List of 144 Diseases Covered by BPJS Health
List of 144 diseases covered by BPJS Health. (Illustration: Freepik.com)
THE Health Social Security Administering Agency (BPJS Health) is one of the people's mainstay weapons for seeking treatment. As is known, BPJS Health is social health insurance aimed at protecting the health of the Indonesian people.
BPJS Health has been around since 2014 and has had a big impact on public health. The BPJS Health system is the same as insurance, where participants make mandatory contributions that must be paid every month. Of course, BPJS Health has a list of diseases that can be included in the full coverage category.
Regarding diseases covered by BPJS Health, the provisions still refer to the Minister of Health Regulation (Permenkes) No. 28 of 2014 concerning Guidelines for Implementing the National Health Insurance Program. The following is a list of diseases covered by BPJS Health.
1. Febrile seizure
2. Tetanus
3. HIV AIDS without complications
4. Tension headaches
5. Migraine
6. Bell's Palsy
7. Vertigo (Benign Paroxysmal Positional Vertigo)
8. Somatoform Disorders
9. Insomnia
10. Foreign body in the conjunctiva
11. Conjunctivitis
12. Subconjunctival hemorrhage
13. Dry eyes
14. Blepharitis
15. Hordeolum
16. Trichiasis
17. Episcleritis
18. Mild Hypermetropia
19. Mild Myopia
20. Mild Astigmatism
21. Presbyopia
22. Night blindness
23. Otitis externa
24. Acute Otitis Media
25. Serumen prop
26. Motion sickness
27. Furuncle on the nose
28. Acute rhinitis
29. Allergic rhinitis
30. Vasomotor rhinitis
31. Foreign Body
32. Epistaxis
33. Influenza
34. Pertussis
35. Pharyngitis
36. Tonsillitis
37. Laryngitis
38. Bronchial asthma
39. Acute bronchitis
40. Pneumonia, bronchopneumonia
41. Uncomplicated pulmonary tuberculosis
42. Essential hypertension
43. Oral candidiasis
44. Mouth ulcers (aptosis, herpes)
45. Parotitis
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46. Infection of the umbilicus
47. Gastritis
48. Gastroenteritis (including cholera, giardiasis)
49. Gastroesophageal reflux
50. Typhoid fever
51. Food intolerance
52. Food allergies
53. Food poisoning
54. Hookworm disease
55. Strongyloidiasis
56. Ascariasis
57. Schistosomiasis
58. Taeniasis
59. Hepatitis A
60. Bacillary dysentery, amoebic dysentery
61. Grade ½ hemorrhoids
62. Urinary tract infection
63. Gonorrhea
64. Uncomplicated pyelonephritis
65. Phimosis
66. Paraphimosis
67. Genital discharge syndrome (Gonorrhea and nongonorrhea)
68. Lower urinary tract infection
69. Vulvitis
70. Vaginitis
71. Bacterial vaginosis
72. Salphingitis
73. Normal pregnancy
74. Complete spontaneous abortion
75. Iron deficiency anemia in pregnancy
76. ½ degree perineal rupture
77. Hair follicle abscess/sebaceous glands
78. Mastitis
79. Cracked nipples
80. Inverted nipples
81. Diabetes mellitus type 1
82. Diabetes mellitus type 2
83. Mild hypoglycemia
84. Protein energy malnutrition
85. Vitamin deficiency
86. Mineral deficiencies
87. Dysplipidemia
88. Hyperuricemia
89. Obesity
90. Iron deficiency anemia
91. Lymphadenitis
92. Dengue fever, DHF
93. Malaria
94. Leptospirosis (uncomplicated)
95. Anaphylactic reactions
96. Ulcers on the legs
97. Lipomas
98. Verruca vulgaris
99. Molluscum contangiosum
100. Uncomplicated shingles
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101. Morbili without complications
102. Varicella without complications
103. Herpes simplex without complications
104. Impetigo
105. Ulcerative impetigo (ecthyma)
106. Superficial folliculitis
107. Furuncle, carbuncle
108. Erythrasma
109. Erysipelas
110. Scrofuloderma
111. Leprosy
112. Syphilis stages 1 and 2
113. Tinea capitis
114. Tinea barbae
115. Tinea facialis
116. Tinea corporis
117. Tinea manus
118. Tinea unguium
119. Tinea cruris
120. Tinea pedis
121. Pityriasis versicolor
122. Mild mucocutaneous candidiasis
123. Cutaneus larvamigrant
124. Filariasis
125. Pediculosis capitis
126. Pediculosis pubis
127. Scabies
128. Insect bite reaction
129. Irritant contact dermatitis
130. Atopic dermatitis (except recalcitrant)
131. Nummular dermatitis
132. Eczema napkins
133. Seborrheic dermatitis
134. Pityriasis rosea
135. Mild acne vulgaris
136. Suppurative hydradenitis
137. Perioral dermatitis
138. Miliaria
139. Acute urticaria
140. Exanthemapous drug eruption, fixed drug eruption
141. Vulnus laceraum, puctum
142. 1st and 2nd degree burns
143. Blunt violence
144. Sharp violence
Daftar 144 Penyakit yang Ditanggung BPJS Kesehatan
Daftar 144 penyakit yang ditanggung BPJS Kesehatan. (Ilustrasi: Freepik.com)
BADAN Penyelenggara Jaminan Sosial Kesehatan (BPJS Kesehatan) menjadi salah satu senjata andalan masyarakat untuk berobat. Sebagaimana diketahui BPJS Kesehatan adalah jaminan sosial kesehatan yang ditujukan agar dapat melindungi kesehatan masyarakat Indonesia.
