doctor’s daily attendance fees, and an additional fixed limit for surgical procedures ranging from $150 to $5,000 Psychiatric treatment Up to $150 per day for the hospital and treatment charges including a maximum of $50 for the doctor’s daily attendance fees, subject to a maximum of $5,000 a year Medisave cannot be claimed for Inpatient hospitalisation of less than eight hours Cosmetic Surgery and other non treatmentrelated services (e.g. Private Nursing, ambulance, medical reports, etc) Medifund will assist needy Singapore Citizens5 who despite heavy government subsidies are still unable to pay for their medical expenses. Please contact the hospital Business Office to apply Example of Amount Claimable from Medishield and MediSave Medical condition: Cornary atherosclerosis (blocked arteries) Total hospital bill: $41,868.206 Length of stay: 28 days (including 6 days in ICU) Ward class: C •MediShield MediShield is a low-cost catastrophic illness insurance plan that helps patients cope with large bills and covers up to 60% for class B2 and C bills. If you are in the middle-income group who prefers class A or B1 or private wards, you should consider buying supplementary Medisave-approved insurance plans for additional benefits, in addition to basic MediShield How much can you claim from MediShield? This depends on your plan and these 3 factors: Deductibles, Co-insurance and Claimable Limits Deductible refers to the initial amount of the bill that you would have to pay before insurance kicks in. Co-insurance refers to the portion of the total claimable amount that you would have to pay in addition to the deductible. You can use Medisave to pay for both the deductible and co-insurance portion. Claimable Limits refers to the portion of the bill that you can claim, which is subject to the maximum limits per day for: hospitalization, surgical procedures, surgical implants, and approved specific treatments and outpatient treatments The hospital will submit the MediShield claim to the CPF Board on your behalf upon discharge. The amount claimable depends on the treatment given HoSPITAL •Medifund Total hospital bill $41,868.20 Government subsidy $35,081.31 Total bill after subsidy $6,786.89 MediShield paid $4,908.20 Medisave claimable for length of stay $1,878.69 PATIENT PAID For clarifications and further queries, please approach the Hospital Staff or Business Office for direct assistance. healthCare $13.30 % of total bill paid by patient in cash 0.2% Only applicable to Singapore Citizens in Class B2 or C ward. Not applicable for certain procedures or specialties such as cosmetic surgery, etc. Patients are advised to check with the hospitals directly. 5 All bill items assumed to be fully claimable from MediShield and Medisave. 6 FURTHER ENQUIRIES Ministry of Health, Singapore Email: [email protected] Website: http://www.moh.gov.sg a touche design production @ 6743 5450 Guide This brochure answers the questions foremost in your mind if you or family members need to stay in a public hospital. It is a guide to • Choose your ward class carefully to suit your needs and budget • Know which documents to bring before admission so that you can save some time. •������������������������������������������������� Understand how the 3Ms (Medisave, MediShield and Medifund) schemes can help you with hospital bills. Class B2 6-bed room • If you earn $3,200 or less a month, you will continue to enjoy • Naturally ventilated room • $39 - $60 Class C ≥ 6-bed room • • Naturally ventilated open ward • $20 - $40 CHOICE OF WARD CLASS • • Bear in mind your finances and choose the right ward class. This will help you manage your hospital bill size Class of Ward1 Class A Single Room Facilities2 and Range of Ward Charges3 (Per Day) • Air-conditioned room with attached bathroom, television set and telephone • Choice of Chinese, Muslim, Indian or Western cuisine • Sleeper unit for accompanying guest at additional charge • • All hospitals are required to provide financial counselling to their patients. You will be informed in writing of the estimated charges for hospital treatment and professional consultation fees, if any. • If you are admitted on an emergency basis, immediate family members may choose the ward class on your behalf • Air-conditioned room with attached bathroom, television set and telephone • Choice of Chinese, Muslim, Indian or Western cuisine • $145 - $190 1 There may be other ward classes available in some public hospitals other than the ones listed. Patients are advised to check with the hospitals directly. 2 This is only a general description of the various ward classes, i.e. there may be variations across hospitals. Patients are advised to check with the hospitals directly. 3 Exclusive of GST. This is an indicative price range of ward charges for Singapore Citizens only. Patients are advised to check with the hospitals directly. • ON THE DAY OF YOUR ADMISSION • Documents needed SUBSIDY RATE • Inpatient Admission Authorisation Form • You will be eligible for hospital subsidies if you are a • NRIC/Passport/Birth Certificate (if <15 years old) Singapore citizen or Permanent Resident (PR). • Completed Medisave Authorisation Form • Financial Counselling Form PR subsidy level • $200 - $323 Class B1 4-bed room • Citizen subsidy level From Jan 2008 From Jul 2008 Class A Not Subsidised Not Subsidised Not Subsidised Class B1 20% 15% 10% Class B2 65% 60% 55% Class C 80% 75% 70% Ward Class the full subsidies of 65% for class B2 and 80% for class C If you earn more than $3,200 a month,, you will receive slightly less subsidies for class B2 and C, based on a sliding scale. Your monthly income will be based on your total salary received over the last-available 12-month period. It will not be based on just the last month’s pay Those who do not have a monthly income, such as housewives, retirees and children, and live in HDB flats or properties with annual values of $11,000 or less, will also get full subsidies Subsidy for PRs will be 10%-points less than citizens of the same income level If you are discharged from Class A/B1 ward, you will be charged at private rates (i.e. no subsidy) for follow-ups at Specialist Outpatient Clinics (SOC) If you are discharged from Class B2/C ward, you will be charged at subsidised rates4 for follow-ups at SOCs • Medical Benefit Documents, if any (please see table below) • In Jan 2009, means-testing will kick in. You can still choose your ward class and be admitted to Class C or B2 ward. Depending on your income level, you will still be heavily subsidised but at different rates 4 For Documents To Bring Civil Servants / Pensioners and dependants Civil Service (CS) Card, Public Service (PS) Card or Medical Benefit Identification Memorandum (MBIM) Employees of other organisations and dependants Hospitalisation Identity Card (HIC) or Letter of Guarantee (LOG) from employer or insurance company Foreigners working in Singapore CPF membership card / P, Q, S or R pass / other valid work pass, with employer’s letter Applicable to Singapore Citizens and Permanent Residents only DEPOSIT PRIOR TO ADMISSION • Deposit (cash top-up) Generally Class B2/C wards do not require a deposit, unless your estimated hospital bill is above the Medisave withdrawal limit or your Medisave balances are insufficient For those opting for Class A/B1 wards, a cash deposit is required because Medisave cannot cover the full bill Patients seeking admission to Class A or B1 wards and who are unable to pay the deposit should reconsider their choice of ward Deposit amount may be decreased or exempted if you produce a Letter of Guarantee from your employer or insurance company in Singapore Patients can be assured that no one would be denied healthcare in an emergency 3Ms -MEDISAVE / MEDISHIELD / MEDIFUND • Medisave Medisave is a national medical savings scheme to help individuals save part of their money for either their personal medical expenses or their immediate family members’ hospitalisation bills. Medisave can be used to pay for hospitalisation, day surgery and certain approved outpatient treatment, including renal dialysis and chemotherapy To use Medisave, you need to complete the Medisave Authorisation Form and hand it to the hospital for processing Medisave covers: Medical/ surgical inpatient cases $450 per day for hospital and treatment charges, including a maximum of $50 for doctor’s daily attendance fees, and an additional fixed limit for surgical procedures ranging from $150 to $5,000 Approved day surgeries Up to $300 per day for the hospital and treatment charges, including a maximum of $30 for the
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