REPUBLIC OF INDONESIA STATE NEWS

No. 509, 2014 KEMENHAN. Out of the way. BPJS. Service.

REPUBLIC OF INDONESIA DEFENSE MINISTER REGULATION

NUMBER 15 YEAR 2014

ABOUT

HEALTH CARE OUTSIDE DEPENDENTS

THE GOVERNING BODY OF SOCIAL SECURITY

WITH THE GRACE OF THE ALMIGHTY GOD

MINISTER OF DEFENSE OF THE REPUBLIC OF INDONESIA,

DRAWS: A. that the health assurance benefits set in Presidential Regulation No. 12 of 2013 on Health Guarantee provide promotional, preventive, curative or rehabilitative health services organized by the Warranty Organizing Agency Social;

b. That the health insurance that is not guaranteed by the Social Security Organizing Board needs to be granted to the members of the TNI, the Kemhan civil servant and his family to benefit the health care and protection of the company. health basic needs;

c. that based on consideration as referred to in letter a and letter b, need to establish the Defense Minister Regulation on Health Services beyond the Social Security Organizing Agency's dependents;

Given: 1. Law No. 40 of 2004 on the National Social Security System (Indonesian Republic of Indonesia Year 2004 Number 150, Additional Gazette of the Republic of Indonesia Number 4456);

2. Act Number 24 of the Year 2011 on Social Security Organizing Agency (Republican Gazette

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2014, No. 509 2

Indonesia Tahun 2011 Number 116, Additional Sheet Country Republic Indonesia Number 5256);

3. 2013 Presidential Decree Number 12 Year 2013 on Health Guarantee (State Gazette 2013 No. 29);

DECIDED:

Establishing: DEFENSE MINISTER REGULATIONS ON HEALTH CARE OUTSIDE OF BODY DEPENDENTS THE SOCIAL SECURITY ORGANIZER.

BAB I

provisions of UMUM

Article 1

In Regulation of this Minister referred to:

1. BPJS Health's next Social Security Organizing Body is a legal entity that is set up to organize a social security program.

2. The BPJS International Health Care Service is the benefit of medical and non-medical services for members of the Indonesian National Army, the Kemhan civil servant and his family who are not guaranteed by BPJS Health in accordance with the Presidential Regulation Number 12. 2013 on Health Guarantee.

3. The Ministry of Defence, which is later called Kemhan, is the acting government in the field of defense of the state.

4. The next Indonesian National Armed Forces (Indonesian National Armed Forces) is a state tool in charge of maintaining, protecting, and maintaining the integrity of the state and enforcing the sovereignty of the State.

5. The health of the TNI is any activity in the field of health that is carried out with the aim of maintaining and improving the physical and mental health of the warrior to always be ready to carry out the task.

6. The following TNI soldiers are personnel/soldiers of the state equipment in the field of defense that carries out their duties under the leadership of the Chief of Staff of the Armed Forces or a joint under the leadership of the Commander of the Armed Forces.

7. The Kemhan Civil Service, also known as the PNS Kemhan, is a civil servant who works in the Kemhan and TNI environments.

8. The family is a wife or husband and son of a member of the TNI and PNS Kemhan.

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2014, No. 5093

BAB II

HEALTH MINISTRY

Article 2

Member of the TNI, PNS Kemhan and members of his family are getting health services as referred to in Presidential Regulation No. 12 of 2013 on Health Care.

Article 3

(1) Health services guaranteed by BPJS Healthcare to members of the TNI, PNS Kemhan and family members are individual health care services, including promotional, preventive, curative services, and Rehabilitation including drug services and medical materials are exhausted in accordance with medical needs required.

(2) The Health Service as referred to in paragraph (1) consists of medical benefits and nonmedical benefits.

Article 4

Health services are not guaranteed by BPJS Healthcare to TNI members, PNS Kemhan and Family members if:

a. Health care services performed without going through the procedure;

b. health care services performed at health facilities that are not cooperating with BPJS Health, except for emergency cases;

c. Health services against disease or injury due to work accidents or working relationships;

d. Health care services conducted abroad;

e. health service for aesthetic purposes;

f. services to overcome infertility;

g. service leveling the teeth (orthodonsi);

h. health disorder/disease due to drug and/or alcohol dependence;

i. Health care disorder is intentionally self-harm, or a result of a self-harm hobby;

j. Complementary, alternative and traditional treatments, including acupuncture, shin she, chiropractic, which have not been declared effective based on the health technology assessment (health technology assessment);

k. treatment and medical actions categorized as experiments (experiment);

l. Contraceptive devices, cosmetics, baby food, and milk;

m. Household health provisions;

n. Health care for the disaster during emergency response times, outside events/wabah; and

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o. other service fees that are not related to the health guarantee benefits provided.

