The number of non -active participants in the National Health Insurance Program (JKN) continues to increase, reaching 56.8 million people as of March 2025. This figure shows significant growth from 55.4 million people at the end of 2024 and 53.8 million in 2023. Previously, in 2022, the number of non -active participants was 44.4 million. The Ministry of Health reports that around 41.5 million people from total non -active participants are caused by mutations of membership, while the rest is allegedly related to contribution arrears.
Head of Public Relations BPJS Health, Rizzky Anugerah, explained that although the number of non -active participants increased, they also recorded the growth of active participants and receipts of contributions throughout 2024. Active BPJS Health participants increased from 197 million in 2020 to 224 million in 2024.
The condition of the revenue of contributions also shows a positive trend, where the total revenue has increased from Rp149 trillion in 2023 to Rp164 trillion in 2024. However, Rizzky acknowledged the BPJS Health’s biggest challenge at this time was to maintain a balance between reception and expenditure of health services.
“Inactive participants no longer pay contributions regularly, but there is a risk they will take advantage of services when they are sick. This can cause inequality in funding based on mutual cooperation principles,” Rizzky said.
BPJS Health has set a strategy for 2025 with three main focus: Provision of effective participant potential data, increasing contribution income through recruitment and reactivation, as well as supervision of participant data reporting. In addition, there are seven strategic initiatives prepared to target all membership segments. This initiative includes synergy with ministries and institutions as well as strengthening certain programs, such as I obedient, Srikandi, Jelita, and BPJS Gercep.
In terms of financial, Rizzky stressed that the condition of the net asset of social security funds (DJS) up to 2024 is still relatively healthy, with a value of around Rp49.52 trillion. This figure is sufficient for an estimated claim payment for 1.5 to 6 months. “The financial condition of the JKN program is still healthy and in accordance with the provisions,” he added.
However, Rizzky also highlighted that if the Asset of Health Social Security Funds become negative, the government must take action in accordance with Government Regulation No. 87 of 2013. These actions include adjusting fees, providing additional funds injections, and/or adjusting benefits in accordance with the provisions.
BPJS Health continues to revitalize the implementation of JKN in the hope of reducing the number of non -active participants while still increasing the number of active participants. This effort is considered important to support the sustainability of health insurance for the people of Indonesia.
Along with the increasing number of non -active participants, the challenge for BPJS Health to maintain financial balance becomes more complex. Therefore, a diligent evaluation and strategy is needed so that health insurance can still be accessed by all levels of society, without exception. Success in this management will have a direct impact on the quality of health services that can be accepted by the community in the future, as well as ensuring that JKN remains an effective protection program for all.
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