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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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Authorising Act | Legislative History | Amendment Annotation off
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On 21/05/2013, you requested for the version in force on 21/05/2013 incorporating all amendments published on or before 21/05/2013. The closest version currently available is that of 01/03/2013.
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THIRD SCHEDULE
Part I
ASSURED AMOUNTS
(APPLICABLE FOR ADMISSIONS AS IN-PATIENT OR
FOR OUT-PATIENT TREATMENTS BEFORE 1ST DECEMBER 2001)
 
 
MediShield
MediShield Plus
 
 
 
Plan A
Plan B
1.
Daily Room and Board Accommodation (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$120 per day
$500 per day
$300 per day
2.
Daily Intensive Care (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$240 per day
$800 per day
$500 per day
3.
Surgical Treatment listed in the Tables of Surgical Operations for Medisave Scheme issued by the Ministry of Health
 
 
 
 
Table 1A
 
$100
$400
$300
Table 1B
 
$100
$400
$300
Table 1C
 
$100
$400
$300
Table 2A
 
$200
$800
$600
Table 2B
 
$200
$800
$600
Table 2C
 
$200
$800
$600
Table 3A
 
$400
$1,300
$1,000
Table 3B
 
$400
$1,300
$1,000
Table 3C
 
$400
$1,300
$1,000
Table 4A
 
$500
$2,000
$1,500
Table 4B
 
$500
$2,000
$1,500
Table 5A
 
$500
$3,000
$2,000
Table 5B
 
$500
$3,000
$2,000
Table 5C
 
$500
$3,000
$2,000
Table 6A
 
$600
$4,000
$3,000
Table 6B
 
$600
$4,000
$3,000
Table 7A
 
$600
$5,500
$4,500
Table 7B
 
$600
$5,500
$4,500
Table 7C
 
$600
$5,500
$4,500
4.
Renal Dialysis, received as out-patient medical treatment
 
$700 per month
$2,000 per month
$1,600 per month
5.
Surgical Implants and approved medical consumables
 
$1,500 per treatment
$3,500 per treatment
$2,500 per treatment
6.
Chemotherapy for cancer
 
$300 per treatment cycle of 21 days or 28 days subject to a maximum of 8 treatments per course, or $75 per weekly cycle
$800 per treatment cycle of 21 days or 28 days subject to a maximum of 8 treatments per course, or $200 per weekly cycle
$600 per treatment cycle of 21 days or 28 days subject to a maximum of 8 treatments per course, or $150 per weekly cycle
7.
Radiotherapy treatment
 
 
 
 
(a)
External radiotherapy for cancer
 
$40 per treatment
$100 per treatment
$80 per treatment
(b)
Superficial X-ray for cancer
 
$40 per treatment
$100 per treatment
$80 per treatment
(c)
Brachytherapy (with external radiotherapy) for cancer
 
$80 per treatment
$200 per treatment
$160 per treatment
(d)
Brachytherapy (without external radiotherapy) for cancer
 
$80 per treatment
$200 per treatment
$160 per treatment
(e)
Stereotactic radiotherapy for cancer
 
$1,000 per treatment for treatment courses starting on or after 1st November 1999
$2,500 per treatment for treatment courses starting on or after 1st November 1999
$2,000 per treatment for treatment courses starting on or after 1st November 1999
8.
Cyclosporin or tacrolimus drug for organ transplant, received as out-patient medical treatment
 
$200 per month
$500 per month
$400 per month
9.
Erythropoietin drug for chronic renal failure or dialysis treatment, received as out-patient medical treatment
 
$200 per month
$500 per month
$400 per month
10.
Gamma knife treatment
 
$4,800 per treatment
$12,600 per treatment
$9,600 per treatment.
Part II
ASSURED AMOUNTS
(APPLICABLE FOR ADMISSIONS AS IN-PATIENT OR
FOR OUT-PATIENT TREATMENTS ON OR AFTER
1ST DECEMBER 2001 BUT BEFORE 1ST JULY 2005)
 
 
MediShield
MediShield Plus
 
 
 
