Despite the limited government's budget, universal healthcare access insurance service – as a mean of alleviating poverty – is possible to develop in Indonesia. this argument is supported by examples of policy and practical innovation of social security system in seven districts/ municipalities. there are three types of social security system according to its funding sources and that mechanism, namely: 1) operational subsidy of basic healthcare service; 2) subsidized public health insurance service; and 3) co-funding between government and public. Comparative analysis on the three systems above, along with review on the available constitutional apparatus, and on universal healthcare insurance models concluded that integrated-decentralized model are more appropriate to be implemented in Indonesia.