Indonesian policyholders must pay part of medical insurance claims from 2026

Reuters
06-04
Indonesian policyholders must pay part of medical insurance claims from 2026

JAKARTA, June 4 (Reuters) - Starting next year, Indonesian policyholders will have to bear some of the cost of their hospital bills through co-payment, according to a new regulation intended to curb overclaims and curb a rise in medical costs.

Under the new rules, policyholders will have to pay at least 10% of their total claim or a maximum of 300,000 rupiah ($18.39) for outpatient care and 3 million rupiah ($183.94) for inpatient care.

Indonesia's Financial Services Authority (OJK) said the regulations were a response to a significant increase in insurance claims due to the higher cost of health services. It did not say by how much claims had risen.

The rule was also to prevent moral hazard and overtreatment, OJK added.

"If this continues, we fear the sustainability of the health insurance business could be disrupted," OJK said in a statement this week.

Indonesia's medical insurance industry is dominated by foreign players, including Prudential PRU.L, Allianz Group ALVG.DE and AIA Group 1299.HK.

($1 = 16,310.0000 rupiah)

(Reporting by Stefanno Sulaiman; Editing by Kate Mayberry)

((Stefanno.Sulaiman@thomsonreuters.com;))

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