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How to make a MediShield Life Claim
This page details how MediShield Life claims are made. The medical institution or private insurer will help submit claims on your behalf.
Last updated 21 November 2024
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If you have no Integrated Shield Plan
Inform the staff handling your hospital admission or outpatient treatment that you wish to make a claim.
The medical institution will submit your claim for you.
The CPF Board will process your claim and the MediShield Life payout will be used to offset part of your bill.
The remaining amount on your bill can be covered by MediSave (up to prevailing limits) and/or cash.
If you have an Integrated Shield Plan
Your private insurer will process your claim and make the total payment to the medical institution on your behalf. This will include the MediShield Life portion of the payout.
The remaining amount on your bill can be covered by MediSave and/or cash.
Understanding what parts of your bill you can claim
You are responsible for paying parts A, B and C of your bill from your MediSave account and/or in cash. Your MediShield Life plan will cover part D.
A = MediShield Life claim limit - Under MediShield Life, the maximum claim limit per policy year is set at $150,000 with no lifetime limit on claims. More details on claim limits.
B = The deductible – This is the fixed amount you have to pay of the bill (from your MediSave and/or in cash) before MediShield Life payout starts. You only have to pay this once in any year you are hospitalised. So if you are hospitalised twice in one year, your MediShield Life plan pays everything in your second bill except portions A and C. The following chart illustrates how much you would pay as a deductible in any one year if you are hospitalised.
Based on age next birthday at the start of the policy year. Applicable for admissions or treatments received on or after 1 March 2021
Table I: Deductible
Ward Class / Treatment | 80 and below | 81 and above |
|---|---|---|
Class C1 | $1,500 | $2,000 |
Class B2 and above1 (including stay in private hospitals) | $2,000 | $3,000 |
Day Surgery | $1,500 | $2,000 |
Outpatient Treatments | Not Applicable | |
1 Subsidised patients will follow the deductible for Class C and non-subsidised patients will follow the deductible for Class B2 for Community Hospital, Inpatient Palliative Care Service, Short Stay Wards and Continuation of Autologous Bone Marrow Transplant for Multipe Myeloma. | ||
C = Co-insurance component - is a percentage of the claimable amount that you have to pay. The larger the bill, the lower the co-insurance payable. Under MediShield Life, the co-insurance rate starts at 10% and goes lower as the claimable amount increases.
Table J: Co-insurance
Inpatient/Day Surgery | Co-insurance Rate |
|---|---|
First $5,0001 | 10% |
Next $5,000 | 5% |
Above $10,000 | 3% |
Outpatient Treatment | 10% |
1 Inclusive of deductible | |
D = The portion covered by MediShield Life - MediShield Life benefits are designed to cover subsidised bills incurred by Singapore Citizens at Class B2/C wards and subsidised outpatient treatments/day surgery at public hospitals. Bills for other wards, private hospitals and non-subsidised treatments, as well as bills for Permanent Residents will be pro-rated.
More information can be found on the MediShield Life Information Booklet.