New Provisions on Work-Accident Insurance Health Services and Tariffs

The Minister of Employment (“Minister”) has issued Regulation No. 11 of 2016 on Health Services and Tariffs for the Work-Accident Insurance Program (“Regulation”).The Regulation represents an implementation of Article 25 (7) and Article 47 of Government Regulation No. 44 of 2015 on the Work-Accident and Death-Insurance Benefit Program (“44/2015 Government Regulation”), [1] which sets out a ministerial mandate for the specification of the various types of services that may be provided under the work-accident insurance program, which is in turn under the Social Security Agency for Labor (Badan Penyelenggara Jaminan Sosial– “BPJS”) program. [2] The Regulation is of relevance to participants in the work-accident insurance program under the BPJS program, as well as both private-sector employers and healthcare facilities which are engaged in cooperation agreements with the BPJS for Labor.Health ServicesWork-accident insurance under the BPJS is a public insurance program which offers benefits in the form of cash and/or health services to participants in the program who suffer work-related accidents or illnesses. [3] The health services provided under the work-accident insurance program, include: [4]