Article 5

The health care services that are not guaranteed by BPJS as referred to in Section 4 may be provided in terms of:

a. Health services for emergency cases as referred to in Section 4 of the letter b may immediately obtain services in any cooperative or cooperative health facility that is not cooperating with BPJS Health;

b. the health care service of the disease or injury due to a working accident or working relationship as referred to in Article 4 of the letter c is not guaranteed by BPJS Health but is guaranteed by the employment accident guarantee program by BPJS Employment;

c. Health service for aesthetic purposes is not guaranteed by BPJS Health as referred to in Article 4 of the letter e is not guaranteed except to restore health function according to medical indications; and

d. Infant and milk food that is not guaranteed by BPJS Health as referred to in Article 4 of the l letter except for the treatment of bad nutrition in accordance with medical indications.

Section 6

(1) The benefits of nonmedical services as a result Referred to in Article 3 of the paragraph (2) for the High Officers of the Armed Forces (PNS Kemhan) with the same group and the Family is entitled to the benefit of the accommodation of the VIP class of care classes in the Kemhan and TNI hospitals accordingly. Laws.

(2) The benefits of VIP nursing class accommodations for Higher Officers and PNS Kemhan with an equal group and Family as referred to in verse (1) are governed by the respective hospitals in the Kemhan and TNI environments.

BAB III

HEALTH CARE ORGANIZER

Article 7

(1) The Kemhan and Indonesian health facilities are organizing a health care facility with BPJS Health.

(2) Kemhan and TNI health facilities which organes health care cooperation with BPJS Health as referred to in paragraph (1), must meet the requirements in accordance with the applicable provisions.

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Section 8

(1) The Kemhan and TNI Health Facility as referred to in Article 7 of the paragraph (2) includes:

a. Acting level I (PPK I);

b. Acting Health Service Level II (PPK II); and

c. Degree of Health Service Level III (PPK III).

(2) PPK I as referred to in paragraph (1) letter a, includes the Help Hospital (Rumkitban), Policlinics, Medical Hall, Health Hall and the minimum Health Section have a general doctor in the Kemhan and TNI environments.

(3) PPK II as referred to in paragraph (1) letter b includes hospitals in Kemhan and TNI environments which have specialist physicians.

(4) PPK III as referred to in paragraph (1) letter c includes hospitals in the Kemhan neighborhood and The TNI has a sub specialist.

Article 9

The health facilities of Kemhan and TNI which become PPK as referred to in Article 8 of the paragraph (1) are referral paths according to the level of health care capability.

BAB IV

SUPERVISION AND CONTROL

Article 10

(1) TNI Members, PNS Kemhan and His family being treated at a health facility outside the Kemhan health facility and the TNI must report to his unit.

(2) Reporting as referred to in paragraph (1) to obtain the health status information of the person

Article 11

The Kemhan and TNI health units may request the medical data of the TNI Member, PNS Kemhan and the members of his family being treated with the facility health outside of Kemhan and TNI, in accordance with the applicable provisions.

Article 12

(1) The supervision of health care for members of the TNI, PNS Kemhan and his family includes:

a. health care policy oversight;

b. Monitoring of health care implementation; and

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c. supervision of the medical data of the TNI member, PNS Kemhan and his family of drugs outside the Kemhan and TNI health facilities.

(2) The health care in the Kemhan and Indonesian environments carrying out health care services for TNI members, PNS Kemhan and Family as referred to in paragraph (1) is composed of:

a. Director General of Defense Forces Kemhan carries out the supervision of health care policy;

b. The head of the Indonesian National Health Center carries out the supervision of the health care implementation; and

c. The head of the Ministry of Health carries out the supervision of the medical data of the TNI members, PNS Kemhan and his family of drugs outside the Kemhan and TNI health facilities.

Article 13

Control of the health services of TNI members, PNS Kemhan and Family are carried out by each working unit in the Kemhan and TNI environments.

BAB VI

provisions CLOSING

Article 14

The Regulation of the Minister goes into effect on the date promulred.

For everyone to know it, ordered the invitation of this Minister Regulation with its discoverer in News of the Republic of Indonesia.

Set in Jakarta

on 8 april 2014

MINISTER OF DEFENSE OF THE REPUBLIC OF INDONESIA,

PURNOMO YUSGIANTORO

UNDRAFILED in Jakarta

on 17 April 2014

MINISTER FOR LAW AND HUMAN RIGHTS

REPUBLIC OF INDONESIA

AMIR SYAMSUDIN

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