"...Mr Khaw also revealed that his out-of-pocket expense for his recent bypass surgery was only S$8.
He said his hospital bill was largely paid by MediShield and a private Shield supplement.
Medisave took care of the bill's co-payment...."
If two soon-to-be 65 year olds suffered heart attacks after just undergoing reservist training and had to undergo identical heart bypass surgeries, the one who is a civil servant will have to, under the Comprehensive Co-Payment Scheme available to civil servants, pay no more than 15% of the bill. The non-civil servant will have to pay 100% of the bill. This is way before any insurance claims for the bills are made.
Let me explain. Sixteen years ago, the medical benefits for civil servants were tweaked. Civil servants had to choose between three medical benefit schemes. They were:
a. Comprehensive Co-Payment Scheme - civil servants pay 15% of their hospital bill
b. Medisave-cum-Subsidised Outpatient Scheme
c. Co-Payment on Ward Charges Scheme
Based on his $8 out-of-pocket expense, KBW is in all probability, on the first scheme, i.e the Comprehensive Co-Payment Scheme.
If he is, that means Singaporean taxpayers, even those who earn a fraction of his million dollar salary, have footed 85% of his hospitalisation bill.
Khaw needed to pay only the remaining 15% of his hospitalisation bill. Since this has been paid for by the Medisheld, Medishield Plus, etc insurances that he has taken up, that will explain why he needed to pay only $8 from his own pocket.
KBW should have the honesty and decency to reveal this little extra detail and not create the impression that with Medishield and other supplements, medical cost can be extremely affordable for each and every Singaporean.
As I have stated several times before, a half-truth can be a whole lot worse than a full blown lie.
Some additional information below from the 147th Prostitute Press about these medical scheme benefits for civil servants .
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Insurance scheme for civil servants who feel new benefits not enough
147th Prostitute Press
18 January 1994
THE Government yesterday took pains to assure civil servants that they are better off with their new medical benefits package as their pay increases are more than enough to cover the extra expense.
But for those who are still worried, they can turn to an NTUC Income low-cos t medical insurance plan.
The Co-Pay Assist plan will pay half their portion of the medical expenses s o that they do not have to pay much more than they did under their old medical benefits package.
Health Minister George Yeo said: "The difference is that they now have a choice whether to take the supplementary insurance and pay the premium, or to save the money and bear the additional costs themselves."
Both he and his Minister of State, Dr Aline Wong, took pains to allay the anxiety of civil servants, who will have to decide which of three medical benefits package to choose from by March 31: * Comprehensive Co-Payment Scheme, (CCS) which requires that they pay 15 per cent of their hospital bill and 40 per cent for dependants. The same limits apply for outpatient treatment.
* Medisave-cum-Subsidised Outpatient Scheme, which gives them 1 per cent mor e in their Medisave, but no hospitalisation benefits. Outpatient treatment is subsidised as for CCS.
* Co-Payment on Ward Charges Scheme, which is the old medical benefits package. Civil servants pay 20 per cent of their own ward charges and 50 per cent for their dependants. This works out to about 7 per cent and 17.5 per cent of total hospital bills respectively. They get free outpatient treatment.
Under the two new schemes, civil servants will continue to enjoy pay rises, while those who opt for the third will have to stick to their old pay scales and enjoy smaller increments.
Dr Wong circulated a series of charts to MPs to show that civil servants' wage increments would more than offset their medical expenses under the CCS.
For example, a Division II male officer with a wife and two children will pay $330 more a year from the higher co-payments.
But he will get at least $400 more in salary, more than enough to offset the higher medical expenses. In fact, nine in 10 civil servants will get at least twice the average amount needed to cover the extra medical expenses for themselves and their dependants.
She also explained that Medishield would help cover most, if not all, of the civil servants' hospital bills, especially those in Division III and IV.
Medishield would only fall short of covering the bills of dependants of Division I and II civil servants, if they stayed in higher class wards.
For them, Co-Pay Assist would be "most worthwhile".
"If people feel that even with basic Medishield, the amount they have to co-pay for the dependants is something that they do not want to bear, they can opt to pay a premium and go on to the NTUC Co-Pay Assist scheme," she said.
She also addressed the concern of civil servants nearing retirement age, assuring them that they too would be well-covered.
Besides the Government footing its share of the bill under CCS, they will be getting 1 per cent more in their Medisave. They can also join Co-Pay Assist, which does not have any age limit.
As for those who now have chronic illnesses, the Public Service Division of the Finance Ministry will consider helping them on a case-by-case basis, she added.
CO-PAY ASSIST SCHEME
* What it is: A voluntary NTUC Income medical insurance plan for civil servants and dependants on the Comprehensive Co-payment Scheme. * How it works: It will pay half of what the civil servants and dependants have to pay out of their own pockets under the new medical benefits package. For example, if a civil servant's hospital bill is $4,000, he has to co-pay 15 per cent, or $600. NTUC Co-pay Assist will pay half of this, or $300. * What it costs: Premiums, to be deducted from salary, depend on the civil servant's ward entitlement, age and state of health. There is no age limit. Standard premiums for B2- and C-class wards range from $3 a year for a civil servant below 30 years of age to $27 for those above 65. * When it starts: It will be ready next month.
'There is a sense of being let down, even a sense of betrayal, to put it very strongly - but that is their own word. But this is not justified. Actually, the Government has every good intention to take care of the medical needs of the civil servants. Their salary increases will fully cover any additional outlays they incur.
"We have made careful calculations and have made sure that the salary increases will more than cover such additional expenses."
- Minister of State for Health Aline Wong, saying civil servants' anxiety over the new medical benefits schemes was understandable.