Plan A
Plan B
1.
Daily Room and Board Accommodation (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$150 per day
$625 per day
$375 per day
2.
Daily Intensive Care (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$300 per day
$1,000 per day
$625 per day
3.
Surgical Treatment listed in the Tables of Surgical Operations for Medisave Scheme issued by the Ministry of Health
 
 
 
 
Table 1
 
$120
$480
$360
Table 2
 
$240
$960
$720
Table 3
 
$480
$1,560
$1,200
Table 4
 
$600
$2,400
$1,800
Table 5
 
$700
$4,000
$2,800
Table 6
 
$800
$5,600
$4,000
Table 7
 
$900
$7,200
$6,400
4.
Renal Dialysis, received as out-patient medical treatment
 
$1,000 per month
$2,500 per month
$2,000 per month
5.
Surgical Implants and approved medical consumables
 
$1,500 per treatment
$3,500 per treatment
$2,500 per treatment
6.
Chemotherapy for cancer
 
$700 per treatment cycle of 21 days or 28 days subject to a maximum of 8 treatments per course, or $150 per weekly cycle
$1,000 per treatment cycle of 21 days or 28 days subject to a maximum of 8 treatments per course, or $300 per weekly cycle
$800 per treatment cycle of 21 days or 28 days subject to a maximum of 8 treatments per course, or $200 per weekly cycle
7.
Radiotherapy treatment
 
 
 
 
(a)
External radiotherapy for cancer
 
$80 per treatment
$140 per treatment
$120 per treatment
(b)
Superficial X-ray for cancer
 
$80 per treatment
$140 per treatment
$120 per treatment
(c)
Brachytherapy (with external radiotherapy) for cancer
 
$160 per treatment
$280 per treatment
$240 per treatment
(d)
Brachytherapy (without external radiotherapy) for cancer
 
$160 per treatment
$280 per treatment
$240 per treatment
(e)
Stereotactic radiotherapy for cancer
 
$1,000 per treatment for treatment courses starting on or after 1st November 1999
$2,500 per treatment for treatment courses starting on or after 1st November 1999
$2,000 per treatment for treatment courses starting on or after 1st November 1999
8.
Cyclosporin or tacrolimus drug for organ transplant, received as out-patient medical treatment
 
$200 per month
$500 per month
$400 per month
9.
Erythropoietin drug for chronic renal failure or dialysis treatment, received as out-patient medical treatment
 
$200 per month
$500 per month
$400 per month
10.
Gamma knife treatment
 
$4,800 per treatment
$12,600 per treatment
$9,600 per treatment.
Part III
ASSURED AMOUNTS
(MEDISHIELD: APPLICABLE FOR ADMISSIONS
AS IN-PATIENT OR FOR OUT-PATIENT TREATMENTS ON
OR AFTER 1ST JULY 2005 BUT BEFORE 1ST JANUARY 2006
MEDISHIELD PLUS: APPLICABLE FOR ADMISSIONS
AS IN-PATIENT OR FOR OUT-PATIENT TREATMENTS ON
OR AFTER 1ST JULY 2005 BUT BEFORE 1ST OCTOBER 2005)
 
 
MediShield
MediShield Plus
 
 
 
Plan A
Plan B
1.
Daily ward and treatment charges (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$250 per day
$625 per day
$375 per day
2.
Daily ward and treatment charges in Intensive Care Unit (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$500 per day
$1,000 per day
$625 per day
3.
Surgical Treatment listed in the Tables of Surgical Operations for Medisave Scheme issued by the Ministry of Health
 
 
 
 
Table 1
 
$150
$480
$360
Table 2
 
$300
$960
$720
Table 3
 
$600
$1,560
$1,200
Table 4
 
$720
$2,400
$1,800
Table 5
 
$840
$4,000
$2,800
Table 6
 
$960
$5,600
$4,000
Table 7
 
$1,100
$7,200
$6,400
4.
Renal Dialysis, received as out-patient medical treatment
 
