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| 1. |
What is the Medisave withdrawal limit for assisted conception procedures?
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Couples are encouraged to start their families early. However, some couples who require assistance to conceive may find Assisted Conception Procedures (ACP) treatment costly. These couples may use up to $6,000, $5,000 and $4,000 from Medisave for the first, second and third withdrawal for ACP procedures respectively.
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| 2. |
Will I be able to use Medisave for ACP treatments received overseas?
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No, Medisave can only be used for ACP treatments performed locally.
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| 3. |
I did not use Medisave for my 1st cycle of ACP. Will I be able to withdraw up to $6000 from my Medisave for my next ACP cycle as this would be the first time I am using Medisave for ACP?
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Yes, you will be able to withdraw up to $6,000 from your Medisave for your next ACP cycle, since this will be the first time that you will be using Medisave for an ACP treatment.
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| 4. |
Can I use my immediate family member's Medisave to pay for my ACP treatment?
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No, you can only use your own and / or your spouse's Medisave for ACP treatment. *
* Either spouse's Medisave account or both for payment of ACP treatment
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| 5. |
ACP are very costly procedures. Why can't Medisave be used to cover the full cost of treatment?
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The primary purpose of Medisave is to ensure that Singaporeans have sufficient savings for their hospitalization needs especially after retirement. While we have allowed Medisave to be used for ACP, we will need to strike a balance between the use of Medisave for ACP, which is essentially an elective treatment, and the individual's future hospitalization needs.
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| 6. |
Is the use of Medisave for ACP limited to In-Vitro Fertilisation (IVF) only or does it apply for other assisted conception methods?
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Yes, Medisave can be used for other assisted conception methods other than IVF procedures. Common assisted conception methods include In-Vitro Fertilisation (IVF), Intra-Uterine Insemination (IUI) (or Artificial Insemination) and gamete intra-fallopian tube transfer (GIFT).
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| 7. |
Why is the use of Medisave for ACP restricted to 3 claims?
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Most Singaporeans will need some form of healthcare as they age. Therefore, there are limits on Medisave withdrawals to prevent premature depletion of Medisave monies, since the bulk of healthcare costs are likely to take place towards the end of a person's life.
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| 1. |
General
Why is the Government providing a Medisave grant to newborns?
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To support parents in planning for their child’s healthcare needs, the Government will open a CPF Medisave account for each citizen newborn and deposit a Medisave grant of $3,000 into it. This will supplement the Baby Bonus to pay for their child’s healthcare expenses, including the cost of insurance under MediShield.
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| 2. |
Background of scheme
How much is the Medisave grant?
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The grant is $3,000 and it will be given in two equal tranches. The first $1,500 will be deposited after the registration of birth, and the remaining $1,500 will be given in the subsequent year if the child continues to be enrolled in MediShield or a Medisave-approved Integrated Shield Plan.
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| 3. |
What can the grant be used for?
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The grant can be used to cover the child’s healthcare expenses in the same way as other Medisave balances. Examples include MediShield premiums, hospitalisations, selected vaccinations and outpatient expenses for selected chronic diseases such as asthma.
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| 4. |
Will parents be able to use the child’s Medisave grant to pay for the child’s Integrated Shield premium? (E.g. AIA HealthShield, Aviva MyShield, NTUC Incomeshield, Great Eastern Supremehealth and Prudential PruShield.)
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The use of the child’s Medisave grant for Integrated Shield premiums is subject to each insurer’s business decision. Parents may wish to check with their financial advisor or the insurer for more information.
However, we encourage parents who wish to purchase Integrated Shield plans for their children to consider if such coverage is suitable for their family’s needs and situation, and to consider paying for the premiums using their own Medisave accounts instead. As the Medisave grant for newborns is meant to support basic healthcare expenses, using the grant to fund more expensive higher-ward coverage will deplete the child’s Medisave account quickly even before the child starts working. This may cause the child’s coverage to lapse due to insufficient funds and affect the child’s future coverage for any pre-existing conditions that have since developed.
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| 5. |
Eligibility criteria
Are all newborns eligible for the Medisave grant?
