Hospitals, insurers choose to hold a primary health care facilities (MAIN CONTRACTOR), which is the main hospital. May Healthcare Network (SUB CONTRACTOR) as a small hospital. Or clinic to facilitate the insured by the insurer can access treatment without cost. Meanwhile, if certain diseases hospital certificate of medical treatment such as surgery is not brain surgery of the skull. Hospital, according to the medical card will be sent to the hospital to maintain a high level (SUPRA CONTRACTOR) (hospitals that have the potential to provide medical services to the insured. That exceed the capabilities of the facility pursuant to guarantee the right to medical care will be available to the insurer) for medical treatment that authenticates the card. Agreement by the medical expenses incurred will be the responsibility of the hospital, according to the medical certificate.