Medishield

MediShield in a nutshell
This article aims to provide you with a basic understanding of MediShield. If you require more information, please refer to MediShield FAQ on MOH’s website.

What is MediShield?
MediShield was introduced in 1990 for Singaporeans aged 65 or younger. It is a medical insurance to help citizens cover huge hospital bills for Ward B2 and C in government restructured hospitals. Premiums for MediShield can be paid via Medisave.

How does MediShield work?
Like any insurance policies, MediShield operates on a co-payment basis. This means that a person with MediShield would need to pay part (i.e. co-insurance and deductible) of the bill while the rest is covered by MediShield. The remaining payment after all claims are made can be paid using cash or Medisave.

Am I fully covered through MediShield in the event of hospitalization?
Unfortunately, the answer is no. There are limits to how much you can claim. For hospitalization, the claim limit is up to $450 per day in a normal ward (B2/C); the excess have to be paid by the patient. MediShield could cover some surgical procedure up to limit of $1,100. For details on MediShield’s benefits and claim limits, please click here.

Sounds confusing? Don’t fret; let’s break it down into parts for better understanding.

Order of payout medishieldFrom the diagram above, the insured, i.e. you would have to pay the deductible and co-insurance (blue portion).

Deductible is a fixed amount of money you need to pay before the medical insurance kicks in. The deductible amount varies from $1,500 for class C and $2,000 for class B2.

Co-insurance is a percentage of the claimable amount that you will need to pay on top of the deductible. Well, the good news is that the percentage decreases as the amount of bill increases. Under MediShield payout, as mentioned earlier, it covers hospitalization and to some extent some surgical procedure. The claims for surgical procedure can range from $150 to $1,100. For a list of surgical procedures that are claimable, please click here.

After taking into account the deductible and co-insurance, the amount left over will be paid under MediShield insurance plan. However, there is a limit as to how much you can claim via MediShield. Beyond the claim limit, patient will need to pay (the portion in orange in the above diagram.) the remainder of the hospitalization bill.

Summary
In summary, MediShield is a low cost insurance plan to give Singaporeans a basic protection against huge hospital bill in the event of hospitalization.

The premium is affordable, as the yearly premium for age 61-65 is $455 per annum and is deductible from Medisave. Please see below for the premium table.

Age Next Birthday Yearly Premium
(Inclusive of 7% GST)
Age Next Birthday Yearly Premium
(Inclusive of 7% GST)
1 – 20 $50 71 – 73 $560
21 – 30 $66 74 – 75 $646
31 – 40 $105 76 – 78 $775
41 – 50 $220 79 – 80 $865
51 – 60 $345 81 – 83 $1,123
61 – 65 $455 84 – 85 $1,150
66 – 70 $540 86 – 92 $1,190

Sources: CPF website

Well, most of my clients would ask me “MediShield don’t seem to satisfy my needs.” “I prefer private hospital to restructured ones, what should I do?” “I don’t want to pay anything in cash, can it be done?” “I want to be able to choose my preferred doctor, can it be done?” Fortunately, there is an answer to all these questions – “Yes, it is possible.” It’s possible through the integrated shield plan. Read on to find out more.

Integrated shield plan
For patient who prefer to stay in private hospital, choosing doctor, higher ward level and full coverage of the hospital bill can look at integrated shield plan. (Please see integrated shield plan link)