住院保险怎么越来越贵了? MediShield Life、IP 和保健储蓄户头 MA 到底是什么关系?

最近有好几位四十岁出头的客户找我抱怨:

“为什么住院保险的保费越涨越高?而且账单里一堆 Medisave、MediShield Life、IP、rider,看得我头都大了!”

今天我们就来一起理清楚这些概念之间的关系,尤其是这三个关键词:

👉 MediShield Life、IP(Integrated Shield Plan)、保健储蓄户头 MA

🟢 第一部分:MA 保健储蓄账户是什么?

每位新加坡公民和永久居民(PR)都会有一个 CPF 公积金账户,里面分成三个部分:

  • OA(普通账户)
  • SA(特别账户)
  • MA(保健储蓄账户)

55 岁后,还会多一个 RA(退休账户)。

其中 MA 是专门用来支付医疗费用的,像我们这些自雇人士,也需要定期为自己充值进 MA。
不过,MA 是有一个储蓄上限的,叫做 基本保健存款 BHS(Basic Healthcare Sum)

这个金额是根据国人未来老年时应付医疗费用所需来估算出来的。

2025 年的 BHS 是 $75,500 新币

  • 65 岁以下的会员,每年会根据医疗通胀和使用情况微调这个数额
  • 满 65 岁后,BHS 就固定不变了

那 MA 里的钱够不够应付一场大病呢?

很可能不够!一场大病的医疗费可能一次就花光。
所以政府在 2015 年推出了国家基本医疗保险 MediShield Life,让风险转嫁给保险系统。

MediShield Life 的保费就从 MA 自动扣除。

此外,MA 的余额也可以用来支付:

  • CareShield Life(长期护理保险,简称LTC)的保费(下次我们再详细聊)
  • 还有一些门诊检查、疫苗接种、慢性病治疗等(每年有额度限制,可在 CPF 网站查看)

🟡 第二部分:那什么是 MediShield Life?

MediShield Life 是由 CPF 承保的国家基本医疗保险,适用于所有新加坡公民和 PR,保障是终身有效 的,连已有病史的人也可以加入(只是严重的情况可能会加费)。

它的保障范围包括:

✅ 覆盖 政府医院 B2 / C 级病房(6-8 人间)
✅ 一些昂贵的门诊项目(例如肾透析、放射治疗等)
没有终身赔付上限,但设有:

  • 自付额(免赔额)——通常是几百到两千元的起付线
  • 共同付款比例(co-insurance)

政府在 2025 年 4 月 1 日刚刚提高了 MediShield Life 的保障水平,保费也做了相应调整。

整体来看,它大概可以报销 高达九成 的津贴医疗账单,只要你是在 B2/C 级病房住院。

🔵 第三部分:那 Integrated Shield Plan(IP)是干嘛的?

IP 是由私人保险公司推出的综合型住院保险计划,是在 MediShield Life 基础上的“加强版”。

它特别适合以下几类人:

  • 想住 A级病房(单人间)B1级病房(双人间)
  • 想选择自己主治医生
  • 想获得更高赔额、更长术前术后保障的人

IP 包含两部分:

1️⃣ 政府提供的 MediShield Life
2️⃣ 私人保险公司的主险 + rider(附加保障)

其中主险部分可以用 MA 支付(但也有年限额),超出的部分要用现金补上;
而 rider 的保费则 全部要用现金支付

👉 所以你看到的 IP 保费账单复杂,现金部分高,就是因为 rider 的存在!

🟠 第四部分:到底要不要买 IP?要选哪家保险公司好?

其实没有统一的标准答案,可以从以下几个方面来考虑:

  • 你愿意住哪类病房?
    → 如果你只打算住政府 B2/C 病房,那 MediShield Life 可能就够用了。
  • 你是否愿意为更好的医疗体验付出更多保费?
  • 你是否重视自己选择医生的自由?
  • 你是否担心等待时间太久?

🟣 第五部分:政府也帮你准备了一个实用的小工具 —— HIP

这个工具叫做:Health Insurance Planner(健康保险规划工具)
可以帮助你模拟、比较各种保险计划,帮你更好地做出决策。

只需简单 4 步,就能:

✅ 查看你未来几十年 Medisave 的余额走势
✅ 比较不同 IP 的保费与保障内容
✅ 评估长期保费负担能力

🔗 使用地址:
👉 https://go.gov.sg/hip-tool

结语

新加坡的医疗保障系统确实复杂,
但只要弄清楚这三点:

  • MA 是储蓄户头
  • MediShield Life 是基础保障
  • IP 是私人加保

你就可以根据自身需求做出合适的选择。

⚠️ 特别提醒:
如果你考虑换保险公司,可能会失去已有疾病的保障,也可能需要重新计算等候期。请在决定前,一定咨询专业的财务顾问。

📩 如果你希望了解自己的保险组合是否适合,欢迎随时联系我,我可以帮你做个免费评估!

