Domestic Helper or Domestic Workers (PRT) or Household Assistance (ART) are categorized as informal workers or non-wage workers who have several models of work, namely: fulltime and part time. Todays, domestic workers who are previously informal workers are changed to become formal workers, with the rules of work contracts, working hours, days off, division of labor and social security. This research is a qualitative research with the process of searching data through interviews and observations. Interviews were conducted with 5 informants participating in social security and 5 informants not participating in social security. Karl Marx's theory of Surplus Value is used for analyzing the data. The results showed that domestic workers have the desire to become social security participants because their work is vulnerable to accidents and the risk of illness that requires high costs. In fact, their participation in social security is low because they have low income and just enough to fulfill of the family needs, so they cannot pay social security fee every month. Thus BPJS (The Indonesian National Health Insurance System) must be continuously socialized to domestic workers and they should reduce the monthly fee. To improve the participation in social security is through a community approach. PRT can registration and payment process through domestic workers organizations. With the main target, the employer is involved in payments every month. The community approach has proven to be effective in increasing the number of participation which should be accompanied by the strengthening of organizations and activists of domestic workers organizations. The future jobs that need to be done are to invite PRT who are not affiliated with domestic workers organizations to become BPJS's member.