Table 5 Social health insurance structure in Indonesia before and after the merger

Indonesia

Before

Civil Servant Social Health Insurance Scheme (Askes), 1968

All civil servants and pensioners of civil servants and military personnel

All members entitle to comprehensive benefits considered medically necessary

2% of their basic monthly salary, regardless of their marital or family status

State own company

Jamsostek, 1992

Social Health Insurance Scheme for Private Employee

The benefits are in kind, provided through various health care providers contracted. Other Jamsostek programs pay cash benefits to the beneficiaries.

Only employers are mandated to pay premium of 3% (singles) and 6% (married) of employees

–

Commercial Health Insurance

They are actually non insurance companies selling health insurance to

comprehensive health services

–

Run by the owner

Jamkesmas (by national government),2008

Poor people

Providing different block grants of financial assistance for poor family to access health care services

Public budget

-

Jamkesda (by regional government), 2008

Poor people

Providing different block grants of financial assistance for poor family to access health care services

Public budget

-

After

national health insurance programme (BPJS), 2014

All citizens

comprehensive basic benefit package, outpatient and inpatient care at primary level up to tertiary hospital level

5% of salary of salaried workers and their family members (Employers, with contribution from employees); 5% of monthly pension for pensioners, 5% of 45% of civil servant basic salary for Veterans or their widows; Public budget for poor people,

National Social Security Agency (Badan Penyelenggara Jaminan Sosial – BPJS), BPJS Health for health-care [51]