Coverage information for Managed Healthcare System
Managed Healthcare System
| A) Primary care benefit: | Consultation, prescribed medication, basic diagnostic tests, x-rays and procedures. |
|---|---|
| - Panel doctor | $5 co-payment per visit |
| - Non-panel doctor | Reimburse up to $10 per visit, subject to maximum 3 visits per policy year. |
| - Specialised investigations | Co-payment of 10% |
| B) Specialist care benefit: | Consultation, prescribed medication, basic diagnostic tests, x-rays and procedures referred by our panel doctors only, up to $500 per policy year. |
| - Specialist Outpatient Clinic at restructured hospitals (Visit must be referred by panel doctors) |
$15 co-payment per visit ^ |
| - Panel private specialists (Visit must be referred by panel doctor) |
$15 co-payment per visit, reimburse up to $100 per visit^ |
| - Specialised investigations | Co-payment of 10 % |
| ^ applicable to all specialist care benefit, except those listed under section (D) below which are governed by the surgical limits table below. | |
| C) Emergency (for Singapore hospitals and clinics only): | |
| - Restructured hospitals | $10 co-payment per visit |
| - Private hospitals and clinics | $10 co-payment per visit, reimburse up to $70 per visit |
| D) Hospital Care | Co-payment 10% of total hospital bill, subject to plan limits stated in hospitalisation compensation limits below. |
