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Serious Medishield life premium to increase by 35% from Apr 2025

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MediShield Life premiums to increase as government expands national health insurance scheme​

Premiums may increase by as much as 35 per cent from April 2025 over a three-year period but for most Singaporeans, this will be fully offset by government support measures.
MediShield Life premiums to increase as government expands national health insurance scheme

A health insurance claim form. (Photo: iStock/LIgorko)
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Vanessa Lim
Vanessa Lim
15 Oct 2024 03:00PM (Updated: 15 Oct 2024 08:21PM)
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Read a summary of this article on FAST.
FAST
SINGAPORE: MediShield Life premiums will increase from April 2025 as the government expands the national health insurance scheme.
This comes after a review of the insurance scheme by the MediShield Life Council. It called for increased claim limits to better protect Singaporeans against large medical bills and expanded coverage to help patients afford new types of care and treatments.
With higher claims and expansion of coverage, premiums may increase by as much as 35 per cent. The increases will be phased evenly over three years from April next year to March 2028.
With this, premiums will increase by an average of 22 per cent per policyholder by the end of the third year, read the council’s report, which was published on Tuesday (Oct 15).
To fund this, the council recommended a one-off release of around S$600 million from the MediShield Life Fund so as to cap the total premium increase at 35 per cent and phase it evenly.

WHAT ARE THE NEW BENEFITS?​

The higher premiums will support the changes to the MediShield Life scheme. Here are some of the new benefits:
  1. Higher claim limits for existing inpatient and day surgery.
  2. Raise the policy year claim limit from S$150,000 to S$200,000.
  • The council said that very few patients – about 50 per year – currently exceed the policy year claim limit and that these cases are largely due to prolonged hospital stays. Increasing this will provide greater assurance for such patients with exceptionally large bills.
3. Increase inpatient deductible by up to S$1,500.
  • This has not been adjusted since the scheme was introduced in 2015. With rising medical bills, the council said the deductible has become less effective in sieving out smaller, more affordable bills which can be paid for by MediSave. Increasing the deductible will allow MediShield Life to focus its coverage on larger medical bills and moderate the extent of premium growth.
4. Refresh existing outpatient claim limits and lower outpatient co-insurance from a flat 10 per cent to a tiered structure ranging from 3 per cent to 10 per cent.
5. Expand coverage to include new outpatient treatments and home-based medical care.
6. Introduce a new outpatient deductible of S$500 per year.
  • The deductible paid for inpatient treatments would also count towards the outpatient deductible and vice versa. For example, if a patient has paid S$500 towards his deductible in the inpatient setting, he would have fulfilled the outpatient deductible for the policy year.
7. Expand coverage to new high-cost treatments that are both clinically and cost-effective
  • This includes treatments on the Ministry of Health’s (MOH) cell, tissue and gene therapy products (CTGTPs) list, as well as high-cost drugs for blood conditions such as haemophilia and childhood onset conditions.
20241015-revised-medishield-life-claim-limits_0.png

Explaining the changes, the council said rising medical bills have eroded the coverage of existing claim limits, which now fully cover just under eight in 10 subsidised bills.
This is lower than the nine in 10 subsidised bills that the scheme was designed to fully cover.
As a result, more patients with large bills have to pay for parts of these in cash, the report said.
The new claim limits should bring the scheme back to its original mandate of fully covering nine in 10 bills.
In addition, with the centre of gravity for healthcare delivery shifting from hospitals to outpatient, community and home settings, the council said there is a need to improve patient access to safe and affordable outpatient and home care.

Related:​


Commentary: What to do about rising medical costs in Singapore


MediShield Life set to cover precision medicine; MOH planning new laws for use of genetic test data

GOVERNMENT PACKAGE TO OFFSET PREMIUM INCREASES​

In a press release on Tuesday, MOH said the government has accepted the council's recommendations, adding that it will enhance the scheme to better protect Singaporeans against major health episodes that result in large medical bills.
MOH said the government will adjust MediSave withdrawal limits so that patients can use MediSave to cover the co-insurance and the revised deductibles.
The revised MediShield Life benefits and MediSave limits will be implemented progressively from April next year, together with the first phase of the increase in inpatient deductible.
The outpatient deductible will be introduced on Jan 1, 2026, followed by the second phase of the increase in inpatient deductible on Apr 1, 2027. All other changes will be made progressively from Apr 1 next year.
To cushion the impact of higher premiums on Singaporeans, the government will provide an additional S$4.1 billion in support measures over the next three years.
This package comprises S$3.4 billion in MediSave top-ups and S$0.7 billion in premium subsidies.
As part of this, premium subsidies will be increased by five to 10 percentage points for lower-income and middle-income Singaporeans in older age groups. From Apr 1, 2025, they will be able to receive premium subsidies of up to 60 per cent, an increase from the current cap of 50 per cent.
Annual MediSave top-ups for the Pioneer Generation will also be increased by up to S$300, bringing the maximum annual top-up to S$1,200.
For Singaporeans born in 1973 or earlier, a one-time Majulah package MediSave bonus of up to S$1,500 - first announced in August last year - will be increased by S$500. This will be paid in December.
Meanwhile, an additional MediSave bonus of S$500 will be given in 2025 to some seniors born between 1950 and 1973 who may not have been able to accumulate enough savings in their MediSave account to help cover the rise in premiums.
For newborns, the MediSave grant will be increased from S$4,000 to S$5,000 from Apr 1, 2025.
Finally, for Singaporeans born between 1974 and 2003, a one-time MediSave bonus of up to S$300 – announced in this year’s Budget – will be increased by S$200. This will be paid in December.
According to MOH, for more than nine in 10 Singaporeans, the additional MediSave top-ups, subsidies and support will “more than offset” the cumulative S$1.8 billion in additional premiums over the next three years.

REDEEMING PREMIUM DISCOUNTS USING HEALTHPOINTS​

In support of Healthier SG, policyholders aged 40 and above may redeem MediShield Life premium discounts via the Health Promotion Board’s (HPB) Healthy 365 app.
The conversion rate will be 150 Healthpoints to S$2, up from the regular rate of S$1. The programme will commence in the third quarter of next year and will run as a pilot for three years.
MOH said the government will review the outcomes of the pilot before deciding whether to make it a permanent feature of MediShield Life.
From October next year, the government will also extend MediShield Life and MediSave coverage to cell, tissue and gene therapy products (CTGTPs) that are on MOH’s list.
Given the high costs of CTGTPs, MOH said the Medishield Life and MediSave limits will be sized to fully cover two in three subsidised patients initially.
Source: CNA/vl(mi/ac)

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Altogether now... Cham ah
As long as they continue to top up Medisave, the increase would be offset.

My only buaysong is the deductible. Instead of reducing, they increase. KNNCCB.
For retiree (like me) there will be no more incoming but only outgoing.

For the working ones, the impact will not be an immediate one, just that when more are being contributed to their MA, less will be in their OA and SA.
The effect will only be seen much later.

What will happen to the premium when their medisave deplets and insufficient for the payment?
 
The problem is the retarded sinkies have a misconception that CPF money is not their own money, just let them deduct whatever premium amount they want
Very good catch.
Majority think the cpf ma is not their money and they will not fall sick to need it later. Especially true for the brown skinned.
 
What will happen to the premium when their medisave deplets and insufficient for the payment?

There will be a new scheme called MediHang. Every citizen whose MediSave balance drops below $100 will get a Rope from MOH, and $10 will be deducted.
 
My premiums just got doubled from last year.. can't do anything about it but just to swallow.. more good years.. Expect it to double again this coming year. Terrible..
 
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