$1,000 per month
$2,500 per month
$2,000 per month
5.
Surgical Implants and approved medical consumables
 
$2,500 per treatment
$3,500 per treatment
$2,500 per treatment
6.
Treatment of neoplasms by chemotherapy
 
$700 per treatment cycle of 21 days or 28 days, or $150 per weekly cycle
$1,000 per treatment cycle of 21 days or 28 days, or $300 per weekly cycle
$800 per treatment cycle of 21 days or 28 days, or $200 per weekly cycle
7.
Radiotherapy treatment
 
 
 
 
(a)
External radiotherapy for cancer
 
$80 per treatment
$140 per treatment
$120 per treatment
(b)
Superficial X-ray for cancer
 
$80 per treatment
$140 per treatment
$120 per treatment
(c)
Brachytherapy (with external radiotherapy) for cancer
 
$160 per treatment
$280 per treatment
$240 per treatment
(d)
Brachytherapy (without external radiotherapy) for cancer
 
$160 per treatment
$280 per treatment
$240 per treatment
(e)
Stereotactic radiotherapy for cancer
 
$1,000 per treatment for treatment courses starting on or after 1st November 1999
$2,500 per treatment for treatment courses starting on or after 1st November 1999
$2,000 per treatment for treatment courses starting on or after 1st November 1999
8.
Cyclosporin or tacrolimus drug for organ transplant, received as out-patient medical treatment
 
$200 per month
$500 per month
$400 per month
9.
Erythropoietin drug for chronic renal failure or dialysis treatment, received as out-patient medical treatment
 
$200 per month
$500 per month
$400 per month
10.
Gamma knife treatment
 
$4,800 per treatment
$12,600 per treatment
$9,600 per treatment.
Part IV
ASSURED AMOUNTS
(MEDISHIELD: APPLICABLE FOR ADMISSIONS
AS IN-PATIENT OR FOR OUT-PATIENT TREATMENTS
ON OR AFTER 1ST JANUARY 2006 BUT BEFORE 1ST DECEMBER 2008)
 
 
MediShield
1.
Daily ward and treatment charges (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$250 per day
2.
Daily ward and treatment charges in Intensive Care Unit (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$500 per day
3.
Surgical Treatment listed in the Tables of Surgical Operations for Medisave Scheme issued by the Ministry of Health
 
 
Table 1
 
$150
Table 2
 
$300
Table 3
 
$600
Table 4
 
$720
Table 5
 
$840
Table 6
 
$960
Table 7
 
$1,100
4.
Renal Dialysis, received as out-patient medical treatment
 
$1,000 per month
5.
Surgical Implants and approved medical consumables
 
$2,500 per treatment
6.
Treatment of neoplasms by chemotherapy
 
$700 per treatment cycle of 21 days or 28 days, or $150 per weekly cycle
7.
Radiotherapy treatment
 
 
(a)
External radiotherapy for cancer
 
$80 per treatment
(b)
Superficial X-ray for cancer
 
$80 per treatment
(c)
Brachytherapy (with external radiotherapy) for cancer
 
$160 per treatment
(d)
Brachytherapy (without external radiotherapy) for cancer
 
$160 per treatment
(e)
Stereotactic radiotherapy for cancer
 
$1,000 per treatment for treatment courses starting on or after 1st November 1999
8.
Immunosuppressants for organ transplant, received as out-patient medical treatment
 
$200 per month
9.
Erythropoietin drug for chronic renal failure or dialysis treatment, received as out-patient medical treatment
 
$200 per month
10.
Radiosurgery treatment
 
$4,800 per treatment.
Part V
ASSURED AMOUNTS
(MEDISHIELD: APPLICABLE FOR ADMISSIONS
AS IN-PATIENT OR FOR OUT-PATIENT TREATMENTS
ON OR AFTER 1ST DECEMBER 2008 BUT BEFORE 1ST MARCH 2013 )
 
 
MediShield
1.
Daily ward and treatment charges (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item) incurred —
 
