List of Outpatient Treatments under Medisave

Similar documents
Immunisation schedule of the Spanish Association of Paediatrics: 2014 recommendations

Immunization Information for Blinn College Students

Recommended Immunization Schedules for Persons Aged 0 Through 18 Years UNITED STATES, 2014

Recommended Adult Immunization Schedule

MEASURING CARE QUALITY

Limited Pay Policy (L-222B) - Underwriting Guidelines

Addition of vaccination against hepatitis B infection and change of the HPV vaccination programme

AETNA BETTER HEALTH OF MISSOURI

Take advantage of preventive care to help manage your health

Procedure Code(s): n/a This counseling service is included in a preventive care wellness examination or focused E&M visit.

State of Illinois Department of Healthcare and Family Services Healthcare Programs for Families

Preventive health guidelines As of May 2015

Can You Purchase Life Insurance If You

Preventive Care Coverage Wondering what preventive care your plan covers?

PROTECT. We understand you want comprehensive coverage with more choices of hospitals, wards and doctors. PRUshield

SUMMARY TABLE OF MEASURE CHANGES

Coverage for preventive care

Main Changes to the Vaccination Schedule Recommended by the Japan Pediatric Society January 12, 2014

Health Care Reform: Using preventive care for a healthier life

Preventive health guidelines As of May 2014

Preventive health guidelines

Preventive care services for commercial members

Benefits and Covered Services

Health care reform update

PROTECT. We understand you want comprehensive coverage with more choices of hospitals, wards and doctors. PRUshield

99381, 99382: Initial preventive medicine evaluation 99391, 99392: Periodic preventive medicine re-evaluation

Prevents future health problems. You receive these services without having any specific symptoms.

Covers 60 major critical illnesses. Covers 11 minor critical illnesses. ManuMulti Care

SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES

Preventive Care Services Health Care Reform The following benefits are effective beginning the first plan year on or after Sept.

Hawaii Benchmarks Benefits under the Affordable Care Act (ACA)

Clinical Quality Measure Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW

2015 Preventive Health Care Guidelines. Free preventive care to help you be your healthiest.

MEMO. Prevention Partnership Providers and Local Public Health Units. Vaccines for Children Coordinator. New Hib Vaccine Available

Healthy People in Healthy Communities

Healthy People in Healthy Communities

11/2/2015 Domain: Care Coordination / Patient Safety

Health Information Form for Adults

Public health functions to be exercised by NHS England. Variation to the agreement

Multimorbidity in patients with type 2 diabetes mellitus in the Basque Country (Spain)

New Jersey Immunization Requirements


Health Information Form for Adults

Individual Health Plan Proposal

Coverage Overview. Preventive Care. For complete details, please call Aetna at

Preventive Health Guidelines

Childhood Immunization Status (CIS)

PREVENTIVE CARE SERVICES Detailed descriptions

Department of State Academic Exchanges Participant Medical History and Examination Form

Key Facts about Influenza (Flu) & Flu Vaccine

Understanding preventive care

CCS - Does CCS provide Counseling or Support Services? CCS - Are there any costs to me? CCS - What papers should I bring?

An ANALYSIS of Medicare Benefits per the 2016 Medicare and You Handbook & The State of Delaware's Special Medicfill Plan Benefits

Appendix 7.5: Immunization for Children Expecting Solid Organ Transplant after 18 Months of Age (Catch-up and Ongoing Schedule)

COVERAGE SCHEDULE. The following symbols are used to identify Maximum Benefit Levels, Limitations, and Exclusions:

PREVENTIVE HEALTHCARE GUIDELINES INTRODUCTION

Preventive Services at 100%

Important health care reform notice Women s preventive services covered with no member cost share

2Page 2 of 11. Baker Hughes Incorporated. Benefits At A Glance International Plan Policy#: 05679B

We understand you want support right from the beginning

Preventive Care Guidelines

Immunisations. at 12 months of age. Features the new MenB programme. the safest way to protect your child

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents BMI Percentile (Total)

Part 3 Disease incidence, prevalence and disability

State of Illinois Department of Healthcare and Family Services Healthcare Programs for Families

HEALTH CARE REFORM. Preventive Care. BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina

IMMUNIZATION IN SPECIAL SITUATIONS

Application for Medicare Supplement

Summary of Recommendations for Adult Immunization (Age 19 years and older) (Page 1 of 5)

Golden Solution. Whole Life Insurance. American-Amicable Life Insurance Company of Texas

Recurrent or Persistent Pneumonia

Medicare Supplement Application Aetna Life Insurance Company Aetna Administrator, P.O. Box 10374, Des Moines, IA 50306

Application for Blue Shield of California Medicare Supplement plans

SUMMARY TABLE OF MEASURES, PRODUCT LINES AND CHANGES

Enjoy a position of vantage, come what may.

