Abstract

Cases of rejection of BPJS Health patients in private hospitals often occur and this is an example of a violation that harms the rights of BPJS Health participants. Both from the upper classes of society and the lower classes of society, all of them have the right to proper health. Regardless of intensive care or expensive medicines, every individual (BPJS Health Participant) who seeks treatment at a hospital, clinic, or other health facility has the right to receive medical treatment in the form of good health services according to their respective standards. The approach that the researchers used in this study was a sociological juridical approach. The sociological juridical approach is aimed at reality by looking at the application of law (Das Sein), in this case the legal protection for patients as consumers of health services (BPJS) has not been maximized. The results of this study indicate that the legal protection given to patients participating in BPJS for health according to Law Number 24 of 2011 concerning BPJS is that participants are given the right to submit complaints or complaints about the services provided by the hospital, given advice and information on how participants can obtain their rights. This is regulated in the Health Social Security Administration Agency Regulation No. 1 of 2014 concerning Health Insurance Administration, Article 25 paragraph (1) letter e jo Article 32 Law no. 44 of 2009 concerning Hospitals in conjunction with Law no. 36 of 2009 concerning Health.