Indonesian Health Minister Proposes Reform to BPJS Kesehatan System

Focus on Serving the Poor

Health Minister Budi Gunadi Sadikin has suggested that BPJS Kesehatan should primarily serve the poor while the wealthy should be encouraged to use private health insurance ²

. This proposal was made during a working meeting with DPR RI Commission IX on November 13, 2025. The minister emphasized that this differentiation would help make the BPJS Kesehatan system more efficient and sustainable.

Current Challenges and Proposed Solutions

The BPJS Kesehatan program currently faces challenges in maintaining its financial sustainability while providing comprehensive healthcare coverage. By focusing on the poor and allowing the wealthy to opt for private insurance, the minister believes that the system can be made more manageable. The proposal suggests that BPJS Kesehatan should concentrate on providing standard inpatient care for lower-income groups ²

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Eligibility Criteria for BPJS Kesehatan

According to recent guidelines, eligibility for BPJS Kesehatan's subsidized program includes various vulnerable groups such as the poor, abandoned children, neglected elderly, disabled individuals, and victims of natural disasters ¹

. The registration process involves verification through the Data Terpadu Kesejahteraan Sosial (DTKS) managed by the Ministry of Social Affairs. Potential beneficiaries can check their eligibility through various channels, including the Cek Bansos application and the DTKS website.

Implications of the Proposed Reform

If implemented, this reform could significantly impact the healthcare landscape in Indonesia. It may lead to a more targeted approach to healthcare subsidy where government resources are focused on those who need them most. However, the success of this proposal would depend on the development of a robust private health insurance market that can cater to the needs of the wealthier population.