新加坡医疗保险体系

1. 什么是住院险?

         新加坡的住院险(Hospitalisation Insurance)是一种为在医院治疗期间产生的费用提供保障的保险。它旨在帮助个人支付住院相关的费用,如病房费用、手术费用、医生诊疗费和药品费用等。一些不需要住院的手术也能报销,如照胃镜、一些内窥镜的检查等,也是报销范畴之内。住院险是新加坡健康保险系统的一部分,尤其是在公共医疗体系下,帮助居民减轻医疗费用负担。

2. 谁可以买住院险?

新加坡公民、永久居民PR以及持有准证者(如学生准证、工作签证、长期陪伴准证、家属陪伴签证)才能配置这份保险。

3. 为什么住院险重要?

         在新加坡的医疗费用相当昂贵,特别是在公立医院接受手术治疗。对于工作人士来说,医疗费用可能是几个月的工资;而对于没有收入的人(如学生或家庭主妇)则负担更重。因此,许多人选择购买住院险,以减轻医疗费用负担,并在发生意外或急性疾病时,确保能够获得可负担的医疗服务。

   总结来说,新加坡的住院险是帮助居民应对住院治疗费用的重要工具,尤其是在基础健康保险之外,能够提供更全面的保障。了解各种保险计划的覆盖范围、费用结构和适用条件,对于选择合适的住院险至关重要。

4. Medishield Life (终身健保)

         终身健保是由新加坡公积金局推出和管理的强制性基本医疗保险,提供最基本的医药保障。主要是帮助新加坡公民和永久居民支付本地产生的大额医疗费用,每年的报销上限为$150,000。主要特点如下:

  1. 不设年龄和健康状况的限制,不论年纪多大或是否有严重病史和先天性疾病,均可正常参保。
  2. 仅覆盖新加坡公民和永久居民,保费从公积金的medisave账户扣除,在新加坡生活的外国人不在保障范围内。
  3. 只保障住在政府医院 B2 或 C 级病房(6人以上的病房)的大部分住院费用。如果住在政府医院较高级的病房或私立医院,政府补贴会很少甚至没有。同时,病患需自行承担免赔额(Deductible)和共保额(Co-Insurance)。

只提供基本的医疗保障,每项治疗都有每日报销上限。例如,重症监护病房每天的报销上限为$2,200具体可参阅MOH官方网站

新加坡医疗保险体系 — Engage

5. Integrated Shield Plan (私人综合健保计划)

          私人综合健保计划(简称IP)是由政府批准的7家本地私人保险公司提供给新加坡公民和永久居民的医疗保险。它包括政府终身健保 (MediShield Life) 和额外的附加保险,能为受保人提供更高的赔偿和额外保障。可覆盖生病时入住公立医院的A(单人间)或B1(4人间)级病房,或私立医院昂贵的医疗费用。

          上文提到 MediShield Life 每年的报销上限为$150,000,而IP险则可以大幅提高报销上限,达到$500,000至$2,000,000。对新加坡公民和PR来说,IP险是MediShield Life的升级版;对在新加坡生活外国人来说,IP险则是商业医疗保险。

           此外,保险公司的附加险(Rider)可以降低免赔额(Deductible)和共保额(Co-Insurance),减少病人自己需要负担的费用。MediShield Life的费用可以全额从公积金的Medisave账户扣除,保险公司的额外主险(Main Plan)也可以从Medisave账户扣除,但取款额度取决于每个年龄段的限额。而附加险(Rider)则必须通过现金支付。

每年的取款限额 (Annual Withdrawal Limit)如下:

  • 40 岁及以下:$300
  • 41 至 70 岁:$600
  • 71 岁及以上:$900

超出部分需要现金支付。

6. 新加坡哪家保险公司提供IP产品?

         新加坡的保险公司众多,能够提供个人医疗住院险的保险公司主要有以下几个:

一定要货比三家,找到最适合自己需求和预算的保险计划。如果你需要,我可以帮你做对比。

7. 住院险和重疾险有什么区别?

          住院险主要用于报销住院和手术费用,包括相关的门诊治疗,按实际账单赔付。同时,住院险仅限于居住在新加坡的人购买,包括新加坡公民、永久居民和持有相关准证的外国人。而重疾险则是全球保障,连外国访客也可以购买,一旦确诊重大疾病(如中风、心脏病、癌症等),重疾险会一次性支付保险金,帮助患者和家人应对困难。

8.配置住院险时的注意事项?

           在选择住院险时,以下几点也需要特别注意:

  • 保障范围和入院前后的保障天数

不同保险公司在保障范围上可能有差异,有些公司可能对先天性疾病设有1到2年的等待期,给孩子购买时要特别留意。大部分住院险会报销住院前180天和出院后365天的相关医疗费用,但并非所有保险公司都提供这一福利。

  • 保费

虽然每家公司的核心保障差异不大,但保费较低的产品通常性价比更高。

  • 理赔后隔年是否提高保费

多数保险公司不会因为理赔而提高保费,但有些保险公司可能会因客户在私立医院的理赔经历,导致第二年保费上涨。

  • 理赔服务和速度

住院险通常涉及较多的理赔,因此保险公司的理赔服务质量和速度十分重要,选择时要特别考虑这一点。

9.常见问题集

  • 家人(配偶/孩子)的 Medishield Life 保费可以用我的 Medisave 支付吗?

你可以使用自己的 Medisave 账户支付家人(配偶和孩子)的 Medishield Life 保费。不过,每个家庭成员的保费支付有一定的限额,取决于每个成员的年龄和Medisave账户的余额。此外,Medisave 账户的使用受到政府规定的限额限制,确保不会超出每年可支取的额度。

  • 我是留学生,学校已经配置了集体保险,是否还需要额外购买其他保险?

 无论是新加坡公立、私立学校的集体保险,保额都较低,无法与商业医疗保险相比。一些集体意外保险只覆盖学校范围内的疾病或意外,遇到复杂手术或长期住院时,显然不够用。 另外,年纪越小,保费越便宜。以16岁的青少年为例,保障公立医院住院险每年花费不到400新币,就能保障高达$500,000/年的理赔顶限,私立医院则稍贵,但理赔顶限可达$1,500,000万到$2,000,000/年。可让远在国内的父母更安心。

 

         最后,选择保险公司非常重要,因为这份保险将伴随一生。除了比较保费外,更要关注保险公司在理赔时的条件和规则。选择最适合自己的公司,并确保后续的索赔、账单和报告提交等服务顺畅。找一位靠谱的独立理财顾问来配置保险是明智之举。如需了解您的个人保障需求或获取医疗住院险报价,欢迎随时联系我

微信号:a19842182457  或 WA:+65 9465 3813

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 independent 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.

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在新加坡定居多年 ,從大學開始接觸理財 ,到現在累積4個房地產,目前是一名獨立理財顧問,專長是幫客戶客制化理財方案。

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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.

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