1. glasses reserved for the Civil Servants on Polri, not

including family; 2. Eyeglass procuring must be based on the expert doctor's prescription

through the optics; 3. the replacement of the eye glass charges adjusted to the principal

in question in accordance with the provisions of the prevailing glasses restitution, both at the level of the Mabes Polri and at the Polda level;

4. windows frame replacement can be executed after a five-year term, while the lens can be replaced according to the dioptry change.

(2) The determination of the outpatient care classes at the non-Polri house for Public servants in Polri and the The family referred to in verse (1) the letter b, is set as follows: a. VIP class for Pati/PNS class IVd and IVe; b groups. class I for Pamen/PNS group IVa up to class

IVc; c. class II for Pama/Bintara/PNS group I up to

group III. Article 10

The provision of health restitution does not apply to the treatment abroad. Article 11

(1) The granting of health restitution to the Civil Servants of the Polri who served on Polsek is difficult to reach, provided that: a. The application of the health restitution is done individually or

collective per month or per quarter with an introductory letter from Kapolsek, accompanied by a sign of the original payment proof;

b. Health restitution is channeled through Bensat Polres to be delivered to the entitled;

c. Health restitution can be carried out by direct billing of the local faskes to Kabiddokkes Polda in accordance with the cooperation agreement.

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(2) The health service of the Public Service in Polri who served on Polsek is difficult to reach as referred to as verse (1), given by the façade in the district/village of the Polsek.

Article 12 Polsek is difficult to reach as referred to in Article 11, designated by Kapolda by considering geographic factors, transportation, and ease of access to the Polri faskes.

Third Part of the Submissions Requirements

Article 13 (1) Requirement of filing health restitution application on the non-

Polri consists of: a. a referral letter from the faskes/rumkit Polri for the patient except on

the emergency case; b. original query proof; c. component details for the inpatient service and other medik services

; d. a photocopy of a doctor's prescription or the purchase of a drug purchase from a pharmacy; e. photocopy of Polri Health Card; f. KU-1 photocopies are still in effect; g. the recommendation of the local chief of the working unit; h. fill out the form that has been provided by Pusdokkes

Polri/Biddokkes Polda. (2) The requirements as referred to in paragraph (1) are set up 4

(four). (3) The format of the form as referred to in paragraph (1) the letter a, the letter c,

and the letter h, are listed in an inseparable attachment from this regulation.

The fourth section of the Restitution Submission

Section 14 (1) Requests The health restitution is filed by the applicant to

Kapusdokkes Polri/Kabiddokkes Polda with the requirements referred to in Article 13 of the paragraph (1).

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(2) The health restitution application is filed upon completion of health care, at most 3 (three) months counting from the date of the last quittance.

(3) For hospitalization is made a medik resume which is signed by a caring physician.

Article 15 of the slowness of the submission and realization of the health restitution payment, does not cause the bankruptcy of the submission and the right to receive a health restitution payment.

CHAPTER IV AUTHORITY

Article 16 (1) of Kapusdokkes Polri/Kabiddokkes Polda is given the authority to:

a. repaid the health restitution; and b. hosting a health restitution administration.

(2) Restitution payments as referred to in paragraph (1) letter a, mandatory exercised by Kapusdokkes Polri/Kabiddokkes Polda to the applicant after the requirement as contemplated in Article 13 has been completed.

(3) Kapusdokkes Polri/Kabiddokkes Polda, is required to provide information to the Kasatker in question that the restitution request has been paid to the applicant or the Bensating.

(4) Kapusdokkes Polri/Kabiddokkes Polda, in implementation of restitution payments as contemplated on paragraph (2), directly to the concerned or able through Bensatker.

CHAPTER V PROVISIONS CLOSING

Article 17 At the expiration of this rule, the Decree of Kapolri No. Pol: Skep/1195/X/ 1999 dated 19 October 1999 on the Manuscript While the administration of the Administration of Reimbursed Health Care Administration for the drug-mediated Personel Polri outside the Polri Health Facility and its implementation rules related to restitution, is revoked and declared to be not applicable.

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Article 18 of the Kapolri Regulation begins to apply at the specified date. In order for everyone to know, the Capolri Regulation is promulred by its placement in the News of the Republic of Indonesia.

Specified in Jakarta on 19 December 2008 CHIEF OF THE INDONESIAN REPUBLIC OF INDONESIA,

BAMBANG HENDARSO DANURI

promulred in Jakarta on 24 December 2008 MINISTER OF LAW AND HUMAN RIGHTS REPUBLIC OF INDONESIA, ANDI MATTALATTA

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