List 144 Diseases whose Treatment Covered by BPJS Health
BPJS Health covers the costs of treating a number of diseases. There is a list of 144 diseases whose treatment is covered by BPJS Health. (BPJS Health).
-- BPJS Health covers the costs of treatment of a number of illnesses.
They have a detailed list of diseases that fall into the full coverage category. Diseases guaranteed by BPJS Health apply to all types of treatment, such as outpatient treatment, surgery, therapy, and hospitalization.
Each participant can receive disease treatment services at all health facilities that collaborate with BPJS Health, be they clinics, health centers or hospitals.
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. This means that the list of diseases guaranteed by BPJS Health is still the same as the previous provisions and will remain in effect in 2022 until an undetermined time limit. The following is a list of diseases guaranteed by BPJS Health.
- Febrile convulsion
- Tetanus
- HIV AIDS without complications
- Tension headaches
- Migraine
- Bell's Palsy
- Vertigo (Benign Paroxysmal Positional Vertigo)
- Somatoform disorders
- Insomnia
- Foreign body in the conjunctiva
- Conjunctivitis
- Subconjunctival hemorrhage
- Dry eyes
- Blepharitis
- Hordeolum
- Trichiasis
- Episcleritis
- Mild hypermetropia
- Mild myopia
- Mild astigmatism
- Presbyopia
- Night blindness
- Otitis externa
- Acute Otitis Media
- Serumen prop
- Motion sickness
- Furuncle on the nose
- Acute rhinitis
- Allergic rhinitis
- Vasomotor rhinitis
- Foreign object
- Epistaxis
- Influenza
- Pertussis
- Pharyngitis
- Tonsillitis
- Laryngitis
- Bronchial asthma
- Acute bronchitis
- Pneumonia, bronchopneumonia
- Uncomplicated pulmonary tuberculosis
- Essential hypertension
- Oral candidiasis
- Mouth ulcers (aptosis, herpes)
- Parotitis
- Infection of the umbilicus
- Gastritis
- Gastroenteritis (including cholera, giardiasis)
- Gastroesophageal reflux
- Typhoid fever
- Food intolerance
- Food allergies
- Food poisoning
- Hookworm disease
- Strongyloidiasis
- Ascariasis
- Schistosomiasis
- Taeniasis
- Hepatitis A
- Bacillary dysentery, amoebic dysentery
- Grade ½ hemorrhoids
- Urinary tract infection
- Gonorrhea
- Uncomplicated pyelonephritis
- Phimosis
- Paraphimosis
- Genital discharge syndrome (Gonorrhea and non-gonorrhea)
- Lower urinary tract infection
- Vulvitis
- Vaginitis
- Bacterial vaginosis
- Salpingitis
- Normal pregnancy
- Complete spontaneous abortion
- Iron deficiency anemia in pregnancy
- ½ degree perineal rupture
- Hair follicle abscess/sebaceous glands
- Mastitis
- Cracked nipples
- Inverted nipples
- Type 1 diabetes mellitus
- Type 2 diabetes mellitus
- Mild hypoglycemia
- Protein energy malnutrition
- Vitamin deficiency
- Mineral deficiencies
- Dyslipidemia
- Hyperuricemia
- Obesity
- Iron deficiency anemia
- Lymphadenitis
- Dengue fever, DHF
- Malaria
- Leptospirosis (uncomplicated)
- Anaphylactic reaction
- Ulcers on the legs
- Lipomas
- Verruca vulgaris
- Molluscum contangiosum
- Uncomplicated shingles
- Morbili without complications
- Varicella without complications
- Herpes simplex without complications
- Impetigo
- Ulcerative impetigo (ecthyma)
- Superficial folliculitis
- Furuncle, carbuncle
- Erythrasma
- Erysipelas
- Scrofuloderma
- Leprosy
- Syphilis stages 1 and 2
- Tinea capitis
- Tinea barbae
- Tinea facialis
- Tinea corporis
- Tinea manus
- Tinea unguium
- Tinea cruris
- Tinea pedis
- Pityriasis versicolor
- Mild mucocutaneous candidiasis
- Cutaneus larvamigrant
- Filariasis
- Pediculosis capitis
- Pediculosis pubis
- Scabies
- Insect bite reaction
- Irritant contact dermatitis
- Atopic dermatitis (except recalcitrant)
- Nummular dermatitis
- Eczema napkins
- Seborrheic dermatitis
- Pityriasis rosea
- Mild acne vulgaris
- Suppurative hydradenitis
- Perioral dermatitis
- Miliaria
- Acute urticaria
- Exanthemapous drug eruption, fixed drug eruption
- Vulnus laceraum, puctum
- 1st and 2nd degree burns
- Blunt violence
- Sharp violence
That is the list of diseases guaranteed by BPJS Health. If you want to ask about the cost of treatment for each disease, you can directly contact the call center at 1500 400 or the nearest BPJS Health branch office.