Saturday, 11 May 2013

Medisave use for outpatient treatment

How to use Medisave Use for chronic disease management
Your doctor  will need to certify in the Medisave Authorisation form that you suffer from one of the 10 chronic
diseases in the above list. (Diabetes, Hypertension, Lipids Disorders, Stroke, Asthma, Chronic
Obstructive Pulmonary/Lung Disease, Schizophrenia, Major Depression, Bipolar Disorder, Dementia)
For each bill, patients will need to pay the first $30 of the bill (as the deductible) as well as 15 per cent of
the balance of the bill. Medisave can be used to pay for the remaining amount. 
§  Deductible:A deductible of $30 will be set on each outpatient bill. Bills below $30 will continue to be paid in cash;
§  Co-payment:A co-payment (in cash) of 15% on each outpatient bill in excess of the deductible will be set; and
§  Annual withdrawal limit:
Withdrawals will be subject to an annual outpatient withdrawal limit of $400 per Medisave account with effect from 1 Jan 2012. Patients can also use up to 10 accounts of their immediate family members.Immediate family member refers to spouse, child, parents. Grandparents who are  Singapore citizens or permanent residents may use the Medisave of their grandchildren as well. Therefore, theoretically, up to $4000 can be used per year from a total of 10 different accounts

Besides the ten listed chronic diseases, Medisave can be used for a few other medications and vaccinations, subjected to withdrawal limits as well.

Approved Vaccinations:
1) Pneumococcal vaccinations for children under the age of 6 years 
2) Hepatitis B vaccination 
3) HPV vaccinations for females aged 9 to 26 years 
S$400 per year per account on after 1 Jan 2012
(includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments)
S$300 for 7-day treatment cycle
S$1,200 for 21/28-day treatment cycle

HIV anti-retroviral drugs such as lamivudine, adefovir etc.
(includes drugs used to treat opportunistic infections)

S$350 per month
Thalassaemia treatment
(Desferral drug and blood transfusion)
S$100 per treatment

Outpatient Intravenous Antibiotic Treatment
Immuno-Suppressant Drugs for transplant patients such as Cyclosporin,Tacrolimus, Mycophenolate, Prednisolone
S$600 per weekly cycle, up to S$2,400 a year
S$300 per month

Source : Singapore Ministry of Health website. Updated as 12 May 2013

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