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All newborns who are Singapore citizens and born on or after 26 Aug 2012 are eligible for the grant. They include those who are adopted, born to divorced or unwed mothers. Those who are born overseas can qualify for the grant when they register their birth in Singapore. Newborns who are Permanent Residents or foreigners are not eligible.
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| 6. |
Can my child receive the Medisave grant if he/she obtains Singapore Citizenship after birth?
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A child who is not a Singapore citizen at birth will not be eligible to receive the first $1,500 of the grant. However, if the child is born on or after 26 Aug 2012 and subsequently becomes a Singapore citizen before he/she turns two years old, he/she will be eligible to receive the second $1,500 of the grant, provided that he/she is enrolled in a MediShield or a Medisave-approved Integrated Shield Plan.
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| 7. |
How can parents check their child’s Medisave balance?
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Parents can refer to the notification letter that will be sent to them upon the deposit of the Medisave grant into their child’s Medisave account.
Parents can also check with the Medisave-accredited medical institutions where their child is seeking treatment on the amount of Medisave available.
Please click here for the list of medical institutions participating in the Medisave scheme.
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| 8. |
Administrative procedures
How will the Medisave grant be given out? When will we receive the Medisave grant for our child?
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Eligible newborns will receive the first $1,500 after the registration of birth and the second $1,500 in the subsequent year, if he/she continues to be enrolled in MediShield or a Medisave-approved Integrated Shield Plan.
Those who are born on 26 Aug 2012 to Feb 2013 will receive the first $1,500 by Apr 2013 and the second $1,500 after their first birthday.
Those born in Mar 2013 and thereafter will receive the grant about 2 months after the date of birth.
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| 9. |
Can the parents withdraw the child’s Medisave grant in cash?
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No, the child’s Medisave grant is meant to cover the child’s healthcare expenses in the same way as other Medisave balances. Examples include MediShield premiums, hospitalisations, selected vaccinations and outpatient expenses for selected chronic diseases such as asthma.
Cash withdrawal of the grant is not allowed unless the child meets the existing CPF withdrawal conditions (for example, upon the child leaving Singapore and West Malaysia permanently).
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| 10. |
If the child passes away subsequently, what will happen to the Medisave grant?
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| 1. |
What are congenital anomalies?
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A congenital illness is a condition that exists at birth. Some common examples of congenital anomalies are cleft palate, hole-in-the-heart and Down’s syndrome.
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| 2. |
What are neonatal conditions?
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Neonatal conditions refer to conditions that require newborns to seek treatment soon after birth. An example of a serious neonatal illness is pneumonia.
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| 3. |
Why is MediShield coverage extended to congenital and neonatal conditions?
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Parents have expressed their desire for MediShield to cover their children who may require hospitalisation upon, or soon after birth for medical complications or treatment of congenital anomalies.
To help to relieve the financial burden on parents and provide peace of mind, we will be extending MediShield to cover congenital and neonatal conditions. This will enable all Singapore Citizens born on or after 1 March 2013 to receive coverage from birth without having to be assessed for pre-existing conditions.
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| 4. |
Will all congenital and neonatal conditions be covered under MediShield?
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With the extension of coverage, all Singapore Citizens born on or after 1 March 2013 and whose birth are registered within 42 days from birth will be able to receive full coverage from birth without having to be assessed for pre-existing conditions, as long as they do not opt out. All existing policyholders who were insured before 1 March 2013 will also receive coverage for congenital conditions diagnosed on or after 1 March 2013.
All other new members who join MediShield on or after 1 March 2013, without coverage from birth, will be covered for congenital conditions if the conditions were diagnosed on or after the cover commencement date.
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| 5. |
Why is coverage only extended to congenital and neonatal conditions diagnosed on or after the implementation date of 1 March 2013?
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This is aligned with the principle that insurance should help members pool their risks against unknown health conditions. If your condition was diagnosed prior to the extension in cover (and hence considered pre-existing) on 1 March 2013, the condition will not be covered under MediShield. Needy patients can continue to approach the Medical Social Workers at the public hospitals for assistance through other avenues.
The government will introduce Medifund Junior from 1 March 2013, and provide an additional $10 million over 5 years, to help needy families with children who require medical treatment, including those who are unable to be covered by MediShield for their pre-existing congenital and neonatal conditions (diagnosed before 1 March 2013).
