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Healthxchange > Forums > Ask the Specialists > Ask the specialist > Healthcare Financing using Medisave, Medishield, E...

 Ask Specialists  
 Healthcare Financing using Medisave, Medishield, Eldershield and Health Insurance
 Post Question 
 
 Jun 30th 
 
(1st July -  31st July 2010)
 
Singapore offers universal healthcare coverage to our citizens, with a financing system anchored on the twin philosophies of individual responsibility and affordable healthcare for all. This is done by implementing different tiers of protection,

1st tier, government subsidies up to 80% of total bill in acute public hospital wards for all Singaporeans.
2nd tier, Medisave, a compulsory individual medical savings account scheme
3rd tier, Medishield, a low cost medical insurance scheme, this scheme allows Singaporeans to risk pool the financial risks of major illnesses.
In addition to that, eldershield, a severe disability insurance is open for Singaporeans aged 40 and above.
 
Other than the basic coverage mentioned above, middle and higher income Singaporeans will supplement their basic coverage with private insurance policies. (source, MOH website)
If you have any questions and concerns on medisave, medishield, eldershild and even private health insurances, take this chance to ask the expert online, for free.
 
Hosted by:
The experts from Financial Alliance,
an independent financial advisory will be online to advice you on managing your healthcare cost in Singapore.
 
You can post your questions from now till 31st July 2010.
All answers will be posted online by 10th August 2010.
 
 
 
Posted by pearlynwan
hi,
I heard about eldershield, but can you explain more on how we can get coverage on this plan  ?
 
Thanks
 
 
 
Answered by
ElderShield is a Long Term Care (LTC) insurance policy. It is designed to meet some or all of the costs of daily living of the Insured who, as a result of accident or illness, is physically disabled to the extent that they become dependent on others to help them in their daily living activities. 

The 6 Activities of Daily Living (ADLs) are Mobility, Feeding, Transferring, Dressing, Bathing and Toilet.  Insureds who are not able to perform 3 or more ADLs will be eligible for the payouts.  The payouts is in the form of a cash benefit and they are not tied to the reimbursement of institutional care expenses.

ElderShield is an opt-out scheme. Singaporeans and Singapore Permanent Residents with Medisave accounts are automatically covered under the ElderShield scheme at age 40.
The Ministry of Health has appointed Aviva, The Great Eastern Life and NTUC Income as ElderShield insurers.

Members who are eligible to be covered under the Scheme will be randomly assigned to either one of the insurers.

Singapore Citizens and Permanent Residents who are below age 65 and not in the auto-coverage group or have previously opted out from the scheme can apply for ElderShield coverage with one of the three appointed insurers above.

Answered by Mr. Jason Tian
Financial Consultant, Financial Alliance Pte Ltd
 
 
 
Posted by healthblur

I have a hospitalisation policy and a term life policy w endowment with a health insurance  agency. As I was getting all confused about the different types of policies and wondering about duplication, ( and hence unnecessary cost),  the agent told me that of all of the policies I have, I should terminate the eldershield one. Would you agree with this view?

Both my husband and I are in our late forties, generally healthy at the moment....

Also, as we have company health insurance, how does any hospitalisation claim work? I am tempted to stop my own health insurance policy for a while, unltil and unless I get less cover / no cover through employment. Does this make sense, or what are the downsides/risks?

Greatly appreciate your objective advice.

thanks

 

 
 
 
Answered by

Do not terminate any of your current policies until you’ve done a thorough assessment of your current as well as future needs because you may not be able to get the cover back again later. 

A hospitalisation policy is basically a medical reimbursement plan for Insured who is warded in a hospital due to either accident or illness. 

The plan helps the Insured and/or the family to meet some or all of the medical expenses incurred.

A term insurance policy provides coverage for a specified period of time. The sum assured is payable only if the Insured dies within the policy term.  If the Insured dies after the policy expiry date, the family will not receive any payout.  Also, a term policy has no saving or investment element and so it does not accumulate cash value.

Endowment policy combines coverage with savings.  With this policy, the Insured would receive a sum of money when the policy matures.  However, if the Insured dies during the tenure of the policy, the family will receive the insurance payout which include the basic sum assured and accumulated bonuses/dividends, if any. 

