Another aspect in the implementation of OSH best practices as concern of Pertamina Gas is occupational health. In 2018, the Company has implemented various programs and activities to support the health of the working environment, workers and their families.
The total budget allocated to support the implementation of occupational health throughout 2019 reached Rp14,059,893,492. The amoung increased by 31.8% compared to Rp10,668,815,889 budget allocated in 2018. The increment in health costs was influenced by several factors, as follows:
1. Increasing the population of Managed Care participants
2. Increased awareness of workers and partners to conduct regular health checks (MCU)
3. On Site Clinic health services at Pertagas Headquarters and fit to Work in Pertagas Area 4. Healthy lifestyle campaign and employee awards
related to health
5. Healthy Talk activities are carried out routinely every year by taking themes that are relevant to
Sebagai informasi, perbandingan biaya layanan kesehatan dalam 4 (tahun) tahun terakhir:
PerbanDinGan biaya layanan KeseHaTan Dalam 4 (TaHUn) TaHUn TeraKHir Comparison of health care costs in the last 4 (years)
TaHUn
Year biaya Per inDiViDU (rP)
Cost per Person PoPUlasi (rP)
Population (Rp) realisasi (rP) Realization (Rp)
2015 9.908.929 1.016 10.067.472.141
2016 9.122.681 1.110 10.126.176.163
2017 8.796.275 1.185 10.423.585.984
2018 8.679.089 1.193 10.354.153.271
2019 10.330.561 1.361 14.059.893.492
Pengelolaan kesehatan kerja tak hanya mencakup pada tempat kerja dan pekerja, tetapi juga keluarga pekerja.
Pertamina Gas memberikan jaminan kesehatan untuk para pekerja dan keluarganya, meliputi suami/istri pekerja bersama tiga anak pekerja.
Pemberian jaminan kesehatan dilaksanakan Pertamina Gas bekerjasama dengan Pertamedika yang merupakan anak perusahaan PT Pertamina (Persero) di bidang usaha jasa kesehatan dan rumah sakit. Kerjasama diwujudkan melalui layanan kesehatan berbasis Managed Care.
Selain jaminan kesehatan, Pertamina Gas juga menyediakan jaminan kesehatan dalam sistem reimbursement. Jaminan kesehatan ini dapat dipilih pekerja saat klaim kacamata ataupun ketika pekerja berobat ke rumah sakit di luar provider yang difasilitasi Pertamedika.
Bentuk kerjasama dengan pihak Pertamedika
As information, comparison of healthcare expenses in 4 (four) recent years is as follows:
Occupational health management covers not only the workplace and the workers but also their families.
Pertamina Gas provides health insurance for workers and their families, including spouse and three children of the workers.
The provision of health insurance is carried out by Pertamina Gas in cooperation with Pertamedika, a subsidiary of PT Pertamina (Persero) in healthcare and hospitals services. The cooperation is carried out through health services based on Managed Care.
In addition to the health insurance, Pertamina Gas also provides health insurance in reimbursement system. The workers is entitled to choose the health insurance when claiming glasses or go to the hospitals for treatment that are facilitated Pertamedika.
Type of cooperation with the Pertamedika since has
menggunakan pengiuran per kapitasi (per pekerja/
anggota keluarga pekerja) menjadi system ASO (Administrative Services Only) yaitu sistem penagihan sesuai pelayanan yang diberikan dengan tambahan prosentase management fee sesuai kesepakatan. Perubahan tersebut merupakan hasil evaluasi dari peningkatan derajat kesehatan pekerja selama tiga tahun terakhir. Dengan pemilihan sistem ASO dapat menurunkan biaya pelayanan kesehatan Pekerja dan keluarga tanpa mengurangi benefit kesehatan yang diterima sebelumnya, terlihat dari biaya kesehatan per kepala semakin menurun.
Jangkauan layanan kesehatan berbasis managed care dibagi ke dalam 5 (lima) kelompok kegiatan, yaitu:
janGKaUan layanan KeseHaTan berbasis manaGeD Care The range of health services based on managed care
KelomPoK
Group benTUK KeGiaTan
Type of Activity Peningkatan
Kesehatan (Promotif) Health Promotion (Promotive)
Healthy Talk dari Pertamedika yang dilakukan berkala setiap 6 bulan sekali untuk seluruh Pekerja
Healthy Talk by Pertamedika that is done regularly once every 6 months for all Workers.
Pencegahan
Prevention 1. Pemeriksaan Berkala
- Pemeriksaan umum (Anamnesa, Pemeriksaan fisik, Pemeriksaan Gigi dan Mulut, Tes Penglihatan, Pemeriksaan Penunjang) - Medical Check Up 1 kali setahun 2. Imunisasi dasar Nasional
3. Konsultasi dan Pemeriksaan fisik serta Pelayanan Promotif Lainnya (pap smear, senam hamil, klinik laktasi
1. Periodic Check
- General Check Up (Anamnesa, physical check, dental check and oral, Vision Test, Supporting Check) - Medical Check Up 1 time a year 2. National immunization
3. Consultation and physical checkup and other Promotive Services (pap smears, pregnancy gyn, lactation clinics)
Pengobatan (Kuratif)
Treatment (curative) • Pemeriksaan dan pengobatan
• Pemeriksaan penunjang diagnosis atas indikasi medis
• Tindakan medis
• Kamar perawatan
• Checkup and treatment
• Diagnosis supporting checkup on medical indication
• Medical treatment
• Treatment room
capitation (per worker/family member of the worker) to the ASO (Administrative Services Only), a collection system based on the provided system with additional management fee percentage of as previously agreed.
The change is result of evaluation of the increasing worker’s health degree within the last three years.
Selection of the ASO system will reduce cost of health services for the Workers and their families without reducing health benefits that is previously received, as indicated from the decreasing health expenses per person.
Scope of health care based on managed care is divided into 5 (five) activity groups, as follows:
janGKaUan layanan KeseHaTan berbasis manaGeD Care The range of health services based on managed care
KelomPoK
Group benTUK KeGiaTan
Type of Activity Pemulihan
(Rehabilitatif) Recovery (Rehabilitative)
• Pemeriksaan dan pengobatan
• Pemeriksaan penunjang diagnosis atas indikasi medis
• Tindakan medis
• Kamar perawatan
• Checkup and treatment
• Diagnosis supporting checkup on medical indication
• Medical treatment
• Treatment room Perlindungan
Protection Keluarga Berencana Family planning