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Contents

Part I PRELIMINARY

Part II MEDISHIELD SCHEME

Division 1 — General

Division 2 — MediShield

Division 3 — MediShield Plus

Part III GENERAL PROVISIONS

FIRST SCHEDULE Treatment, service or item excluded from the definitions of day surgical treatment, medical treatment and radiosurgery treatment

SECOND SCHEDULE

THIRD SCHEDULE

FOURTH SCHEDULE Insured’s contribution

FIFTH SCHEDULE Premium rebate under division 2 scheme (the Medishield scheme)

SIXTH SCHEDULE

Legislative History

 
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On 19/05/2013, you requested for the version in force on 19/05/2013 incorporating all amendments published on or before 19/05/2013. The closest version currently available is that of 01/03/2013.
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Renewal of insurance cover
21.
—(1)  Subject to these Regulations and the payment of the premium in accordance with regulation 8, the insurance cover of an insured person shall be renewed for a period of 12 months starting —
(a)
in the case of a person insured under the Scheme in Division 2 of Part II pursuant to regulation 6(1)(e), on the anniversary of the renewal date of his insurance cover under the Scheme in Division 3 of Part II immediately before 1st October 2005;
(b)
in the case of a person insured under the Scheme in Division 2 of Part II pursuant to regulation 6(1)(f) or (g) who, pursuant to regulation 9(1)(ca)(i), is, or is treated as, covered under the Scheme in that Division from the day of his birth to the last day of the month immediately preceding the month in which the first anniversary of the day of his birth falls, on the first day of the month in which the anniversary of the day of his birth falls;
(c)
in the case of a person insured under the Scheme in Division 2 of Part II pursuant to regulation 7(1) or (2) who, pursuant to regulation 9(2)(a) or (3)(a) (as the case may be), is, or is treated as, covered under the Scheme in that Division from the day of his birth to the last day of the month immediately preceding the month in which the first anniversary of the day of his birth falls, on the first day of the month in which the anniversary of the day of his birth falls; or
(d)
in any other case, on the anniversary of the date of the commencement of his insurance cover under the Scheme.
(1A)  The insurance cover of an insured person shall not be renewed on or after the date he attains the age of 90 years.
(2)  The premium payable in respect of an insured person’s insurance cover under the Scheme shall be paid —
(a)
from the amount standing to his credit in his medisave account;
(b)
in the case of an insured person who is a member’s dependant, from that member’s credit in his medisave account; or
(c)
in such manner as the Board thinks fit, subject to such terms and conditions as the Board may impose.
(3)  If, at the time of renewal of a member’s insurance cover, the amount standing to his credit in his medisave account is, after discounting any Government premium rebate which the member is entitled to receive, insufficient to pay the premium for such insurance cover, the insurance cover shall not be renewed but the member may apply to the Board for renewal of the insurance cover, subject to such terms and conditions as the Board may impose.
(4)  If, at the time of renewal of the insurance cover of a member’s dependant, the premium for the insurance cover was not deducted from the amount standing to the credit of —
(a)
the member in his medisave account; or
(b)
the dependant in his medisave account under regulation 8(8), (12), (12A) or (12D),
the insurance cover of the member’s dependant shall not be renewed but the member or his dependant may apply to the Board for renewal of the insurance cover, subject to such terms and conditions as the Board may impose.
(5)  If a person was insured under the Scheme in Division 2 of Part II without any break in insurance cover until an integrated medical insurance plan was purchased for him —
(a)
the insurance cover of the insured person under the Scheme in Division 2 of Part II shall be renewed for a period of 12 months on the date of the commencement of his insurance cover under the integrated medical insurance plan, subject to payment of the premium payable; and
(b)
the Board shall refund a pro-rated amount of the premium in respect of the unexpired period of the insured person’s insurance cover under the Scheme in Division 2 of Part II prior to the commencement of his insurance cover under the integrated medical insurance plan.
(6)  For the purpose of paragraph (5), there is a break in insurance cover when a person is or was not insured under the Scheme in Division 2 of Part II immediately before the commencement of his insurance cover under the integrated medical insurance plan.
(7)  If a person is or was insured under the Scheme in Division 2 of Part II pursuant to an integrated medical insurance plan without any break in insurance cover until another integrated medical insurance plan was purchased for him —
(a)
the insurance cover of the insured person under the Scheme in Division 2 of Part II shall be renewed for a period of 12 months on the date of the commencement of his insurance cover under the subsequent integrated medical insurance plan, subject to payment of the premium payable; and
(b)
the Board shall refund a pro-rated amount of the premium in respect of the unexpired period of the insured person’s insurance cover under the Scheme in Division 2 of Part II prior to the commencement of his insurance cover under the subsequent integrated medical insurance plan.
(8)  For the purpose of paragraph (7), there is a break in insurance cover when a person is or was not insured under the Scheme in Division 2 of Part II immediately before the commencement of his insurance cover under the subsequent integrated medical insurance plan.