In addition to the basic policy, Insured can enhance its coverage by adding riders such as a Hospital & Surgical rider, Critical Illness rider etc.

Eldershield is not a hospitalization plan.  It is a Long Term Care insurance policy designed to meet some or all of the costs of daily living of the Insured who become dependent on others to help them in their daily living activities such as bathing, feeding etc. 

It is an important part of the total insurance plan. In fact, based on the fact that we are living in a country with fast aging population and ever-increasing healthcare and long term care cost, you should be thinking of increasing the coverage on Eldershield instead of terminating the cover. The claim process may differ depending on what are the plan(s) the Insured is having. 

It is always tempting to stop or postpone our personal hospitalization plan to a later date.  However, the risk of doing this is high.  We may not be able to purchase a hospitalization plan when we most need it.  Common medical conditions such as raised blood pressure or cholesterol may result in exclusions and/or raised premiums.  In extreme cases, the insurer may decline the application due to medical history or condition. 

Answered by Mr. Jason Tian
Financial Consultant, Financial Alliance Pte Ltd

 
 
 
Posted by lee
My main concern is what coverage I can get for both treatment cost and any 'loss of work' should I get a serious problem like cancer or heart attack/heart failure.
What is the best plan that I should ensure I sign up for to cover this, which does not make me pay unnecessary premiums, yet has comprehensive cover for such problems, especially something like cancer, where the cost is apparently very high and long term. How much should a middle class person sign up for?
A few years ago, I attended a talk by some 'advisor' and I somehow recall the presenter saying that with most insurance policies, it will not give a payout for early cancer. Is this true? Something about in the fine print, but I can't recall exactly...
 
Thank you.
 
 
 
Answered by

The best way to cover for treatment cost ( main stream treatment, ie , western medicine ) is to be insured adequately by a Hospitalization & Surgical plan.

If you are a S’porean or SPR, you must enroll yourself in one of  the Medishield Integrated H&S Plan which allows you to pay premium using your medisave. Currently, 5 life insurers carry this product and they are NTUC Income, GE Life, AIA, AVIVA and Prudential.

As for the ‘loss of work’ , I assume your concern is the loss of income after contracted any major illness and is unable to work for a long period of time.

There are 2 ways to approach this need:

(1) Get yourself insured with a critical illness insurance plan which pays you the sum assured in a lump sum upon the diagnosis of contracting any of the covered illnesses (usually 30 illnesses) 

(2) The other is to be covered by a disability income plan which pays you a monthly income when you are totally unable to work due to sickness or injury.

While both approaches have its pros and cons, the claim for CI insurance plan is more straight forward. The continuous proof of disability is required for disability income plan.

For CI insurance plan, it is indeed true that insurer pays claim only when the severity level of the illness meet the illness definition set by the insurer.

However, some insurers have responded to demand ( to cover illness at early stage) for new Critical Insurance (CI) plan. Unlike the conventional CI plan whereby the insurer would make a one-time lump sum payout upon diagnosis of any one out of the 30 CIs covered, subject to claim criteria, (www.lia.org.sg) the new CI plans make payment before the advanced stage of the illnesses.

Some even allow the policyholder to make multiple claims during the policyholder’s lifetime, subject to policy provisions.
If the plan can complement your hospitalization & surgical (H&S) coverage, to pay for expenses incurred outside hospital, able to replace your income during this period of hardship (Disability Income Insurance) and to reduce your financial stress, this could be the most appropriate and suitable plan that you are seeking for.

As comprehensive as such plan could be it comes with a price-tag. Not only we need to access the cost and benefits of the plans, one need to fully understand the features & medical terms of such plans. And, it is usually confusing.

Hence, to find the suitable products that suit your needs and budget, I suggest that you talk to one that has multi-representation of insurers as such adviser is more likely to find you the value products that suit your needs.

Answered by Mr. Chew Hock Beng
Chartered Financial Consultant,
Chartered Financial Underwriter, Financial Alliance Pte Ltd

 
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