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My Cpf - Providing for your Healthcare Needs
...Stretching Your Medisave Dollars

 
Understanding Medisave and MediShield
 
a) Medisave
b) MediShield
   
Medisave
 
Medisave is a national savings scheme. Under this scheme, part of our income is put aside into the Medisave Account to meet our healthcare needs, especially during retirement. We can use Medisave savings for ourselves or our dependants. Dependants refer to spouse, children, parents and grandparents. Grandparents must be Singaporeans or Singapore Permanent Residents.
 
Your Coverage Under Medisave
 
Medisave savings can be used for the following hospital charges:
  • Daily ward charges
  • Doctor’s fees
  • Surgical operations including the use of operating theatres; and
  • In-patient charges for medical treatment, investigations, medicines, rehabilitation services, medical supplies, implants and prostheses introduced during surgery
 
Medisave also covers the following hospitalisation and other approved expenses:
  • $450 per day for daily hospital charges which includes a maximum of $50 for doctor's daily attendance fees.
  • A fixed limit per table of surgical operation. Click here for more information.
  • Approved day surgeries, up to $300 per day for daily hospital charges including a maximum of $30 for the doctor's daily attendance fees, as well as a fixed limit per table of surgical operation.
  • Psychiatric treatment, up to $150 per day for the daily hospital charges including a maximum of $50 for the doctor's daily attendance fees, subject to a maximum of $5,000 a year.
  • Approved community hospitals, up to $150 per day for the daily hospital charges before 1 June 2010 or $250 per day for daily hospital charges for admission on or after 1 June 2010, including a maximum of $30 for the doctor's daily attendance fees, subject to a maximum of $3,500 a year before 1 June 2010 or $5,000 a year for admission on or after 1 June 2010.
  • Approved convalescent hospitals, up to $50 a day for the daily hospital charges, including a maximum of $30 for the doctor's daily attendance fees, subject to a maximum of $3,000 a year.
  • Approved hospices, up to $160 per day for the daily hospital charges, including a maximum of $30 for the doctor's daily attendance fees.
  • Day rehabilitation at Day Rehabilitation Centres, up to $20 per day before 1 June 2010 or $25 per day on or after 1 June 2010, subject to a maximum of $1,500 a year.
 
Your Medisave savings can be used to pay for the following outpatient treatments, subject to the withdrawal limit. Click here  for the type of outpatient treatment and its Medisave withdrawal limit.
 
The Medisave withdrawal limits are generally sufficient to pay the charges incurred by a patient staying in a Class B2/C ward in a restructured hospital. However, should you or your dependants decide to stay in higher class wards or seek treatment from private hospitals, you or your dependants may have to pay part of the bill in cash. It is therefore important to choose a ward or medical service that you can afford.
 
Making A Claim Under Medisave
 
Medisave savings can be claimed for hospitalisation, day surgeries and outpatient treatment expenses incurred in medical institutions participating in the Medisave scheme.
 
For a hospitalisation claim, the patient must have stayed in the hospital for at least 8 hours (unless the patient is admitted for day surgery) or died within 8 hours of being hospitalised.
 
Click here  for a complete list of hospitals and medical institutions participating in the Medisave scheme.
 
The maximum amount of Medisave savings that a member can claim for each hospitalisation, day surgery or outpatient treatment is subject to the Medisave withdrawal limits. Multiple Medisave Accounts can be used to co-pay the hospital bill. However, the same Medisave withdrawal limits will still apply. This means that the Medisave withdrawal limits will not increase with the number of Medisave Account holders paying the bill. This restriction is meant to help members avoid over-using their Medisave savings, so that they have sufficient Medisave savings for their own future healthcare needs.
 
For a member who passed away on or after 1 July 2006 during his/her hospitalisation, he/she can use his/her Medisave savings to pay for the last inpatient hospital bill in full, without being subjected to the existing Medisave withdrawal limits. This is because the need to save for future healthcare needs is no longer relevant.
 

You or your dependants will have to inform the hospital of your intention to claim from Medisave. You or your dependants will need to sign the Medisave Authorisation Form (MAF), which is available from the hospital. The form will be submitted by the hospital after you or your dependants have been discharged. If you are using your child's Medisave to pay for his/her own treatment, you will be required to authorise the withdrawal on your child's behalf.

