Please enable JavaScript.
Coggle requires JavaScript to display documents.
Chapter 9: Healthcare Financing - Coggle Diagram
Chapter 9: Healthcare Financing
Components
S + 3M
Subsidies
Public
Inpatient
Specialist Outpatient Centre
CHAS
Medisave
Pay for
Medical expenses at all
accredited institutions
Dependants
Outpatient treatments
Approved chronic diseases
under chronic disease management programme (CDMP)
Vaccinations
Health screenings (only members above 50)
Inpatient Treatments
Long term care
Up to $200 a month
withdrawal from MA
Basic Healthcare Sum
Max amount you can have
in your MA
Excess will flow to SA
Distribution
Medishield Life
Limits
Premiums
Coverage for pre-existing
medical conditions
Nominal Additional premium of 30%
for first 10 years if serious pre-existing condition
Subsidies
Premium subsidies
Families with monthly income per capita
of $2800 and below
Property annual value of
$21000 and less
Pioneer & Merdeka
Subsidies of between
40% to 60%
Receive $250 to $900 a year
in Medisave top up
Additional Premium
Medishield Fund
Medifund
IP
Co-payment
MOH introduce requirement for new IP riders
to have co-payment of 5% or more
Co paymennt cap to protect policyholders
(eg. $3000)
Termination
terminate IP while still being covered
by Medishield
Switching
Option to go back to previous insurer
within
30 days
from termination date without
having to underwrite
Pre-authorisation
IP insurer gives prior approval to cover
hospitalisation and medical treatment before
actual surgery or admission
Standard LIA Pre-authorisation form must be used
Directly settle bill with hospital
Claim
Non-IP
Show insurance card
Philosophy
Affordability and accessibility
Individual and Collective Responsibility
Eldershield
Premiums
Premium paid only up to 65
Not guaranteed and will be reviewed
every 5 years
Eligibility
Waiting period
Non-Forfeiture
Careshield
Supplements
For those who want to obtain
higher long-term insurance
Premium subsidies
Means-tested
up. to 30% of premium subsidies
for lower to middle income households
Participation incentives
Participation incentive of up to $2500 to encourage those
born before 1979
Claims
Insured makes claim to AIC
Elderfund
Targeted at
$250 a month