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BPJS Healthcare (BPJS Kesehatan) in Indonesia

Indonesia has undergone a major transformation in its national healthcare system over the past decade, and at the center of this transformation is BPJS Kesehatan. For foreigners who plan to invest, work, retire, or live long-term in Indonesia, understanding BPJS Kesehatan is no longer optional it is a legal obligation and a strategic consideration. Whether you are an entrepreneur, company director, property investor, or investment consultant, BPJS compliance directly impacts your legal status, operational readiness, and risk management in Indonesia.

What Is BPJS Kesehatan?

BPJS Kesehatan is Indonesia’s national health insurance program, administered by the government through Badan Penyelenggara Jaminan Sosial Kesehatan. It operates under the National Social Security System (SJSN) and is regulated primarily by:
  1. Law No. 40 of 2004 on the National Social Security System
  2. Law No. 24 of 2011 on BPJS
  3. Presidential Regulation No. 82 of 2018, as amended by Presidential Regulation No. 64 of 2020.
The system is designed to provide universal healthcare coverage for all residents in Indonesia, including foreigners who stay and work in Indonesia for at least six months.

Is BPJS Kesehatan Mandatory for Foreigners?

Yes. Under current Indonesian regulations, BPJS Kesehatan is mandatory for:
  1. Foreign employees (KITAS holders) working in Indonesia.
  2. Foreign directors and commissioners who receive salary or compensation.
  3. Foreign retirees holding a retirement stay permit.
  4. Foreigners married to Indonesian citizens residing in Indonesia.
  5. Employers, including PT PMA (foreign-owned companies).
Failure to register may lead to administrative sanctions, including difficulties with work permits (RPTKA), visa extensions, business licensing, and immigration services.

BPJS Kesehatan for Companies and Employers

For business owners and company directors, BPJS Kesehatan is not just a personal obligation—it is also a corporate compliance requirement.

Key employer obligations include:

  1. Registering the company and all eligible employees with BPJS Kesehatan.
  2. Paying monthly contributions jointly with employees.
  3. Reporting salary changes accurately.
  4. Ensuring continued compliance during audits or OSS-RBA evaluations.
This requirement applies to all sectors, including:
  • Real estate and property development.
  • F&B and hospitality businesses.
  • Trading and distribution companies.
  • Professional services and consulting firms.
For PT PMA entities, BPJS compliance is often reviewed together with manpower and OSS licensing compliance.

BPJS Kesehatan vs. Private Health Insurance

From a legal standpoint, private insurance does not replace BPJS. Even if you hold premium international coverage, BPJS registration remains mandatory if you meet the eligibility criteria. Strategically, BPJS should be viewed as:
  • A legal compliance requirement.
  • A baseline healthcare safety net.
  • A supporting element in long-term residency planning.
For investors and executives, this dual-coverage approach helps manage both regulatory risk and personal health security.

Get Professional Guidance from Indoned Consultancy

Navigating BPJS Kesehatan as a foreigner can be complex, especially when combined with immigration, manpower, tax, and corporate compliance requirements. Every case is different, and incorrect handling can lead to unnecessary risks. Indoned Consultancy provides end-to-end guidance for:
  • BPJS Kesehatan registration and compliance.
  • PT PMA and local company setup.
  • Foreign director and employee structuring.
  • Immigration and work permit solutions.
Contact Indoned Consultancy today for a free consultation and ensure your business and personal compliance in Indonesia is handled professionally, legally, and efficiently.

Disclaimer

The information provided here is based on our long experience. The process or requirement may vary depending on the specific facts and conditions. Besides, the law and regulations in Indonesia subject to frequent changes. Please contact us as your consultant to get an up to date information and accurate advice. More Information click here and You can also follow our social media accounts to see the latest information posts. please click on the following links: Facebook, Instagram, Linkedin, and Twitter.

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FAQ

In general, PMA stands for Foreign Direct Investment while PMDN stands for Domestic Direct Investment. From the perspective of the meaning, in short, PMA is an investment activity to conduct business in the territory of the Republic of Indonesia which carried out by foreign investors, both those who use foreign capital wholly or in joint ventures with domestic investors. Then, PMDN is an investment activity to conduct business in the territory of the Republic of Indonesia which carried out by domestic investors using domestic capital.

Basically, subjects in domestic investors are Indonesian citizens (WNI), Indonesian business entities, the Government of Indonesia, or regions that make investments in the territory of Indonesia. Meanwhile, foreign investors are foreign citizens, foreign business entities, and/or foreign governments making investments in the territory of the Republic of Indonesia.

With the new regulations and system changes, the process of establishing a company, both PT PMDN or PT PMA, does not take a long time. It takes at least 10-15 working days after the complete document requirements are fulfilled.

Yes. To be able to carry out the establishment process of PT PMA, the authorized capital that must be written in the deed of establishment is Rp. 10 billion excluding the value of land and buildings. In making the deed of establishment, the Notary appointed by us will provide a statement letter to the shareholders who sign that they will deposit the said amount of capital. However, the statement will usually not include the fulfillment period. After the company is established, the company will carry out investment reporting on a regular basis which will later become one of the proofs for the company's activities with its capital.

Generally, the set-up company process is divided into 2 stages. Where, the first stage is the establishment stage. Where at this stage, you will process your company's basic documents and permits, such as: deed of establishment, legalization document, Company NPWP (Taxpayer ID Card), Business Identification Number, Company Bank Account Opening and other documents according to your sector and business field. Furthermore, the second stage is the operational stage. At this stage, before and/or during your company's operations, you are required to fulfill the company's obligations. Such as, payment of related taxes, fulfilling operational permits, reporting LKPM (Investment Activity Report), BPJS Employment and Health Registration, and other obligations according to the sector and business field.

BPJS stands for Social Security Administering Board, which is a special institution tasked with administering health and employment insurance for the public, civil servants, and private employees. BPJS has 2 types, namely: BPJS Healthcare and BPJS Employment. Where every registered company that has employees is required to register its employees in the BPJS program, both BPJS Healthcare and BPJS Employment.

LKPM stands for Investment Activity Report. It is a report on the progress of investment realization and problems faced by business actors that must be prepared and submitted periodically.

Yes, you do. When you do the establishment of a company, a correspondence address is fundamental. It is needed because later all correspondence documents from the government or related agencies will be sent to your company's office/correspondence address. In addition, a company is required to have a domicile which is one of the requirements for making a deed of establishment.

Do you have a location in mind where you plan to establish your company in general? For example, are you planning to do it in Bali, such as in Kuta, Ubud, Sanur or Jimbaran area? We have several specific place references that may help you determine the location of your company office. Just please let us know.

At the stage of the company establishment process, you are not required to come to Indonesia. Although it is no required to come, you may visit Indonesia with the visa which the service we can assist you to have it.

Some process in the establishment company can be carried out by giving your power of attorney to one of our team whom handles the process of establishing your company. Our team is experienced enough in their field therefore the necessary matters will be prepared and informed to you.

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