Asuransi Profesi Dokter Dan Aspek Medikolegal

7/26/2019 Asuransi Profesi Dokter Dan Aspek Medikolegal

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ASURANSI PROFESIDOKTER DAN ASPEKMEDIKOLEGAL

Oleh :

Abdul Aziz (081031!8!"

L#$u%# F#&hil# (0'10313!)"

Re*i N#ldi (0'10313!8"

N#li# M#h#+#%i (0'10313!'"

P+e,e-&.+ : d+/ Ri# Su,#%&i S-/F

Referat


2/37

BAB 1

PENDAHULUAN


3/37

1/1 L#+2el##%

Pel#,#%##% P+.4e,ied.&e+#%

Ti$bul .%5i6#% &e+7#di

#%+# d.&e+d#% -#,ie%

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d#l#$ #id#h#id#h e&i#


4/37

Se+i% #li -ih# -#,ie%9e%de+u% $e%9#+i9#+i

e,#l#h#% #u ele$#h#% d#+id.&e+ 6#% %#%&i%6# diu%##%,eb##i d#,#+ u%&u $e%#%&i

+ui

Pe$#h#$#% h# d#%e#7ib#% ,e&i#- -ih#

&e+#d#% $e%i$bul#%-e+,eli,ih#% #ib#&

u+#%%6# -e$#h#$#%


5/37

A,u+#%,i

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&e+%u% de%#% $e%e+i$# -+e$i #,u+#%,iu%&u $e$be+i#% #%&i +ui e-#d#

&e+%u% #+e%# e+ui#% d#% l#i%l#i%/


6/37

A$e+i# Au,&+#li#

I,,ue $e%e%#i#,u+#%,i -+.4e,i

d.&e+ ,ud#h l#$#die%#l di A$e+i#Se+i#& -#d# hu%

1')0#% d#%-e+&e%#h#% 1'80#% Medical LiabilityInsuranceb#h#%$e%i%#% +i4

-+e$i%6# u%&u-#+# d.&e+

Ne S.u&h ;#le,

Au,&+#li# d#+i hu%1''11'' 7u#$e$b#h#, ul#%$e%e%#i MedicalLiability Insurance.

Pe%i%7#u#% &e+,ebu&di$u#& d#l#$ The

Review ofProfessionalIndemnity:

Arrangements forHealth areProfessionals


7/37

Indonesia??

Kebe+#d##% #,u+#%,i -+.4e,i d.&e+ diI%d.%e,i# ,e%di+i belu$ $e%d#-#%

-e+h#&i#% hu,u, d#+i -e$e+i%h%#$u% &el#h #d# bebe+#-# -e+u,#h##%

#,u+#%,i 6#% $e%##+#% -+.+#$ i%i


8/37

$e%ehui &e%% #,u+#%,i -+.4e,id.&e+ d#% #,-e $edi.le#l%6#

Me%u%##% be+b##i li&e+#&u+e,eb##i ,u$be+ e-u,##%

1/! Tu7u#% Pe%uli,#%

1/3 Me&.dePe%uli,#%


9/37

M#%4##& b#i $#h#,i,# Me$be+i#% i%4.+$#,i b#+u e-#d# $#h#,i,#

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M#%4##& b#i $#,6#+##& $e$be+i#% ##,#% e-#d# $#,6#+##&

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1/ M#%4##&Pe%uli,#%


10/37

BAB 2TINJAUAN PUSTAKA


11/37

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be+#+&i -e+%u%#%


12/37

Indonesia

2e+d#,#+#% UU N./!?1''! &e%% A,u+#%,i

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6#% dih#+#-#% ,e+ %u% 7##b huu$e-#d# -ih# e&i# 6#% $u%i% ##% dide+i

