![](bg5.png)
Before National Health Insurance
implementation, the college enrolment system in
Indonesia never prescribed that such students should
be covered by health insurance. By 2019, Indonesia
is targeted to achieve Universal Health Coverage.
Considering this roadmap, since 2017, the National
Health Insurance provider has cooperated with
universities to ensure that all new students are
already registered. Unfortunately, a university
cannot push their students to change their primary
healthcare facility to the campus clinic. This
potentially causes inefficiency in campus clinic
management. Universities should finance their
clinics in providing healthcare service for students.
On the other hand, students still have to pay the
National Health Insurance dues.
Moreover, most students in university in
Indonesia are regular undergraduate students who
have used the single tuition system for college
payment. In the single tuition system, the university
only permitted to collect funds from students once in
one education year. The amount of this fund is
determined by the Ministry of High Education. A
university should be able to manage this fund for all
education processes. Unfortunately, in the single
tuition fee policy, the amount of funds for students’
healthcare during college is unclear. University
clinics have difficulty in managing the health portion
that is embedded in the single tuition fee. The
benefit package received by students at the
university clinic is highly dependent on the
university’s ability in financing the campus clinic.
4 CONCLUSION
Indonesia faces big challenges regarding its
portability issues. The wide area of Indonesia brings
consequences in the application of National Health
Insurance across different primary healthcare
facilities across the country. Migrant college
students are one of the vulnerable groups of
population that have high risk in this case. The
portability issue regarding health insurance for
college students not only disadvantage them, but
also induces inefficiency in the campus clinic
management. The campus enrolment system should
be designed to accommodate this portability issue in
order to guarantee that all students will be able to
access a qualified healthcare service during study.
ACKNOWLEDGEMENTS
We would like to send our appreciation to the
management of Airlangga University Healthcare
Centre (AHCC) for intensive discussion about
campus clinic management in the National Health
Insurance scheme.
REFERENCES
Alves, J., Peralta, S. & Perelman, J., 2013. Efficiency and
equity consequences of decentralization in health: An
economic perspective. Revista Portuguesa de Saude
Publica, 31(1), pp.74–83. Available at:
http://dx.doi.org/10.1016/j.rpsp.2013.01.002.
Callahan, S.T., 2007. Bridging the gaps in health
insurance coverage for young adults. The Journal of
adolescent health : official publication of the Society
for Adolescent Medicine, 41(4), pp.321–2. Available
at: http://www.ncbi.nlm.nih.gov/pubmed/17875456.
Costa-Font, J. & Moscone, F., 2008. The impact of
decentralization and inter-territorial interactions on
Spanish health expenditure. Empirical Economics,
34(1), pp.167–184.
Jung, J., Hall, D.M.H. & Rhoads, T., 2013. Does the
availability of parental health insurance affect the
college enrollment decision of young Americans?
Economics of Education Review, 32(1), pp.49–65.
Available at:
http://dx.doi.org/10.1016/j.econedurev.2012.09.010.
Liu, K., Wu, Q. & Liu, J., 2014. Examining the
association between social health insurance
participation and patients’ out-of-pocket payments in
China: The role of institutional arrangement. Social
Science and Medicine, 113(2014), pp.95–103.
Available at:
http://dx.doi.org/10.1016/j.socscimed.2014.05.011.
Nguyen, J. et al., 2016. Use and interest in complementary
and alternative medicine among college students
seeking healthcare at a university campus student
health center. Complementary Therapies in Clinical
Practice, 24(2016), pp.103–108. Available at:
http://dx.doi.org/10.1016/j.ctcp.2016.06.001.
Pan, X.-F., Xu, J. & Meng, Q., 2016. Integrating social
health insurance systems in China. The Lancet,
387(10025), pp.1274–1275. Available at:
http://www.thelancet.com/article/S0140673616300216
/fulltext.
Price PhD, MPH, J.H. et al., 2010. College Students’
Perceptions and Experiences With Health Insurance.
Journal of the National Medical Association, 102(12),
pp.1222–1230. Available at:
http://proxygw.wrlc.org/login?url=http://search.proque
st.com/docview/822764203?accountid=11243%5Cnhtt
p://findit.library.gwu.edu/go?ctx_ver=Z39.88-
2004&ctx_enc=info:ofi/enc:UTF-
8&rfr_id=info:sid/ProQ:sciencejournals&rft_val_fmt=
INAHEA 2017 - 4th Annual Meeting of the Indonesian Health Economics Association
18