Public Dialogue: Revealing and Preventing BPJS Card Fraud

On 18 August 2016, Indonesian Women’s Coalition (KPI) which is supported by MAMPU Program, held a public dialogue titled “Revealing and Preventing BPJS Card Fraud” which held at Balai Kartini, Jakarta.

Guest speakers in this dialog were Andayani Budi Lestari, Director of Membership and Marketing –  Health Social Security Agency (BPJS), Commissioner Agus Sutisna Kurniady, Deputy Director of the  General Crime Directorate – POLRI, and Winny, Secretary of KPI West Java Regional. This public dialogue was attended by representatives of NGOs, KPI partners, and the media.

The Criminal Investigation Police and KPI described the findings and assessment results of the BPJS Counterfeit card case which occurred in the Kertajaya village, Padalarang District, West Bandung regency, West Java. From the assessment, it was found that BPJS counterfeit card was a planned fraud attempted by the offender. The modus of the deception was utilising the weakness of Kertajaya village government and village residents which only have limited information about National Health Insurance Plan (JKN). In addition, it was also due to limited socialisation of JKN-BPJS at the village level, and the lack of village officers involvement in the data collection process of BPJS participants.

The BPJS Director of Membership and Marketing, Andayani, giving exposition on the procedure of membership registration and cause of JKN-KIS card fraud. Some of the factors that led to the fraud case, are: health insurance has become the needs of society, people want an easy and fast registration, people are tempted by the cheap tuition, and people still has limited knowledge on how to register.

As a follow-up of the case, BPJS will increase the role of participants’ complaint handling unit (UP3) to serve the public complaints and checking the card data to the database. In addition, they will also give counseling on procedures for the registration and payment, as well as communicate with the local government for the registration of the poor people. BPJS also urged the public for not using brokers’s services to register and follow the existing services procedures.

As prevention and solutions, BPJS will disseminate a broader way of registration information through television, banners, posters, newspapers and social media, as well as applying dropbox system for ease and accelerate the registration at the BPJS office.BPJS also will add Point of Service through the registration development via the care center, credit cards and registration by a third party (Bank partners, etc.).