PENETAPAN PAKET PELAYANAN KESEHATAN DAN PERHITUNGAN PREMI PROGRAM PEMELIHARAAN KESEHATAN MAHASISWA UNIVERSITAS JENDERAL SOEDIRMAN TAHUN 2007

Abstract

Background: In an effort to provide health service access to
its students, University of Jenderal Soedirman develops a
scheme of health insurance in the program of student health
care assistance during academic year 2006/2007. During this
period there were some problems which caused the scheme
unable to cover all needs of students for health services. It is
expected that next time there is development in health service
package and premi calculation in order that the program of
student health care assistance can operate better.
Objective: To develop alternative health service package and
rational premi calculation for the implementation of student health
care assistance based on the coverage of participation at the
University of Jenderal Soedirman in the future.
Method: This case study used complementary qualitative and
quantitative approach. Major research design was quantitative.
Result: Service package of Soedirman Health Center for the
program of student health care assistance included primary
outpatient, continuing outpatient and inpatient health services
with particular limitation either on cost or length of stay. Unit
cost calculation of primary outpatient health service at Student
Health Center for Medication clinic was Rp24,423 and for Dental
Medication clinic was Rp96,387. Premi calculation was made
using actual utilization for Student Health Center as much as
Rp6.180/student/semester and for Purbalingga Community
Health Care Insurance was Rp67.062/student/semester.
Conclusion: The establishment of health service package
and rational premi calculation should enable the development
of health insurance program for students of the University of
Jenderal Soedirman and become an instrument for advocacy
for the policy makers in developing the program in the future.
Keywords:  health service packages, premi calculation, unit
cost