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Financing for Healthcare (MediShield Life (Better benefits (Medishield pay…

- - - - Heating test
      - G6P deficiency screening
      - Metabolic screening
      - Thyroid function test
    - - Natural Delivery total claimable up to $3,000
      - Caesarean total claimable to $4,850
      - Use up to $450/day for hospitalisation
    - - Cancer (at SOCs)
      - Renal Dialysis
        
        $450 per month per patient
      - Outpatient intravenous antibiotic treatment
        
        $600 per weekly cycle
        
        Up to $2,400 a year
      - Selected drugs, services or devices
    - - $300 per year per patient
      - For medical scans such as CT or MRI scan
    - - $200 per year per patient
    - - For MediShield Life and private integrated Shield Plans
      - For ElderShield and ElderShield Supplements
    - - For hospitalisation
        
        $450 per hospitalisation day (or $300 per day surgery episode
      - For surgery
        
        From $250 to $7,550 depending on the complexity of the surgery
    - - inpatient at a community hospital
        
        $250 per day, up to $5,000 per year
      - Outpatient at a day rehabilitation centre
        
        $25 per day, up to $1,500 per year
    - - Inpatient hospices
        
        $200 per day
        
        home palliative care
        
        $2,500 per lifetime
- - - - For the employed: based on the average monthly income received for the last available 12 month period
      - For self-employed: based on their the monthly income derived from the last available net trade income assessed by Inland Revenue Authority of Singapore within the last two assessment years; or the income declared to CPF board within the last two years
      - For unemployed or have no income: receive full subsidy (65% for Class B and 80% for Class C wards
- - - - contact number
      - 3rd party payers
      - Next of Kin information
      - allergy information
      - Referral source
  - - - e.g NRIC, work permit
    - - e.g. outpatient
    - - E.g. first visit, follow-up visit
    - - E.g. polyclinic, GP, self-referral
    - - E.g. Singaporean Citizen, Permanent Resident, Foreign Resident, Non-Resident
  - - - SC,PR,FR,NR
      - Adult, Elderly, Children
        
        Documents required: NRIC, Work Permit, employment Pass, passport
    - - SC, PR, FR, NR
      - Document required: NRIC, Work permit, employment pass, passport
      - Referral documents: from polyclinics, other hospitals' A&E, CHAS GP, non-CHAS GP
    - - SC, PR, FR, NR
      - Documents required: NRIC, Work permit, employment pass, passport
      - Referral documents: from polyclinics, hospitals, A&E, CHAS GP, non-CHAS GP
    - - SC, PR, FR, NR
      - Documents required: NRIC, Work permit, employment pass, passport
      - Referral documents: from polyclinics, other hospitals' A&E, SOC
  - - - Rating A
        
        SG (PTE/SUB)
        
        MCPS Copayment Ward Scheme
      - Rating B
        
        SG (SUB)
        
        Public Assistance Card or similar Assistance Scheme
      - Rating C
        
        SG (PTE), PR(PTE/SUB)
        
        CPF related Insurance Schemes and Medisave minimum balance: $6,000
      - Rating D
        
        NR, FR
        
        Employer is credit worthy with Letter of Undertaking
        
        Sufficient Third Party coverage
      - Rating E
        
        SG (PTE/SUB), PR (PTE/SUB), FR, NR
        
        Unable to establish patient identity or citizenship status
        
        Sourcing for Third Party coverage
      - Rating F
        
        SG (PTE/SUB), PR (PTE/SUB), FR, NR
        
        Confirmed Specific Bad Debtor
    - - Rating A
        
        SG (PTE/SUB)
        
        Update patient of bill size every 5 working days
        
        Active follow up is not required as patient will not default payment
      - Rating B
        
        SG (SUB)
        
        Check folder every 3 days to monitor bill size
        
        If there is no additional deposit/coverage, refer patient to MSW and
        accord F grade.
      - Rating C
        
        SG (PTE), PR(PTE/SUB)
        
        Check folder every 3 days to monitor bill size
        
        If bill size exceeds coverage, request for top up of deposit/coverage.
      - Rating D
        
        NR, FR
        
        Check folder every 3 days to monitor bill size
        
        If bill size exceeds 15K and no additional deposit/coverage, turn to F grade
      - Rating E
        
        SG (PTE/SUB), PR (PTE/SUB), FR, NR
        
        Contact patient/NOK/employer for documents and
        deposit/coverage
        
        Within 3 -5 days after admission, if no documents or
        deposit/coverage is given, change patient rating to F grade
      - Rating F
        
        SG (PTE/SUB), PR (PTE/SUB), FR, NR
        
        All cases above $1,000
    - - PSA or ward clerks are tasked with monitoring the debt of patients
      - The advantage is staff are located in the wards and is able to detect visitors of patients
      - The disadvantage is staff has to multi task, the work and information involved in financial management is intensive
    - - A team of PSA is located in a central location away from the patients. They have access to patient financial data and review the debt situation remotely
      - The advantages are staff are centrally located and smaller team is required. intensive training and information is readily offered
      - The disadvantage is staff must proceed to wards to liaise with patients and family members
    - - To collect any cash outstanding before patient leaves the hospital
      - To ensure patient is aware of his medical bill upon discharge as a final copy will not be presented immediately due to CCPS processing