Sunday, October 18, 2009

What is MediShield?

medishield1 

MediShield is a low cost catastrophic medical insurance scheme.

In 2005, the CPF board privatized the MediShield Plus plans through NTUC Income.

The 2 MediShield Plus plans were integrated into NTUC Income’s IncomeShield, known as IncomeShield Plan MA & MB.

 

Annual premiums for MediShield are deducted automatically from the CPF member’s Medisave.

MediShield is renewed automatically every year until the member reaches 80 years old.

 

The main features of Medishield are:

1] Claimable Limit

- The portion the bill that is eligible for reimbursement

2] Deductible

- The initial amount that the claimant needs to pay for claims made in a policy year, before payouts from MediShield

- Deductibles only need to be paid once in a policy year

- The deductible keeps MediShield premiums affordable (since smaller amounts can be paid using Medisave)

- For approved outpatient treatments claimable under MediShield, the deductibles are waived

- For Class C ward it is $1,000

- For Class B2 and above wards it is $1,500

3] Co-insurance

- This is the percentage of the bill the claimant needs to pay on the portion of the bill above the deductible

- Co-insurance for inpatient bills is three-tiered, ranging from 20% to 10% as the bill size increases (the larger the bill, the lower the co-insurance needed to be paid)

- MediShield pays between 80% - 90% of the claim amount that exceeds the deductible

 

Go to this page for an estimate of how much you may need to pay:

https://www.cpf.gov.sg/cpf_trans/ssl/medicalEnh/medi_calc_step1.asp

Here’s an example i generated using the link given above, 7 days stay in a community B2 ward:

ex

Follow this link to see Benefits & Premium tables for Medishield:

http://havenoworries.blogspot.com/2009/10/medishield-benefits.html

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