BPJS Kesehatan sudah hadir sejak 2014 dan memberikan dampak yang besar bagi kesehatan masyarakat. Sistem BPJS Kesehatan sama seperti asuransi, di mana peserta melakukan iuran wajib yang harus dibayar setiap bulannya. Tentunya BPJS Kesehatan memiliki daftar penyakit yang dapat masuk ke dalam kategori pertanggungan secara penuh.
Terkait dengan penyakit yang ditanggung BPJS Kesehatan, ketentuannya masih mengacu pada Peraturan Menteri Kesehatan (Permenkes) No.28 Tahun 2014 tentang Pedoman Pelaksanaan Program Jaminan Kesehatan Nasional. Berikut daftar penyakit yang ditanggung oleh BPJS Kesehatan.
1. Kejang demam
2. Tetanus
3. HIV AIDS tanpa komplikasi
4. Tension headache
5. Migrain
6. Bell's Palsy
7. Vertigo (Benign paroxysmal positional Vertigo)
8. Gangguan Somatoform
9. Insomnia
10. Benda asing di konjungtiva
11. Konjungtivitis
12. Perdarahan subkonjungtiva
13. Mata kering
14. Blefaritis
15. Hordeolum
16. Trikiasis
17. Episkleritis
18. Hipermetropia Ringan
19. Miopia Ringan
20. Astigmatism Ringan
21. Presbiopia
22. Buta senja
23. Otitis eksterna
24. Otitis Media Akut
25. Serumen prop
26. Mabuk perjalanan
27. Furunkel pada hidung
28. Rhinitis akut
29. Rhinitis alergika
30. Rhinitis vasomotor
31. Benda Asing
32. Epistaksis
33. Influenza
34. Pertussis
35. Faringitis
36. Tonsillitis
37. Laringitis
38. Asma bronchiale
39. Bronchitis akut
40. Pneumonia, bronkopneumonia
41. Tuberkulosis paru tanpa komplikasi
42. Hipertensi esensial
43. Kandidiasis mulut
44. Ulcus mulut (aptosa, herpes)
45. Parotitis
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46. Infeksi pada umbilikus
47. Gastritis
48. Gastroenteritis (termasuk kolera, giardiasis)
49. Refluks gastroesofagus
50. Demam tifoid
51. Intoleransi makanan
52. Alergi makanan
53. Keracunan makanan
54. Penyakit cacing tambang
55. Strongiloidiasis
56. Askariasis
57. Skistosomiasis
58. Taeniasis
59. Hepatitis A
60. Disentri basiler, disentri amuba
61. Hemoroid grade ½
62. Infeksi saluran kemih
63. Gonore
64. Pielonefritis tanpa komplikasi
65. Fimosis
66. Parafimosis
67. Sindroma duh (discharge) genital (Gonore dan nongonore)
68. Infeksi saluran kemih bagian bawah
69. Vulvitis
70. Vaginitis
71. Vaginosis bakterialis
72. Salphingitis
73. Kehamilan normal
74. Aborsi spontan komplet
75. Anemia defisiensi besi pada kehamilan
76. Ruptur perineum tingkat ½
77. Abses folikel rambut/kelj sebasea
78. Mastitis
79. Cracked nipple
80. Inverted nipple
81. Diabetes melitus tipe 1
82. Diabetes melitus tipe 2
83. Hipoglikemi ringan
84. Malnutrisi energi protein
85. Defisiensi vitamin
86. Defisiensi mineral
87. Displipidemia
88. Hiperurisemia
89. Obesitas
90. Anemia defiance besi
91. Limphadenitis
92. Demam dengue, DHF
93. Malaria
94. Leptospirosis (tanpa komplikasi)
95. Reaksi anafilaktik
96. Ulkus pada tungkai
97. Lipoma
98. Veruka vulgaris
99. Moluskum kontangiosum
100. Herpes zoster tanpa komplikasi
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101. Morbili tanpa komplikasi
102. Varicella tanpa komplikasi
103. Herpes simpleks tanpa komplikasi
104. Impetigo
105. Impetigo ulceratif (ektima)
106. Folikulitis superfisialis
107. Furunkel, karbunkel
108. Eritrasma
109. Erisipelas
110. Skrofuloderma
111. Lepra
112. Sifilis stadium 1 dan 2
113. Tinea kapitis
114. Tinea barbe
115. Tinea facialis
116. Tinea corporis
117. Tinea manus
118. Tinea unguium
119. Tinea cruris
120. Tinea pedis
121. Pitiriasis versicolor
122. Candidiasis mucocutan ringan
123. Cutaneus larvamigran
124. Filariasis
125. Pedikulosis kapitis
126. Pediculosis pubis
127. Scabies
128. Reaksi gigitan serangga
129. Dermatitis kontak iritan
130. Dermatitis atopik (kecuali recalcitrant)
131. Dermatitis numularis
132. Napkin ekzema
133. Dermatitis seboroik
134. Pitiriasis rosea
135. Acne vulgaris ringan
136. Hidradenitis supuratif
137. Dermatitis perioral
138. Miliaria
139. Urtikaria akut
140. Eksantemapous drug eruption, fixed drug eruption
141. Vulnus laseraum, puctum
142. Luka bakar derajat 1 dan 2
143. Kekerasan tumpul
144. Kekerasan tajam