Purpose: This study aims to analyze the perceptions of the community beneficiaries of the Health Insurance Program regarding the effectiveness of healthcare services in Mimika Regency.

Research methodology:

Results: The analysis results indicate that the success of the JKN-KIS PBI program provided by the regional government of Mimika Regency to the underprivileged is considered moderately effective.

Conclusions: The study concludes that the Health Insurance Program (JKN-KIS PBI) implemented by the regional government of Mimika Regency is perceived by community beneficiaries as moderately effective. Although the program has reached its target demographic and generated some tangible improvements, there are notable gaps in areas such as program socialization, public understanding, and alignment with intended goals.

Limitations: This study is limited by its exclusive focus on the effectiveness variable, without exploring other key dimensions such as service quality, accessibility, or satisfaction levels. Additionally, it relies solely on quantitative descriptive analysis, which may not capture the depth of individual experiences or contextual nuances in healthcare delivery.

Contribution: his research contributes to the literature on public healthcare program evaluation by highlighting beneficiary perspectives on the effectiveness of regionally implemented insurance schemes. It offers valuable insights for policymakers in refining outreach strategies and improving the alignment of health insurance services with community needs in underserved regions.