"As many as 96.8 million people are covered by the government's PBI health insurance scheme. They are included in deciles 1–4 (the group with the lowest level of welfare nationally)," he said during a hearing with Commission IX of the Indonesian House of Representatives (DPR RI) on Tuesday.
He explained that PBI contributions dominated JKN revenue, accounting for 29 percent in 2024, and that PBI participants recorded the second-highest number of visits to healthcare facilities through May 2025.
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"In one year, there were 14.02 million visits from approximately 96 million PBI recipients. Of these, 14.02 million were visits to Advanced Referral Health Facilities (FKRTL), 12.18 million were outpatients, and 1.84 million were inpatients," Sadikin continued.
By June 2025, the realization of the JKN PBI contribution budget was 49.8 percent, or Rp23.15 trillion (US$1,3 billion). The number of participants as of June 2025 was 96,282,139 people. Meanwhile, the JKN PBI contribution budget ceiling for the 2025 fiscal year is Rp46.4 trillion (US$2,7 billion).
Based on the National Socioeconomic Single Data (DTSEN), 96,283,048 people have received PBI JKN contributions as of June. This figure falls short of the 96.8 million monthly quota due to 116,952 babies born without a National Identification Number (NIK), and the reactivation of 400,000 PBI JKN quotas.
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The minister emphasized that valid data for PBI JKN only comes from the DTSEN.
"We are currently in the finalization process. We agreed on the data at Statistics Indonesia (BPS) and DTSEN. Once we updated the data, it must be returned to BPS and the only valid data is at BPS," he explained.
Sadikin is aware that JKN PBI data has been inconsistent for decades, making it difficult for the government to determine the correct figures.
All the data currently being streamlined at BPS aims to prevent high-income earners from having their health insurance paid by the state, the minister remarked.
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Translator: Lintang Budiyanti P, Resinta Sulistiyandari
Editor: M Razi Rahman
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