&e+%u% 6#% &i$bul d#+i ,u#&u -e+i,&i#6#% &id# -#,&i #u #, $e%i%#l%6#

,e,e.+#% 6#% di -e+%u%#%>


13/37

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-

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d#% e,eh#%(Life and Health

Insurance&A,u+#%,i h#+

be%d# d#%u% (Pro'erty

and LiabilityInsurance"

A,u+#%,i Pe$e+i%h A,u+#%,i S#,


14/37

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eu%

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15/37

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16/37

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di bu#&%6# u%d#%

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17/37

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18/37

REASURANSI


19/37

=T+#%,4e+

Ri,i.>

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$e$b#6#+ e+ui#% &e+h#d#- l#i$

D.&e+ 6#% $e%#$bil-+.+#$ #,u+#%,i


20/37

!/ A,u+#%,i P+.4e,iD.&e+ di I%d.%e,i#

Allian! Insurance

A,u+#%,i U$u$ 2u$i

Pu&e+# (2u$id#"


21/37

llianz InsurancePe+u,#h##%

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bid#% l#6#%#%#,u+#%,i d#%

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I%d.%e,i#/

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T#hu% 1'8'


22/37

P+.+#$#,u+#%,i

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-e$ul# d#% @ hu% b#i6#% i%i% $e$-e+-#%7#%


23/37

M#%4##& B#$i%#%


24/37

Asuransi Uu Bui Pu!era

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$e+u-##% ,#l#h,#&u -e+u,#h##%

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d.&e+ de%#%+u#% li%u-

u%&u $e%#%&ie+ui#% d.&e+


25/37


26/37

KEUNTUNGAN

Pe%d#$-i%#% l#i$

A%#li,i, $edi.le#l

Pe%#%&i#% Ri,i.

M#l-+#&e

Pe%6uluh#%$edi.le#l


27/37

KRITERIA EKSLUSI

Pe+i,&i# 6#% &i$bul ,ebelu$ %#l-e+i.de -.li,

/orce Ma0eure

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B#,# $edi, 6#% bu#% u%&u #l#,#%di#%.,i,

Ke+ui#% l#%,u% #u &id# l#%,u%#ib#& +#di#,i i.% #u .%$i%#,i

+#di.#&i4


28/37

Ke+u,##% #u $#%i-ul#,i e%e&i

Pe%u%##% .b#&.b#% u%&u-e%u+u%#% be+#& b#d#%

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Ke+ui#% 6#% &i$bul #ib#& 7#,#-+.4e,i.%#l -#d# elu#+# -ih#&e+%u%

Se#l# -e+%u% 7##b#% 6#%,e$#$# &i$bul d#+i ,&u, -ih#

&e+%u%/


29/37

MEKANISME KLAIM


30/37

Se$# -+e$i -e+hu% -#d# -e+u,h##%#,u+#%,i 2u$i Pu&e+#


31/37

D#4+ ,-e,i#li,#,i d#l#$#i%%6# de%#% #%&i +ui

A


32/37

ASPEK MEDIKOLEGAL

1/ Pe+#&u+#% Me%&e+i Ke,eh#%

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.$i&e $edi di +u$#h ,#i&!/U%d#%U%d#% Ru$#h S#i& N./

T#hu% !00' -#,#l @


33/37

3/ U%d#% U%d#% P+#&e N./ !'T#hu% !00 Ked.&e+#% -#,#l 80

/ U%d#%U%d#% N./ 3@ T#hu%!00' -#,#l !'/ U%d#%U%d#% N./ 3@ T#hu%

!00' -#,#l 8


34/37

BAB %PENUTUP


35/37

3/1 Ke,i$-ul#%

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&el#h di

&e-#%


36/37

K#&e.+iP+e$i 2e+d#,#+#%

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Kl#i$

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,e#l# e+ui#%

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37/37

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-e$e+i%h h#+u, lebih $e$-e+h#&i#% d#%

$e%e*#lu#,i e$b#li -e+u,#h##% #,u+#%,i-+.4e,i 6#% be+#d# di I%d.%e,i#/

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