Important: List of Surgeries No Longer Covered by BPJS Kesehatan Starting September 2026
The Indonesian government, through BPJS Kesehatan, has provided important information regarding changes to healthcare service policies. Starting in September 2026, there are several types of medical surgeries that will no longer be covered by the national health insurance. The public is expected to understand this list in order to better prepare for future healthcare needs.
Some types of surgeries that will no longer be included in BPJS Kesehatan coverage include appendectomies, gallbladder surgeries, and tonsillectomies. In addition, medical procedures such as cataract surgery, hernia surgery, and several types of eye and vascular surgeries will also no longer be covered by this insurance scheme.
This policy is part of an adjustment to national healthcare service regulations. BPJS Kesehatan stated that these changes were made to optimize the allocation of health insurance funds so that they are more targeted. People who require these medical procedures will later need to seek alternative financing or use private health insurance.
For those who have a medical history or plans for related medical procedures, it is recommended to immediately consult with a primary healthcare facility or referral hospital. This step is important to ensure that patients receive accurate information regarding which medical procedures are still covered and which are no longer covered.
This information is crucial for all BPJS Kesehatan participants in Indonesia. By knowing the list of non-covered surgeries early on, it is hoped that the public can make more mature health financial plans before the policy is officially implemented in 2026.