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Google Maps links are placeholders; use the full address for navigation.Play Store URLs are included where available.Insurance steps are integrated into Table 6, with Mandiri Inhealth recommended for the hybrid approach.
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Certainly! Here are all the tables—revised, combined, and updated as per your latest instructions—in English and with full details:
Table 1: BPJS Kesehatan Class Comparison
Table 28
Feature
Class 1 (Kelas 1)
Class 2 (Kelas 2)
Class 3 (Kelas 3)
Feature
Class 1 (Kelas 1)
Class 2 (Kelas 2)
Class 3 (Kelas 3)
Monthly Premium
Rp150,000
Rp100,000
Rp35,000 (subsidized)
Inpatient Ward Rights
2–4 beds per room, more comfort, option to upgrade to VIP (extra cost)
3–5 beds per room, option to upgrade (extra cost)
4–6+ beds per room, if full, referred to another facility
Eyeglass Subsidy
Rp330,000 every 2 years
Rp220,000 every 2 years
Rp165,000 every 2 years
FKTP (Primary Care) Choice
More options, including premium private
Diverse, some private clinics
Limited, mostly public clinics
Referral Hospital Choice
More options, faster process
Standard, some options
Limited, slower process
Speed & Priority of Process
Faster, higher priority
Standard, medium priority
Slower, lower priority
There are no rows in this table
Table 2: Recommended Public & Private FKTPs in Ciracas
Table 30
Facility Type
Facility Name
Location
BPJS Integration Level
Facility Type
Facility Name
Location
BPJS Integration Level
Public
Puskesmas Kecamatan Ciracas
Jl. Cibubur I Rt 003/01, Jakarta Timur
Strong
Public
Puskesmas Kelurahan Ciracas
Jl. Pt. Centex Raya, Jakarta Timur
Strong
Public/Private
Klinik Pratama Setia Rumanda
Jl. Lapangan Tembak No.62 Cibubur, Ciracas
Strong
Private
Merial Health Clinic
Jl. Dewi Sartika No.312a, Cawang
Strong
Private
Klinik Cava Medika
Jl. Raya Bekasi KM.26, Cakung
Strong
There are no rows in this table
Table 3: BPJS Coverage for Your Mother’s Medical Needs (Diagnostics + Treatments)
Table 31
Diagnostics
Covered by BPJS?
Notes
Diagnostics
Covered by BPJS?
Notes
Medical Check-up (MCU)
Yes
If medically indicated and referred by FKTP
Blood Work
Yes
As part of MCU
ECG
Yes
As part of MCU
X-ray
Yes
As part of MCU
MRI (for knee)
Yes (conditional)
If medically necessary by specialist and approved via referral; may have wait
Treatments
Knee Replacement
Yes
If medically indicated
Arthroscopy
Yes
If medically indicated
Physiotherapy
Yes
As part of rehabilitation
PRP Injections
No
Considered experimental/not on essential list
Hyaluronic Acid Injections
No
Considered experimental/not on essential list
Stem Cell Therapy
No
Not covered
There are no rows in this table
Table 4: Private Health Insurance Comparison
Table 32
Provider
Relation to BPJS
Key Features
Who is it for?
Provider
Relation to BPJS
Key Features
Who is it for?
Mandiri Inhealth
Complementary/Add-On
CoB with BPJS, faster access, top-up benefits
BPJS users wanting more benefits/speed
Allianz
Standalone
Cashless, direct specialist access, flexible
Those wanting full private coverage
AXA Mandiri
Standalone
Cashless, global coverage, critical illness
Those wanting global/extra protection
There are no rows in this table
Table 5: Solutions Table (Best Approach for Your Mother’s Care)
Table 33
Option
Approach
Pros
Cons
Recommendation
Option
Approach
Pros
Cons
Recommendation
A
BPJS Only
- No waiting period
- Comprehensive coverage for surgery/physio
- Delays for diagnostics
- Advanced therapies not covered
❌ Not recommended
B
Private Insurance Only
- Faster diagnostics
- Covers advanced therapies
- Waiting periods for pre-existing conditions
- Higher cost
⚠️ Conditional
C
Hybrid (BPJS + Private)
- BPJS for surgery/physio
- Private for fast MRI/advanced care
- Out-of-pocket costs for private portion
✅ BEST
There are no rows in this table
Table 6: Action Steps (Including Insurance Implementation Based on Hybrid Solution)
Table 34
Step
Action
Why
Implementation for Hybrid Approach
Step
Action
Why
Implementation for Hybrid Approach
1
Upgrade BPJS Class to Kelas 1 or 2
Faster referrals, more hospital options
Complete via Mobile JKN app or BPJS office
2
Change FKTP to recommended facility
Efficient primary care and referral process
Register at Puskesmas Ciracas or Merial Health Clinic
3
Enroll in Mandiri Inhealth
Complementary to BPJS; faster MRI access and diagnostics
Apply via FitAja app or inhealth.co.id
4
Use BPJS for surgery/physio + Private for MRI/advanced care
Optimal balance of coverage and speed
Coordinate claims through both systems
5
Monitor KRIS implementation
Prepare for new inpatient standards (July 2025)
Track via BPJS announcements
6
Post-KRIS: Re-evaluate strategy
Inpatient standards equalized; adjust insurance if needed
Review premium changes and coverage
There are no rows in this table
Table 7: Complete Contact List (BPJS, Insurance, FKTPs) with Play Store URL
Table 35
Name/Institution
Address
Phone/WhatsApp
Email
Instagram
Google Maps/Link Maps
Official Website
Play Store URL
Name/Institution
Address
Phone/WhatsApp
Email
Instagram
Google Maps/Link Maps
Official Website
Play Store URL
BPJS Kesehatan
Jl. Raya Bogor KM. 24, Kramat Jati, Jakarta Timur
021-1500400
-
goo.gl/maps/xyzBPJSJakartaTimur (placeholder)
Mandiri Inhealth
Mandiri Inhealth Tower, Kuningan, Jakarta
(021) 250 95000
goo.gl/maps/xyzMandiriInhealth (placeholder)
Allianz Indonesia
Allianz Tower, Kuningan, Jakarta
(021) 1500136, (021) 2926 8888
goo.gl/maps/xyzAllianzTower (placeholder)
AXA Mandiri
AXA Tower, Kuningan, Jakarta
(021) 3003 9888, +62 811-1900-988
goo.gl/maps/xyzAXATower (placeholder)
Puskesmas Kec. Ciracas
Jl. H. Baping No.1, Susukan, Ciracas, Jaktim 13750
021-87787888, 0851-6114-3869
-
goo.gl/maps/xyzPuskesmasCiracas (placeholder)
contact.page (contact)
-
Puskesmas Kel. Ciracas
Jl. Pt. Centex Raya, Ciracas, Jaktim
-
-
-
-
-
-
Klinik Pratama Setia Rumanda
Jl. Lap. Tembak No.62, Cibubur, Ciracas, Jaktim 13720
021-29323456 (confirm)
-
goo.gl/maps/xyzKlinikSetiaRumanda (placeholder)
Hello Sehat (booking)
-
Merial Health Clinic
Jl. Dewi Sartika No.312a, Cawang, Jaktim 13630
021-218002604, 0811800598
-
-
Hello Sehat (profile)
-
Klinik Cava Medika
Jl. Raya Bekasi KM.26, Ujung Menteng, Cakung 13960
021-22462786
-
goo.gl/maps/xyzKlinikCavaMedika (placeholder)
-
There are no rows in this table
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