Abstract

The purpose of this research is to find out and regulate the legal protection and responsibilities of health insurance institutions toward health insurance participants. The research method used is the normative research method. Using a legal and analytical approach. The legal material used was tracked using literary techniques. The outcome of this writing is that, given the many cases of discrimination against patients by health insurance agencies, legal protection is necessary to protect the rights of patients from social health insurance agents. Moreover, the responsibility of the health administration and social security institutions is also imperative for patients from the social security administration bodies because the health services provided are not in accordance with the regulations in force. This liability can arise from the receipt of discriminatory complaints from participants in the health insurance organization. Disputes may be settled through mediation or dispute settlement with the state administration, according to the area of residence.