Darwati A. Gani Visits BPJS, Highlights Rejection of JKA Patients

13 May 2026 oleh admin

Banda Aceh, dpd.go.id – Member of the Aceh House of Regional Representatives of theRepublic of Indonesia (DPD RI), Darwati A. Gani, visited the BPJS Kesehatan in Banda Aceh (Social Security Agency for Health) on Tuesday (12/5). She came to seek clarification regarding the numerous public complaints following changes to the Aceh Health Insurance (JKA) membership scheme following the enactment of Gubernatorial Regulation No. 2 of 2026.

During the meeting, Darwati highlighted the continued denial of healthcare services to residents, despite the government's previous assurances that residents could still access services during the decile change objection period.

"After the gubernatorial regulation was enacted, the government stated that during the objection period, all Acehnese seeking healthcare services would not be turned away. But in reality, it's not that easy; many cases of denial occur at hospitals," said Darwati.

He admitted that he continues to receive reports of cancer patients seeking treatment outside the region but are hampered by their BPJS membership status. He said this situation is very concerning, as cancer is a catastrophic disease with high treatment costs.

Darwati also questioned the mechanism for changing deciles, which requires a waiting period of up to three months. She argued that sick people cannot afford to wait that long to receive healthcare.

"Before the decile change process is complete, what about people who need immediate medical treatment and healthcare services?" he asked.

Responding to this, Mahyuddin, Head of the BPJS Kesehatan in Banda Aceh, explained that the previous Gubernatorial Regulation only used population data verification or civil registration data as the basis for membership. However, Gubernatorial Regulation No. 2 of 2026 changed this mechanism to be based on economic decile.

"In the latest scheme, covered participants are limited to deciles 1–5, deciles 6–7, and deciles 8 and above, with the catastrophic illness category," Mahyuddin said.

These catastrophic diseases include heart disease, stroke, cancer, hemodialysis, leukemia, mental disorders, and disability.

He explained that the main problem arises when people want to seek medical treatment but their decile status does not match, so their membership card is automatically inactive and they are not covered by the service guarantee.

"As a solution, people can process their decile changes, a process that takes around three months, while registering for independent BPJS," he explained.

Another option is for local governments to record data on people undergoing the decile change process and temporarily pay their contributions to BPJS so that their health services remain guaranteed.

BPJS also explained that data on deceased participants is updated monthly based on reports from health facilities. However, challenges remain when individuals die in villages but are not reported, resulting in their membership status remaining active.

Closing the meeting, Darwati expressed her hope that the Aceh government would immediately ensure that residents undergoing the waiting period for decile changes would continue to receive healthcare services. She stated that temporary funding could be allocated through the Revised Regional Budget (APBA) or through CSR funding.*