Health insurance is probably the most important insurance you have. Expensive health care costs can be very costly if you are not guaranteed by insurance. Not infrequently there are people who must sell their possessions to cover the cost of hospital care. You do not have to like it by having insurance.
However, health insurance also is a fairly complicated product to understand because of the wide variety offered by the insurance provider. Naturally when you can be confused by it.
Health insurance in Indonesia is currently provided either by government or private. Government through the HIP program (health insurance of the poor) ensure health care costs up to a certain amount for the poor Askeskin cardholders. These civil servants are also covered health costs by the Government through PT Askes which premiums are paid through payroll deduction PNS.
If you are not poor and not a government employee, you can buy a lot of commercial insurance programs run by national or foreign private companies. In fact, PT Askes also provides a program of "voluntary participation" for employees in the private sector.
Commercial health insurance can be purchased by individuals and groups (a collection). Due to administrative considerations and risks, many health insurance products may only be purchased by the group, not individuals. Here are some types of health care costs that can be guaranteed by insurance:
1. Outpatient
Insurance to cover outpatient physician fees, diagnostic / lab, and medicine. The amount of costs incurred are usually determined by the maximum limit for each component per visit / per year and the maximum frequency of visits in one year. Restrictions can also be enforced by requiring a GP referral before a visit to a specialist, or the coverage is only provided if the health services performed by service providers (providers) are registered.
Outpatient care insurance is usually only given to participants to the benefits of group insurance and hospitalization insurance extra. (In other words, can not be purchased by individuals and should be one with hospitalization insurance).
2. Inpatient
Hospitalization insurance to cover hospitalization costs in the hospital, which covers the cost of room, physician services, drugs, laboratory / diagnostic support, surgery, etc.. Classification of hospitalization insurance is usually done on the basis of class rooms, for example, from the lowest class of room (class III) to VIP or VVIP. For each grade group, there are maximum limits are covered by insurance for the cost of treatment rooms, the cost of medicine, surgery, etc.. The cost of the surgery itself will still be divided on the basis of minor, moderate or major. So, for example, people who have hospitalization insurance will have a maximum class III major operating cost is much lower than those VIP class.
Hospitalization insurance can be purchased in sets or individually. Special insurance for individuals, we can choose the correct type of insurance is replacement or allowance. Insurance reimbursement (indemnity insurance) is insurance that provides replacement cost we spend according to hospital bills. Insurance benefits (cash plan) provides a certain amount of revenue allowances for each day in the hospital, no matter what the actual costs we incur.
3. Maternity Insurance (Maternity)
Gave birth to bear the cost of health insurance during labor and usually only given to a group of women of childbearing age with a certain minimum number of membership. When you're pregnant, you will not be registered as participants of the insurance delivery. You also can not buy insurance as individuals give birth.
Benefits insurance differentiated between the benefits of giving birth to a cesarean section and normal delivery. The maximum amount of costs incurred for both different and depends on the amount of premiums paid.
4. Dental Insurance
Dental insurance cover the cost of routine dental treatment and surgery that are not cosmetic. Characteristics of dental insurance as an outpatient insurance benefits where limits are sorted based on the cost of doctors, medicines, and other services.
5. Glasses Insurance
Insurance cover the cost of eyeglasses glasses, lenses and frames. Usually, insurers will limit the frequency of replacement glasses in a single period of coverage, only the lens only, or just the frame alone.