Annex 12 – List of Medical Facilities

HOSPITAL / OUTPATIENT FOR THOSE AGENCIES REGISTERED UNDER CIGNA HEALTH INSURANCE

Data as of  13 June 2021

1 = Direct payment to the provider for inpatient care (including outpatient surgery).

2
 = Direct payment to the provider of outpatient care. Click on the provider name to verify as from which amount direct payment for outpatient care is possible.

3
 = Price agreement (e.g. preferential rates, discounts on specific services, prompt payment discounts, etc.). Please note this does not necessarily imply that the full amount of the invoice(s) will be accepted.

NAMELOCATION123
Siloam Hospitals - BalikpapanBALIKPAPAN 
R.S. Ibu Dan Anak Hermina - PasteurBANDUNG  
R.S. Ibu Dan Anak Hermina - BekasiBEKASI  
R.S. Ibu Dan Anak Hermina - BogorBOGOR  
Siloam Hospital - Jantung DiagramBOGOR 
Siloam Hospitals - Lippo CikarangCIKARANG 
Bali Royal HospitalDENPASAR
Kasih Ibu HospitalDENPASAR 
Siloam Hospitals BaliDENPASAR 
R.S. Ibu Dan Anak Hermina - DepokDEPOK  
Global Assistance Medical CentreJAKARTA  
Global Doctor Clinic JakartaJAKARTA 
Good Practice ClinicJAKARTA  
R S Pondok IndahJAKARTA  
R.S. Gading PluitJAKARTA 
R.S. Ibu Dan Anak Hermina - Daan MogotJAKARTA  
R.S. Ibu Dan Anak Hermina - PodomoroJAKARTA  
R.S. MedistraJAKARTA 
R.S. Pantai Indah KapukJAKARTA  
R.S. Premier JatinegaraJAKARTA 
Rumah Sakit Siloam AsriJAKARTA 
Siloam Hospitals - Kebon JerukJAKARTA 
Siloam Hospitals MRCCCJAKARTA 
True Care Medical & Dental ClinicJAKARTA  
Siloam Hospitals - JambiJAMBI 
Siloam Hospitals KupangKUPANG 
BIMC - Bali International Medical CentreKUTA 
BIMC Hospital Nusa DuaKUTA  
Siloam Hospital - MakassarMAKASSAR 
R.S.Ibu Dan Anak Hermina- TangkubanprahuMALANG  
Siloam Hospitals ManadoMANADO 
Rumah Sakit Siloam Dhirga SuryaMEDAN 
Siloam Hospital SriwijayaPALEMBANG 
Siloam Hospital - PurwakartaPURWAKARTA 
Siloam Medika SamarindaSAMARINDA 
R.S. Hermina Pandanaran- SemarangSEMARANG  
R.S. Ibu Dan Anak Hermina - SukabumiSUKABUMI  
R.S. Premier SurabayaSURABAYA 
Siloam Hospitals - SurabayaSURABAYA 
R S Premier BintaroTANGERANG 
Siloam Hospitals - Lippo VillageTANGERANG 
Annex 11 – List of UN Examining Physicians adn UN Stress Consellor Annex 13 – Agency Admin/ HR Focal Point