One of my clients was hospitalised at NUH for 4 days due to giddiness and vomitting. She was taken there by ambulance to the A&E Dept. and admitted. Her total bill came up to $1,002.10.
As she is insured under the Supremehealth Plan A Plus, a CPF Medisave-eligible "shield" plan, together with a cash supplementary plan called Totalshield Plan (Gold Plan), she did not have to pay a single cent for this hospital confinement.
Not only that, she also received $100 cash incentive for each day of hospitalisation. This $400 cash incentive was given to her, as she opted to stay in B2 ward (6-bedded, no air-con) although her Gold plan covers her for A1/A2 wards. In this way, the savings (to the insurer) in terms of a reduced hospital bill was passed back to the Insured.
This case demonstrates the benefits of the Totalshield Plan which is essentially designed to cover the deductible and co-insurance portion of the "shield" plans. Under the "shield" plan, no claim would have been payable as her total bill was $1,002.10 only, which is less than the deductible of $1500, for stay in B2 wards.
All "shield" plans are catastrophic illness policies, which, in order to be approved by CPF Board, must incorporate the 2 features of deductibles and co-insurance, meaning that only bills above the deductible are reimburseable. The small bills for a minor hospital stay have to be paid by cash or Medisave, if the Insured does not take up a supplementary plan.
In essence, the "shield" plan is good for major hospitalisation and/or surgery, but not for a few days' hospital stay, especially where no surgery is required. To have a comprehensive hospital & surgical coverage, one should have both the "shield" plan (premium payable from cash or CPF Medisave) together with a supplementary plan (premium payable from cash). Both the Supremehealth and Totalshield plans offer guaranteed lifelong coverage. :)
As she is insured under the Supremehealth Plan A Plus, a CPF Medisave-eligible "shield" plan, together with a cash supplementary plan called Totalshield Plan (Gold Plan), she did not have to pay a single cent for this hospital confinement.
Not only that, she also received $100 cash incentive for each day of hospitalisation. This $400 cash incentive was given to her, as she opted to stay in B2 ward (6-bedded, no air-con) although her Gold plan covers her for A1/A2 wards. In this way, the savings (to the insurer) in terms of a reduced hospital bill was passed back to the Insured.
This case demonstrates the benefits of the Totalshield Plan which is essentially designed to cover the deductible and co-insurance portion of the "shield" plans. Under the "shield" plan, no claim would have been payable as her total bill was $1,002.10 only, which is less than the deductible of $1500, for stay in B2 wards.
All "shield" plans are catastrophic illness policies, which, in order to be approved by CPF Board, must incorporate the 2 features of deductibles and co-insurance, meaning that only bills above the deductible are reimburseable. The small bills for a minor hospital stay have to be paid by cash or Medisave, if the Insured does not take up a supplementary plan.
In essence, the "shield" plan is good for major hospitalisation and/or surgery, but not for a few days' hospital stay, especially where no surgery is required. To have a comprehensive hospital & surgical coverage, one should have both the "shield" plan (premium payable from cash or CPF Medisave) together with a supplementary plan (premium payable from cash). Both the Supremehealth and Totalshield plans offer guaranteed lifelong coverage. :)
2 comments:
Kevin,
R u able to enlightern me on the medishef on the cliaming?
I'll be happy to do so. I'll call you to understand and answer your queries.
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