欢迎添加微信联系: hongnasg WA +6591689137

 

Important: The information and opinions in this article are for general information purposes only. They should not be relied on as professional financial advice. Readers should seek unbiased financial advice that is customised to their specific financial objectives, situations & needs. This advertisement or publication has not been reviewed by the Monetary Authority of Singapore.

Published By:

Wang Hongna Anna

您好,我是洪娜(Hongna),现任新加坡理财顾问公司 Financial Alliance 鑫盟理财的资深理财顾问,拥有8年从业经验,持有国际金融理财师CFP®认证及AEPP高级认证,并荣获新加坡银行与金融学院(IBF)高级认证。

我专注为职场人士、家庭及企业提供全方位的财务保障和理财规划服务,特别致力于成为在新加坡的华人、新移民及其公司最值得信赖的财务规划伙伴。

我从单一保险公司起步,现已全面转型为独立理财顾问,始终秉持“客户优先”的原则,为客户提供中立、客观、专业的财务建议。无论是医疗保险索赔、教育与养老规划,还是企业员工福利与商业保险,我都能为您量身定制解决方案。

我希望成为您家庭和企业财务的“急救工具箱”,在风险来临前预先准备好合适的工具,在关键时刻提供及时、准确的帮助。

我的服务范围包括:
🔹 医疗与人寿保险规划(风险管理)
🔹 教育与退休金规划
🔹 财富保障与投资组合规划及年检
🔹 遗产与传承规划(CPF提名、LPA、遗嘱等)
🔹 企业员工福利保险、商业财产险等

欢迎添加我成为您的理财伙伴,为您的家庭与企业保驾护航。

Hello, I’m Hongna, a Senior Financial Advisor at Financial Alliance – the largest Independent Financial Advisory (IFA) firm in Singapore – with 8 years of experience in the industry. I hold the CFP® (Certified Financial Planner), AEPP certification, and the IBF Advanced Level accreditation from the Institute of Banking and Finance Singapore.

I specialize in delivering holistic financial protection and planning solutions for professionals, families, and business owners – with a particular focus on Chinese expatriates and new immigrants in Singapore.

Transitioning from a tied agency to an independent advisory platform, I stay committed to putting my clients’ best interests first, offering neutral and tailored financial solutions. Whether it’s claims for hospital insurance, planning for education or retirement, or setting up employee benefits and corporate insurance, I aim to be your go-to advisor for all financial protection needs.

My goal is to serve as your Financial First Aid Kit – having the right tools (plans) ready in advance and applying them correctly when needed.

My key services include:
🔹 Health & Life Insurance Planning
🔹 Education & Retirement Planning
🔹 Investment & Protection Portfolio Review
🔹 Estate Planning (CPF Nomination, LPA, Will)
🔹 Employee Benefits and General Insurance for Businesses

Let’s connect – I look forward to being your trusted partner in both personal and corporate financial planning.

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  • Financial Alliance Pte Ltd ( “FAPL”) is licensed by the Monetary Authority of Singapore (“MAS”) and allowed to conduct financial advisory activities in accordance with the Financial Advisers Act (Cap. 110) (“FAA”) and the Securities & Futures Act (Cap. 289) (“SFA”) within the jurisdiction of the Republic of Singapore and in accordance with the licenses granted by MAS
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根据《个人数据保护法》,鑫盟理财私人有限公司征求您的同意向您收集并使用您的个人信息。鑫盟理财将根据公司的个人数据保护政策所阐述的用途使用您的个人资料(例如姓名,证件号码,联系电话,邮寄地址,电邮地址和照片)。 该政策可在本公司网站上查寻,网址为 https://fa.com.sg/data-protection-policy/.

By submitting this form, you are deemed to have read and understood FAPL’s Personal Data Policy.

