In an effort to improve the quality of healthcare services and facilitate access to healthcare, UGM Academic Hospital in Yogyakarta has established partnerships to provide healthcare coverage for the community. These partnerships include advanced outpatient care, inpatient care, and hemodialysis services.
Documents to be prepared by patients with healthcare coverage at the Outpatient Registration:
- JKN/BPJS Health Insurance Patients
- Original JKN card and 1 photocopy
- Photocopy of ID card (KTP)
- Referral letter from Primary Healthcare Facility (PPK-1)
- Follow-up/therapy schedule letter (for continuing therapy)*
- Referral letter from another hospital and a SEP (Participant Eligibility Letter) validated by BPJS staff (for referrals from another hospital)*
- Certificate of name discrepancy, if there is a difference between the name on the JKN card and the ID card (specifically for PBI/Jamkesmas participants)*
- Jamkesos Patients
- Original Jamkesos DIY card / Recommendation Letter and 1 photocopy
- Photocopy of ID card (KTP)
- Participant eligibility certificate/SKP
- Photocopy of Family Card (KK/C-1)
- Referral letter from the Community Health Center (Puskesmas)
- Therapy schedule (for continuing therapy)*
- City Jamkesda Patients
- Jamkesda card (for Jamkesda card holders)
- Photocopy of ID card (KTP)
- Photocopy of Family Card (KK/C-1)
- Referral letter from the Community Health Center (Puskesmas)
- Therapy schedule (for continuing therapy)*
- Bantul Jamkesda Patients
- Original Jamkesos DIY card and 1 photocopy
- Photocopy of ID card (KTP)
- Participant eligibility certificate/SKP
- Photocopy of Family Card (KK/C-1)
- Referral letter from the Community Health Center (Puskesmas)
- Therapy schedule (for continuing therapy)*
- BPJS Employment Patients
- ID card (KTP)
- Participant card
- Company guarantee letter
- F3 and F3a forms (provided by the hospital)
- Chronology of the incident
- GMC Health Center Patients
- Photocopy of Student Card/ID card
- Referral letter
- Astra International Daihatsu Patients
- Photocopy of ID card
- Photocopy of ID card (KTP)
- Toyota Nasmoco Mlati Patients
- Photocopy of ID card
- Photocopy of ID card (KTP)
- PT Indomarco/Indomaret Patients
- Photocopy of Medical Treatment Book
- PT Kereta Api Indonesia Patients
- Referral from KAI Clinic
- PT KAI Health Card
- Manulife
- Present Manulife Card
- BNI Life
- Present BNI Life Card
*) If required