Kulon Progo Regency is one example of local government that provides health insurance for people known as Regional Health Insurance System (Jamkesda). The system provides health insurance for every Kulon Progo citizen who is not sheltered in Jamkesmas or Jamkesos. In 2013, Jamkesda participants ranks second after Jamkesmas with a total of 26.56% of the population of Kulon Progo which reached 470,198 inhabitants. The existence of Jamkesda program is felt beneficial to the recipient community. However, there are still some problems related to service satisfaction of Jamkesda users. This satisfaction is related to the quality of service that is related to the fulfillment of customer expectations or needs.