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Guide To Subsidised Healthcare For Senior Citizens In Singapore
Key highlights
With the introduction of the Pioneer Generation Package (PGP) and Merdeka Generation Package (MGP), the elderly are now eligible for all enhanced CHAS benefits – regardless of their household income.
CareShield Life and ElderFund can help defray the costs of taking care of a severely disabled senior citizen.
Those who require financial help to take care of a severely disabled senior citizen can apply for the Home Caregiving Grant (a monthly payout of S$200).
By 2030, it’s estimated that one in four Singaporeans will be aged 65 and above. This demographic shift places immense pressure on the Singaporean society as a shrinking workforce struggles to support an ageing population. The financial burden is particularly salient in the Sandwich Generation – individuals who need to support both their parents and children. In response to this mounting societal issue, the government has introduced a wide variety of grants, subsidies, and financial assistance to help make healthcare more accessible and affordable for the growing elderly population.
Community Health Assist Scheme (CHAS), Pioneer Generation Package (PGP), And Merdeka Generation Package (MGP) Help Offset Healthcare Costs
CHAS Subsidies | Merdeka Generation | Pioneer Generation |
|---|---|---|
Common Illnesses | Up to S$23.50 subsidy per visit | Up to S$28.50 subsidy per visit |
Simple Selected Chronic Conditions | Up to S$85 subsidy per visit, capped at S$340 per year | Up to S$90 subsidy per visit, capped at S$360 per year |
Complex Selected Chronic Conditions | Up to S$130 subsidy per visit, capped at S$520 per year | Up to S$135 subsidy per visit, capped at S$540 per year |
Selected Dental Services | Up to S$16 to S$261.50 subsidy per procedure (dependent on procedure) | Up to S$21 to S$266.50 subsidy per procedure (dependent on procedure) |
Recommended Health Screening under Screen for Life | A fixed fee of S$2 with Screen for Life invitation letter | Free with Screen for Life invitation letter |
Information obtained from CHAS, Singapore, accurate as of 10 Feb 2020. Subject to changes.
The Community Health Assistance Scheme (CHAS) was initially meant to alleviate medical and dental care costs at participating GPs and dental clinics for Singaporeans belonging in a lower-to-middle income household. However, due to the introduction of the Pioneer Generation Package (PGP)] and Merdeka Generation Package (MGP), the elderly are now eligible for all enhanced CHAS benefits – regardless of their household income. The Merdeka generation can receive up to up to S$28.50 subsidy per visit for common illnesses; up to S$135 subsidy per visit (capped at S$450) for selected complex chronic conditions, and up to S$21 to S$266.50 subsidy per procedure for selected dental services.
There are also other benefits that come with PGP and MGP, like additional subsidies on top of existing subsidised services and medication at polyclinics and Outpatient Clinics.
CareShield Life And ElderFund Defray Costs Of Daily Care For The Severely Disabled Elderly
The costs of severe disability in an elderly can snowball quickly, for reference: the average cost of nursing home fees in Singapore ranges from S$1,200 to S$3,500 a month, by no means a small sum for any family to fork out. To help defray the costs of long-term care for the severely disabled, those in need can tap into the CareShield Life and ElderFund. CareShield Life (previously known as ElderShield) is a type of long-term care insurance which provides lifetime cash payouts for the severely disabled. Monthly payouts will start at S$600/month and have a non-guaranteed increase of 2% annually until age 67. As for ElderFund, it’s an assistance scheme which provides up to S$250 a month in cash for severely disabled elderly.
For those who are not eligible for the above schemes when they were launched in 2002 because of pre-existing disabilities/exceeded the maximum entry age, there’s also the Interim Disability Assistance Programme For The Elderly (IDAPE). This programme offers S$250/S$150 monthly cash benefits, depending on the applicant's per capita monthly household income.
Home Caregiving Grant Reduces The Cost Of Help
For even more financial assistance for those caring for the elderly with disabilities, there is the Home Caregiving Grant. The grant – a monthly payout of S$200 – can be used to defray the costs of various caregiving expenses, such as the costs of eldercare and caregiver support services in the community or even the hiring of a Foreign Domestic Worker (FDW) for additional help around the household. That said, the care recipient must be deemed to always require some assistance with at least 3 Activities of Daily Living (ADLs) and is not in a residential long-term care institution, like a nursing home.
Consider Enhancing Healthcare Coverage Where Possible
Here’s the truth: MediShield Life only provides basic coverage for the elderly. It is likely sufficient for more than 90% of Ward B2/C hospital bills. However, given the many complex health conditions the elderly grapple with, this basic health insurance plan may not be enough to cover the costs of better facilities or your desired choice of a healthcare team (i.e. doctors and specialists). Thus, it may be worth purchasing health insurance to enhance healthcare coverage.