If you did not sign the Medisave Authorisation Form (MAF) and pass away during your hospitalisation, your immediate family members (spouse, parents, or child who is 18 years and above) or committee of person could sign the MAF to use your Medisave savings to pay your last inpatient medical bill. If you do not have any immediate family members or committee of person to sign the MAF, a relative who has been taking care of you may also write in to the Ministry of Health through the hospital to seek approval for him/her to authorise the withdrawal of your Medisave savings to pay your last inpatient medical bill.

Upon discharge, you will be given a bill. The hospital will submit a claim from your Medisave account to the CPF Board. You will receive a Medisave Withdrawal Statement showing:
-
the amount deducted from your Medisave Account;
-
name of patient for whom you have paid for;
-
hospital to which patient is admitted; and the
-
latest balance in your Medisave Account.
 
The hospital will also inform you of the following:
-
the hospital bill incurred;
-
the amount deducted from your Medisave Account;
-
name of Medisave Account holder;
-
outstanding bill (if any) to be paid by the patient.
 
For more information on Medisave, click here.
 
MediShield
 
MediShield is a basic medical insurance scheme designed to help pay part of the expenses arising from the insured’s hospitalisations and certain outpatient treatments for serious illnesses at approved medical institutions. MediShield works most effectively for hospitalisations at B2/C class level at restructured hospitals. It is meant to complement a member’s Medisave savings, which may otherwise be depleted in the event of prolonged illnesses that require longer-term medical treatment.
 

MediShield has deductible and co-insurance features. A "deductible" is the minimum claimable amount that you would need to pay when you make a MediShield claim - the deductible applies on the claimable amount rather than the incurred hospital bill. You only need to pay the deductible once in a policy year. You will also need to pay a portion of the claimable amount with the remaining paid by MediShield. This arrangement is called "co-insurance". You can use your own or your immediate family members’ Medisave savings to pay for the deductible and co-insurance.

Click here  for more information on deductibles and co-insurance.

You need not pay any deductible for outpatient treatments. MediShield will pay 80% of the actual expenditure up to the claimable limit.

 
Your Coverage Under MediShield
 

From 1 July 2005, MediShield will pay more for large hospital bills at the Class B2/C level. Members who are insured under MediShield will enjoy higher claim benefits.

MediShield is suitable for those who wish to stay in subsidised wards, Class B2/C. The scheme has been designed to pay more for large hospital bills and the claim benefits are based on the charges at Class B2/C ward level.

You can still claim under MediShield for charges incurred at higher class wards.

However, the MediShield claim payment will only cover a small part of the hospital bill. As a result, you may end up withdrawing more Medisave (subject to withdrawal limits) and cash to settle your hospital bills.

For those who can afford private hospitals or Class B1/A ward facilities, you may wish to purchase Medisave-approved Integrated Shield Plan from the private insurers.

You should also consider the standard of healthcare you wish to have and your affordability when deciding on a medical insurance.

Click here  for more information on benefits of MediShield and the assured amount.

Click here  for examples of amount that can be claimed through MediShield.

Click here  for a list of treatments and medical expenses that are not covered under MediShield.

 
Making A Claim Under MediShield
 
MediShield can be claimed for hospitalisation, day surgeries and certain outpatient treatment expenses incurred in medical institutions participating in the MediShield scheme. Similar to a Medisave claim, the patient must have stayed in the hospital for at least 8 hours to qualify for claims for hospitalisation expenses. The only exception is when the patient is admitted for day surgery.

Click here  for a complete list of hospitals and medical institutions participating in the MediShield scheme.

You need to inform the hospital of your intention to claim MediShield. You are not required to sign any form. The hospital will submit a MediShield claim on your behalf after you or your dependants have been discharged. If you are also claiming from Medisave, the hospital will submit both claims together to the CPF Board. It will take about 7 working days to process normal cases. A longer time will be required for cases where additional medical information is required for claim assessment.

To estimate the maximum amount that you can claim from Medisave or MediShield, click here  to go to our Medisave/MediShield Online Calculator.

 
 Providing for your Healthcare needs

  Maintaining A Healthy Lifestyle
Healthcare Financing Framework in Singapore
In The Event of Hospitalisation
Recommended Payment Protocol
Withdrawal of CPF under Medical Grounds
Other Financial Protection for Severe Disability in Old Age
When I Am No Longer Around
Moving Forward
   

 Last Updated on: Wednesday, December 18, 2013 at 5:23 PM
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