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Financing for Healthcare (Medishield/Medishield Life (Elements of the…
Financing for Healthcare
Medisave
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national scheme that helps individual set aside part of their monthly income to meet their future personal or immediate family's medical expenses
Withdrawal Limits
Approved Day Surgeries
up to $300 per day for the daily hospital charges for surgeries and a maximum of $30 for doctor's daily attendance fees
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How to Use?
sign a form to authorise the hospital or clinic to check how much Medisave you have available, and to deduct from your Medisave account
after treatment is over, the hospital or clinic will will out the bill and submit a claim to the CPF Board. The CPF Board will then deduct the allowed amount from your Medisave account and send you a statement of account
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Medifund
initial capital of $200 million, government will inject capital into the fund when budget surpluses are available
safety net for patients with difficulties paying the subsidised bill charges despite Medisave and Medishield Life coverage
Key Principles
Medical Necessity - Based on necessity, exclude non essential choices such as Class A ward and cosmetic surgery
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Many Helping Hands - to complement,not replace charity funds and encourage philanthropy to provide additional assistance
Eligibility Criteria
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unable to pay healthcare bills despite receiving Government subsidies and drawing on other means of payments including Medishield Life/Integrated Plans, Medisave and cash
Medifund Silver
rolled out to the rest of the Medifund-approved institutions in the Intermediate and Long-Term Care sector to benefit more elderly patients
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Eldershield
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offers disability insurance to all 40 year old Singaporeans with CPF accounts, to risk pool against the financial risks of suffering a severe disability
Long Term Care Insurance
pays a fixed monthly amount for long term nursing treatment upon the insured's inability to perform a number of ADLs such as bathing, dressing, feeding, going to the toilet and moving around
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Drug Subsidy
offers a big improvement in terms of efficacy and effectiveness when compared to existing standard drugs
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essential for treatment of medical conditions that are important causes of morbidity and mortality in Singapore
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Subsidy and Subvention
Subsidy - government grant given by hospital to subsidized patients and further GST subsidy is given to absorb impact of GST for subsidized patients
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CHAS Subsidy Tiers
CHAS Blue
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annual value of home (for households with no income) -
$13,000 and below
household monthly income per person (for households with income) - $1,100 and below
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CHAS Orange
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annual value of home - $13,001 to $21,000
household monthly income per person - $1,101 to $1,800
Medical Insurance
total claims made by the insured will always be equal to the total medical expenses incurred if the person is covered under more than one healthcare insurance policy
original or duplicate bill label is printed on the invoice and claim processing rules requires submission of original bills. the system only prints one original label and further reprints will bear the "Duplicate Bill" label
Health Insurance
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Letter of Guarantee
official document issued on an episodic or corporate basis by a business entity to undertake the medical bills of patient
long termed on a corporate basis in the form of a contract is termed the Hospitalization Identity Card Scheme
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Financial Counselling
MOH requires healthcare institutions to counsel patient on the financial impact of their medical treatment
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Means Testing
Household Means Testing
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Gross income of the person needing care, his/her spouse and all immediate family members living in the same household and total number of family members living in the same household
Family members living in the same household means related by blood, marriage or legal adoption staying at the same residential address with the patient, as indicated in the NRICs
Individual Means Testing
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But, if patient live in a property with an annual value of more than $11,000 they are given subsidies of 50 percent and 65 percent respectively for Class B2 and C wards
For unemployed/no income: Receive full subsidy (65 percent for Class B and 80 percent for Class C wards)
For self-employed: Based on either the monthly income derived from the last available net trade income assessed by Revenue Authority of Singapore within the last two assessment years or or income declared to CPF Board within the last two years
For the employed: Based on the average monthly income received for the last available 12-month period
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