Profil Coverage Kesehatan
Limit BPJS Kesehatan (Rp jt)
200
Limit Asuransi Swasta (Rp jt)
500
Skenario risiko
Rawat jalan ringan
Rawat inap biasa
ICU 5 hari
Terapi kanker 1 thn
Operasi jantung/CABG
Biaya sendiri / tabungan (Rp jt)
50
Audit: Coverage vs Eksposur Biaya
Sumber Coverage
Limit (Rp jt)
Coverage kumulatif
Status
Total Biaya Skenario
Rp 350 jt
ICU 5 hari
Total Coverage
Rp 700 jt
BPJS + swasta
Sisa Coverage
+Rp 350 jt
aman
Reset