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| 6. |
Why is the coverage for congenital and neonatal conditions only applicable from 1 March 2013 onwards? Can this be brought earlier? Can the congenital and neonatal coverage take place before other MediShield changes?
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As an insurance scheme funded through riskpooled premiums paid by policyholders, all MediShield enhancements and changes have to take place on the same date. CPF Board has to give policyholders sufficient notice of the enhanced benefits and premium adjustments, before they are effected. Bearing this in mind, MOH and CPF Board have worked towards an implementation date of 1 March 2013 to allow time for individual notifications, as well as the system changes to support the processing of claims.
Significant Government subsidies of up to 80% will continue to be available to all who require treatment for their congenital and neonatal conditions in public hospitals, even if insurance coverage is not available. Parents can also use their Medisave for their children’s healthcare bills. Needy families who face difficulties with their healthcare bills can continue to approach the Medical Social Workers at the public hospitals for assistance through other avenues, such as Medifund Junior. MOH has introduced Medifund Junior to provide more targeted financial assistance for healthcare bills incurred by sick children from needy families. This will include those who were unable to obtain insurance coverage due to pre-existing conditions, e.g., those with congenital conditions diagnosed before 1 March 2013.
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| 7. |
What are the claim limits for the coverage of congenital and neonatal conditions under MediShield?
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Congenital and neonatal conditions will be covered as per other medical conditions under the prevailing MediShield claim limits subject to the deductible and co-insurance.
However, MediShield will exclude coverage for any active surgical interventions for the following rare congenital conditions which are severe and fatal by nature: Trisomy 13, Trisomy 18, Bilateral Renal Agenesis, Bart’s Hydrops, Alobar Holoprosencephaly and Anecephaly.
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| 8. |
When will MediShield coverage start for my child? Do I have to come forward to apply for MediShield coverage for my newborn?
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No action is required on the part of parents if either parent is a CPF member.
All Singapore Citizens born on or after 1 March 2013, and whose births are registered within 42 days from birth, will be automatically extended a cover under MediShield from birth without having to be assessed for pre-existing conditions, if parents do not opt their children out. For these newborns, hospitalisations for congenital and neonatal conditions will be covered under MediShield from their date of birth, subject to the prevailing claim limits.
Existing policyholders, such as insured children, will also automatically receive coverage for any congenital condition diagnosed on or after 1 March 2013. Parents will be notified of the extension of MediShield coverage for their newborns by CPF Board. Premiums for a child’s MediShield cover can be paid for using either parent’s Medisave account or the child’s Medisave account.
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| 9. |
What if I do not register my child within 42 days? Will my child be extended a MediShield cover?
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If your child’s birth is not registered within 42 days, he/she will not be extended a MediShield cover from his/her date of birth. However, he/she will still be automatically extended a cover which will start 1 calendar month after the MediShield invitational mailer has been sent to you/your spouse. The cover extended to your child will be subject to CPF Board’s assessment for any pre-existing conditions.
Parents are therefore encouraged to register their child’s birth early, within 14 days of birth. You may wish to refer to ICA’s website for more information on birth registration: http://www.ica.gov.sg/page.aspx?pageid=144
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| 10. |
Can I choose to purchase a Medisave-approved Integrated Shield Plan for my child that covers him/her from his/her date of birth? Do I need to terminate my child’s MediShield cover before applying for Medisave-approved Integrated Shield Plan for him/her?
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Currently, the private insurers providing the Medisave-approved Integrated Shield Plans do not provide coverage from birth.
You do not need to terminate your child’s MediShield cover before applying for an Integrated Shield Plan for him/her. As the Integrated Shield plan consists of an enhanced portion provided by the private insurer as well as a MediShield component provided by CPF Board, your child’s Integrated Shield Plan will be integrated seamlessly with his/her initial MediShield cover upon the commencement of the Integrated Shield Plan.
If your child’s MediShield cover commences from his/her date of birth, we encourage you not to opt your child out from MediShield as the MediShield cover extended to your child will not have exclusions imposed due to pre-existing conditions.
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