MediShield Life

MediShield Life

MediShield Life

FINANCIAL POLICIES

MediShield Life

1) Deductible *Need to be filled up first -Please refer to deductible table above

2) Co-insurance *Medishield Life pays most of it while patient pays part of it -Please refer to co-insurance table above for the breakdown of the tiers

Total bill

Tier 1

Tier 2

Tier 3

Tier 4

3) Bill above claim limits *When patient meets the maximum

amount claimable, patient has to pay

the bill above claim limits

Balance

Total bill

Deductible and Co-insurance - FYI (Inpatient)

1) Mr. Tan has a $2000 bill, which tier is he at?

2) Ms. Wong has a bill $7000 bill, which tier is she at?

Ans: Tier 1, + 2, + 3 Deductible = $1500 Co-pay 1st tier = $150 Co-pay 2nd tier = $200 Co-pay 3rd tier = $100 Total Co-pay = $450 Total payment = $1950

MSHL pays = $5050

Ans: Tier 1 Deductible = $1500 Co-pay 1st tier = $50 Total payment = $1550

MSHL pays = $450

If both Mr Tan and Ms Wong is 25yrs old and warded in C class ward,

MediShield Life

Deductibles and Co-Insurance

• To keep premiums affordable

• To encourage responsible consumption

Hospital Bill ($) Modes payment for deductible &

co-insurance

Out-of-

Pocket Cash

(if any)

Medisave

Medishield Life Payout

Medishield Life is created to tackle large hospital bills. Medisave can be used to pay for your deductibles/co-insurance.

MediShield Life

Case Study

Deductible = $1,500 Total payable = $2,000 Medishield Life Pays = $6,000

Deductible = $1,500 Total payable = $2,400 Medishield Pays = $5,600

Mr Wong has 2 cycle of 21 days Chemo treatments ordered from Oct - Dec 2015: •1st cycle on 19 Oct to 8 Nov under MSH (Per Cycle claim) •2nd cycle on 16 Nov to 6 Dec under MSHL (Per Month claim)

Case Study

Outpatient Cancer Treatments

Note: MSHL will be launched on 1 Nov and replace MSH.

Therefore, it is only applicable only for admissions/ treatments on or after 1 November 2015

FINANCIAL POLICIES

Medisave-Approved Integrated Shield Plan

For patients who prefers Private ward classes (Aircon, privacy, choice of doctors)

Premium payable by Medisave

For Singaporeans who plan to use Class B1

or higher ward classes, you may wish to

consider purchasing Medisave-approved

Integrated Shield Plans on top of your

Medishield. MediShield and other

Medisave-approved Integrated Shield

Plans are designed to cater to your

different insurance coverage needs.

FINANCIAL POLICIES

MediSave-Approved Integrated Shield Plans

Great Eastern: Supreme Health

AIA: HealthShield Gold

Aviva: MyShield

NTUC Income: Incomeshield

Prudential: PruShield

Patient is required to sign the MCAF [Medical Claim Authorization Form] form. The hospital will facilitate the submission on patient’s behalf to the insurance company upon their discharge.

AXA: AXA Shield

An Integrated Shield Plan has two parts

• Additional coverage above MediShield Life (e.g. for Class A/ B1 wards in public hospital, or in private hospital)

• Managed by private insurer

• MediShield Life forms the foundation of all IPs

• Targeted at large hospital bills in Class B2/C in public hospitals

• Non-profit, managed by CPF Board

All Integrated Shield Plan policyholders are covered by MediShield Life. MediShield Life is part of your Integrated Shield Plan. There is NO duplicate coverage.

MediSave-Approved Integrated Shield Plans

Medishield

Life

The hospital facilitates and help patients with insurance claims submission. For any payout-specific enquiry, please refer to MediShield Life or the respective insurance provider/personal insurance agent.

For Insurance Payout Disputes

Does patient have

an Integrated

Shield Plan?

Please refer to

the respective

insurance

provider

Please refer to

MediShield Life

(1800 222 3399)

Yes

No