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  • 我已阅读并理解鑫盟理财私人有限公司的个人数据保护政策,并同意鑫盟理财私人有限公司根据个人数据保护政策所阐述的用途使用我的个人资料。
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  • I have not been directly contacted or approached by any representative or employee of FAPL with an offer or solicitation to apply for any financial products not offered in my home country.
  • 鑫盟理财私人有限公司的代表或员工并未直接与我联系或提出要约或招揽购买我原居住国境内所不提供的任何金融产品.
  • Financial Alliance Pte Ltd ( “FAPL”) is licensed by the Monetary Authority of Singapore (“MAS”) and allowed to conduct financial advisory activities in accordance with the Financial Advisers Act (Cap. 110) (“FAA”) and the Securities & Futures Act (Cap. 289) (“SFA”) within the jurisdiction of the Republic of Singapore and in accordance with the licenses granted by MAS
  • 鑫盟理财私人有限公司( “鑫盟理财”)持有由新加坡金融管理局(“MAS”)所颁发的牌照,并许可在新加坡共和国境内依据财务顾问法(第110章)和证券与期货交易法(第289章)进行财务咨询等相关业务
  • Any services provided by FAPL to persons not ordinarily resident in Singapore are provided solely on an offshore basis from Singapore, resulting from direct enquiry on the part of the foreign residents.
  • 鑫盟理财为非新加坡居民所提供的任何服务仅限于直接向鑫盟理财发出咨询请求的国外居民。
  • As an integral part of the provision of such services, FAPL may from time to time make available to such residents, documents and information making reference to capital markets products (for example, in connection with the provision of fund management or investment advisory services outside of the foreign jurisdiction).
  • 作为提供此类服务的一部分,鑫盟理财会不时向此类咨询者提供有关产品的参考文件和信息(例如,关于海外司法管辖区以外的资金管理或投资咨询服务等信息)。
  • Such documents and information are provided by Financial Alliance Pte Ltd (“FAPL”) is for general information only and is not intended for anyone other than the recipient.
  • 此类由鑫盟理财所提供的文件和信息仅供收件人做一般信息参考。
  • It does not take into account the specific investment objectives, financial situation or particular needs of any particular person.
  • 此类文件和信息不会把-个人投资目标,财务状况或其特定需求等考虑在内。
  • It does not constitute the making available of, or an offer or solicitation by FAPL to buy or sell or subscribe for any such capital markets product or to enter into a transaction or to participate in any particular trading or investment strategy nor an advice or a recommendation with respect to such financial products.
  • 鑫盟理财向该人士提供此类文件和信息将不构成要约或招揽购买或出售或认购任何此类资本市场产品,或达成交易或参与任何特定的投资策略,也不构成有关此类金融产品的建议或推荐。
  • These documents may not be published, circulated, reproduced or distributed in whole or in part to any other person without FAPL’s prior written consent.
  • 未经鑫盟理财的事先书面同意,不得将这些文件全文或部分发布,传播,复制或分发给其他人。
  • This document is not intended for distribution to, publication or use by any person in any jurisdiction, where such distribution, publication or use would be contrary to applicable law or would subject FAPL and its related corporations, connected persons, associated persons and/or affiliates to any registration, licensing or other requirements within such jurisdiction.
  • 鑫盟理财无意在分发,出版或使用此类文件可能违反当地法律,或本公司及关联公司或关联人士需要注册,获得许可或符合规定的司法权区向当地人士分发、出版此类文件或供其使用。
  • You shall ensure that you have and will continue to be fully compliant with all applicable laws in your home country when entering into discussion or contracts with FAPL.
  • 在与鑫盟理财进行讨论或签订合约时,您应确保您已完全遵守并将继续遵守您所在原居住国的所有适用法律及条规。

In compliance with the Personal Data Protection Act, Financial Alliance Pte Ltd (“FAPL”) seek your consent to collect and use your personal data (e.g. name, NRIC, contact numbers, mailing addresses, email addresses and photograph) for the purposes of and in accordance with FAPL’s Data Protection Policy, which can be found on FAPL’s website at https://fa.com.sg/data-protection-policy/.

根据《个人数据保护法》,鑫盟理财私人有限公司征求您的同意向您收集并使用您的个人信息。鑫盟理财将根据公司的个人数据保护政策所阐述的用途使用您的个人资料(例如姓名,证件号码,联系电话,邮寄地址,电邮地址和照片)。 该政策可在本公司网站上查寻,网址为 https://fa.com.sg/data-protection-policy/.

By submitting this form, you are deemed to have read and understood FAPL’s Personal Data Policy.

提交此表格,即表示您已阅读并理解鑫盟理财私人有限公司的个人数据政策