Legal Implications of Health Service Denial for BPJS Patients: A Study on the Principles of Universal Health Coverage
Abstract
Both the patients and the service providers face serious legal ramifications when health services are denied to BPJS Kesehatan participants. Such rejection might have serious legal repercussions in the context of Universal Health Coverage (UHC), which seeks to provide inclusive and equitable access to health treatments. Using the core tenets of UHC, which uphold everyone's access to healthcare free from discrimination, this article seeks to examine the legal ramifications of BPJS patients' refusal of health services. This article examines a number of variables that contribute to service denials and the legal tools that can be employed to safeguard patients' rights within the BPJS-based healthcare system by looking at pertinent legal legislation and industry practices.
References
Agustina, R., Dartanto, T., Sitompul, R., Susiloretni, K. A., Suparmi, Achadi, E. L., Taher, A., Wirawan, F., Sungkar, S., Sudarmono, P., Shankar, A. H., Thabrany, H., Susiloretni, K. A., Soewondo, P., Ahmad, S. A., Kurniawan, M., Hidayat, B., Pardede, D., Mundiharno, … Khusun, H. (2019). Universal health coverage in Indonesia: concept, progress, and challenges. The Lancet, 393(10166), 75–102. https://doi.org/10.1016/S0140-6736(18)31647-7
Davies, S. G., & Najmah. (2020). Im/moral healthcare: HIV and universal health coverage in Indonesia. Sexual and Reproductive Health Matters, 28(2). https://doi.org/10.1080/26410397.2020.1785377
Desdiani, D., Mulatsih, S., & Puspandari, D. A. (2024). Implementation of Respect for Autonomy in Hospital Services Within the Indonesia National Health Insurance System. National Journal of Community Medicine, 15(10), 830–841. https://doi.org/10.55489/njcm.151020244579
Dewi, R., & Israhadi, E. (2021). Legal Aspects of BPJS as National Health Insurance. https://doi.org/10.4108/eai.6-3-2021.2306412
Erlangga, D. (2018). The impact evaluation of public healthinsurance in Indonesia on access tocare, financial protection, and healthstatus. September.
Iftekhar, C. S., & Lin, H. C. (2013). The government ’ s role in. 2, 1–4.
Irayadi, M. (2024). Legal protection for social security administering body health participants. 6(2), 562–570.
Justisia, P., Komunikasi, M., & Kajian, D. A. N. (2024). Pena Justisia: 23(3), 1–14.
Marif, Nurhaedah, & Bakhtiar, H. S. (2021). The Principles of Good Governance in Health Services: Indonesian Perspective. Jambura Law Review, 3(2), 295–318. https://doi.org/10.33756/jlr.v3i2.7307
Yustina, E. W. (2019). The right to self-determination in health services and the mandated health insurance program for universal health coverage. International Journal of Innovation, Creativity and Change, 8(5), 325–337.
Copyright (c) 2025 Maria Alberta Liza Quintarti, Endah Labati Silapurna, Denny Achsanul Hak, Ady Purwoto, Bambang Supriadi

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.