新加坡哪些保险可以报销门诊费用?

很多刚刚来新加坡的朋友常常会问我,哪些医疗保险可以覆盖普通门诊的费用呢?

普通医疗保险如政府批准的综合健保医疗保险(IP)如何NTUC Income, AIA, Singlife, GE,Prudential ,HSBC Life这六家的给个人的医疗保险都不包含门诊费用(指与住院无关的门诊费用)。其他的普通医疗保险也是一样。

道理很简单,因为门诊费用相对来说不高,不到100元,一般人都能负担得起,保险的意义是以小博大,用少量的保费来负担高额的医疗费,所以医疗保险通常覆盖住院和手术费用,及其相关的门诊,普通的感冒发烧看门诊是不在报销之列的。医疗资源要用到重要的地方,否则会有问题,比如xx的社保,最终估计要走商业保险之路了。

那么,哪些保险可以覆盖普通门诊费用呢?有三种情况:

一, 意外险(Personal accident insurance)

意外险是指因为意外而造成的受伤去看医生或者住院的那部分医疗费可以报销一部分(看额度限制多少),手足口、猫抓狗咬、SARS/MERS/H1N1、登革热、兹卡等等都在报销之列,或者因为意外(交通意外)造成的身故或者永久残疾、烧伤等都在赔付之列。索赔最多的要算意外受伤如骑车摔倒手指骨折、小孩蚊子咬了发烧看门诊这些,通常的意外险的医疗费用报销额度在每次意外1000~7000不等,一年内没有限额,可以是门诊,可以是住院(住院的话,费用比较高,意外险可以报一部分,主要还是医疗保险来解决大部分的费用)。

意外险还可以报销中医门诊费用,如需要针灸、拔罐、按摩,可以报销,但必须是因为意外造成的不适去按摩等治疗才行,普通的休闲按摩则不在报销之列。不同的保险公司中医门诊报销限额不同,比较高一点的保险公司有 Sompo还有Liberty的意外险是中医治疗是1000新币/意外,比较普遍的是每次意外750或者500新币,如AIA,GE, TM等寿险公司出的意外险保单。

意外险一般属于杂险(general insurance缩写GI)的范畴, 很多GI公司可供选择,如上面提到的Sompo, Liberty都是,还有QBE, MSIG, EQ, ACE,AIG,Allied World,Etiqa,Lonpac, Atena,Cigna等等很多,Sompo和Liberty性价比比较好,服务好。IFA的顾问都代理这些产品,全程服务,索赔也是。笔者就处理了一些意外险的索赔(IFA的理财顾问无论寿险还是杂险都是全程服务的,包含理赔)。

很多人把寿险和意外险混为一谈,其实不同:寿险的身故保障覆盖了因病身故和意外身故,而意外险的身故保障呢只能是意外身故才索赔的,而意外险可以报销意外造成受伤的治疗医疗费用(subject to claim limit);另外,寿险是保证续保的,保费是不变的,而已意外险不是保证续保且保费会变化;还有寿险是可以保障到终身,而意外险续保的年龄有限制 比如AIA的意外险到了74岁之后不能续了,高端意外险也只能续到80岁;还有意外险的除外项则比寿险的除外项多很多。

意外险很便宜,可以点击以下链接根据自己的需求做个对比,每一分钱都花在刀刃上!

Compare Personal Accident Insurance

二  公司集体保险 (gourp insurance)

福利好的公司通常会有集体保险提供给员工,这些集体保险最大的好处就是可以报销普通门诊急诊费用,员工甚至无须自己垫钱,做到cashless,家属可能需要先掏钱再报销。

顺便说一下,有了公司集体医疗保险,还需要个人医疗保险吗?需要的。

1 集体保险的医疗保险部分通常报销额度很低、床位级别也低,有的只是报销公立医院,新加坡的医疗费用非常高,万一有大事,集体保险是不够的;

2 集体保险一般是带不走的(not portable),如果离开公司或者退休后,集体保险就没有了;万一有过因病住院或者什么慢性病,以后带病投保要么此项被排除,要么被拒保,尤其是到退休以后,人老退休的时候通常身体会有这样那样的疾病,再去买医疗保险难上加难啊,要知道现代人的寿命越来越长了,退休生活会很久很久的,如果看不起病则真的是很惨啦,个人医疗保险是基本的需求。

3 集体保险的投保人是公司,公司可以随时根据效益情况、管理层风格来决定保留/取消、增加/减少,员工失去控制权。

4 集体保险里的group term policy, group personal accident都无法替代个人保险。原因是保额不够、集体保险不属于个人的、以后不在公司了万一是带病投保就比较麻烦了。包括脂肪肝、血脂高、乳腺增生、甲状腺结节等都是健康核保需要审核的。

三 高端国际医疗保险 (internatioan health medical insurance)

包含门诊报销。

有钱人或者大公司的高管通常配备这样的保险,不是普通人考虑的东西,价格很贵,覆盖全球地区的住院和门诊费用。

这种高端医疗保险还包括怀孕孕检生孩子的费用报销。

全球医疗保险的保险公司有:寿险公司的AXA global Care, Manulife global medical, Bupa lifeline,  GI公司的如Cigna global health, AIG prohealth, Liberty my Health, MSIG Prestige HealthCare, QBE Globalis internationl health, Now Health world care等。

值得一提是的是MSIG Prestige HealthCare价格非常好,普通人可以买得起,还可以报销门诊费用,怀孕相关费用等,这不是个国际医疗保险,只能在新加坡看病的,常驻海外的新加坡公民在外国看病也可以。

好啦!今天就分享到这里,如果您想要咨询以上任何一种保险,欢迎联系我! 微信: NU24102. WA: 006596879885.

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.

Published By:

Li Wenjun Olivia 李文君

非常荣幸,您来到我的个人网页。我是Olivia 李文君。2008年来到新加坡做为一个全额奖学金的学生,在新加坡最大公立医院ICU工作7年后,转行理财行业。入行之后我不断的去提升自己,结合自己的医疗背景,为客户转移潜在风险,精准配置。并且帮助客户做财务增值规划,让未来不确定的人生中有一份安心。非常尽心尽力的去服务我的每一位客户,不论您是刚毕业的年轻人,还是身价上亿的老总。希望我可以成为您在新加坡理财规划中的一个值得信赖的资源人士,为您货比三家,优中选优,在超过150家金融合作伙伴的产品中,配置最适合您的理财规划方案。

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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
  • 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
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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