 
(a)
in an approved hospital (other than an approved community hospital); or
 
$450 per day
(b)
in an approved community hospital
 
$250 per day
2.
Daily ward and treatment charges in Intensive Care Unit (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
 
$900 per day
3.
Surgical Treatment listed in the Tables of Surgical Operations for Medisave Scheme issued by the Ministry of Health
 
 
Table 1
 
$150
Table 2
 
$360
Table 3
 
$720
Table 4
 
$800
Table 5
 
$840
Table 6
 
$960
Table 7
 
$1,100
4.
Renal Dialysis, received as out-patient medical treatment
 
$1,000 per month
5.
Surgical Implants and approved medical consumables
 
$7,000 per treatment
6.
Treatment of neoplasms by chemotherapy
 
$1,240 per treatment cycle of 21 days or 28 days, or $270 per weekly cycle
7.
Radiotherapy treatment
 
 
(a)
External radiotherapy for cancer
 
$80 per treatment
(b)
Superficial X-ray for cancer
 
$80 per treatment
(c)
Brachytherapy (with external radiotherapy) for cancer
 
$160 per treatment
(d)
Brachytherapy (without external radiotherapy) for cancer
 
$160 per treatment
(e)
Stereotactic radiotherapy for cancer
 
$1,800 per treatment for treatment courses starting on or after 1st November 1999
8.
Immunosuppressants for organ transplant, received as out-patient medical treatment
 
$200 per month
9.
Erythropoietin drug for chronic renal failure or dialysis treatment, received as out-patient medical treatment
 
$200 per month
10.
Radiosurgery treatment
 
$4,800 per treatment.
[S 108/2013 wef 01/03/2013]
[S 447/2008 wef 01/12/2008]
Part VI
ASSURED AMOUNTS
(MEDISHIELD: APPLICABLE FOR ADMISSIONS
AS IN-PATIENT OR FOR OUT-PATIENT TREATMENTS
ON OR AFTER 1ST MARCH 2013)
 
MediShield
1.
Daily ward and treatment charges (where admitted as an in-patient or for day surgical treatment) for any treatment for or in respect of any illness, disease or impairment (other than any mental illness or personality disorder) (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item) incurred —
 
(a)
in an approved hospital (other than an approved community hospital); or
$450 per day
(b)
in an approved community hospital
$250 per day
2.
Daily ward and treatment charges (where admitted as an in-patient or for day surgical treatment) for any treatment for or in respect of any mental illness or personality disorder (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item) incurred in an approved hospital
$100 per day up to 35 days per policy year
3.
Daily ward and treatment charges (where admitted as an in-patient) in Intensive Care Unit (inclusive of meal charges, prescriptions and professional charges, investigations and other miscellaneous charges, unless listed under any other item)
$900 per day
4.
Surgical Treatment listed in the Tables of Surgical Operations for Medisave Scheme issued by the Ministry of Health
 
Table 1
$150
Table 2
$360
Table 3
$720
Table 4
$800
Table 5
$840
Table 6
$960
Table 7
$1,100
5.
Renal Dialysis, received as out-patient medical treatment
$1,000 per month
6.
Surgical Implants and approved medical consumables
$7,000 per treatment
7.
Treatment of neoplasms by chemotherapy
$1,240 per treatment cycle of 21 days or 28 days, or $270 per weekly cycle
8.
Radiotherapy treatment
 
(a)
External radiotherapy for cancer
$80 per treatment
(b)
Superficial X-ray for cancer
$80 per treatment
(c)
Brachytherapy (with external radiotherapy) for cancer
$160 per treatment
(d)
Brachytherapy (without external radiotherapy) for cancer
$160 per treatment
(e)
Stereotactic radiotherapy for cancer
$1,800 per treatment for treatment courses starting on or after 1st November 1999
9.
Immunosuppressants for organ transplant, received as out-patient medical treatment
$200 per month
10.
Erythropoietin drug for chronic renal failure or dialysis treatment, received as out-patient medical treatment
$200 per month
11.
Radiosurgery treatment
$4,800 per treatment.
[S 108/2013 wef 01/03/2013]