Preventive care covered with no cost sharing

Influenza virus Vaccine, Split Virus, When administered to individuals 3 years or older, for intramuscular use (Agriflu)

Your health is an asset. Don t let critical illness turn it into a liability.

DEFINING DISEASE TYPES I, II AND III

Care Gap Care Reminder Description Reference Cardiovascular Persistence of Beta- Blocker Treatment After a Heart Attack (PBH)

Department of Surgery

Preventive Health Services

2016 HEDIS & Quality Assurance Reporting Requirements Measures Provider Reference Guide

WELSH HEALTH CIRCULAR

Preventive Services for Pregnancy SERVICE WHAT IS COVERED INTERVALS OF COVERAGE Anemia Screening Screening Annual screening for pregnant women

Health First Insurance, Inc. Medicare Supplement Application 2013

How To Get A Chronic Illness Benefit From The Discovery Health Medical Scheme

Made to Move Physical Therapy, Inc. 615 N Nash St., Ste # 306 El Segundo, CA

WL TERM * Addition of Coverage IUL IUL Increase Reinstatement *Child/Grandchild Policy not available with TERM

Medicare Drug Coverage Under Part A, Part B, and Part D

Highest level of coverage with free-choice of hospitals and physicians worldwide, including the richest maternity and organ transplant benefits.

Medical Matters Action Checklists

Pharmacology 260 Online Course Schedule Spring 2012

Procedure: 76700, 76705, 76770, 76775, G0389. Diagnosis: V15.82 Procedure: 80061, 82465, 83718, 83719, 83721, , 36416

EVIDENCE OF INSURABILITY AND ENROLLMENT FORM BIRTHDATE (MM/DD/YEAR) RESIDENT PHONE NUMBER EMPLOYER

A Detailed Data Set From the Year 2011

Application for Life Insurance American Memorial Life Insurance Company P.O. Box 2730 Rapid City, SD 57709

You can relax, knowing your final wishes will be respected.

Liberty medical scheme TRaditional Standard 2016

Current Trends in Immunization

Transcription:

List of Outpatient Treatments under Medisave Type of Outpatient Treatment Renal Dialysis Medisave use for renal dialysis is only allowed from the patient's own Medisave account. Note: The patient may apply touse an immediate family member s Medisave subject to meeting eligibility conditions and will be assessed on individual case basis. The immediate family member must be the: 1. spouse 2. parent 3. grandparent who is a Singapore Citizen or Permanent Resident, or 4. child of the patient aged above 18 years old. Withdrawal Limit $450 per month per patient To be eligible, the immediate family member must also: (i) be an active Medisave contributor, (ii) have sufficient Medisave balances to meet his own needs as well as the patient's withdrawal for renal dialysis expenses. The sufficiency of your Medisave balance will depend on factors such as your Basic Healthcare Sum. You may submit an application online via e- Concierge request - Healthcare (Application to use Medisave for Immediate Family's Renal Dialysis). Please login using your SingPass under my cpf Online Services My Requests and select Other CPF Matters Applicant will be informed on the outcome of the application once it has been processed. Chemotherapy* Radiotherapy* : - External radiotherapy - Brachytherapy with external radiotherapy - Brachytherapy without external radiotherapy - Superficial X-ray - Stereotactic radiotherapy Assisted Conception Procedure (for female patients only) Note: Only the Medisave of the patient and her spouse can be used. $1,200 per month per patient $80 per treatment $300 per treatment $360 per treatment $30 per treatment $2,800 per treatment The withdrawal limits are 1st withdrawal - $6,000 2nd withdrawal - $5,000 3rd and subsequent withdrawal - $4,000 Up to $15,000 per patient per lifetime

Approved Drugs for HIV/AIDS $550 per month per patient Note : Only the patient's Medisave can be used. If the patient is aged 18 years old or below, the Medisave of the patient's parents may be used. Hyperbaric Oxygen Therapy Desferrioxamine Drug and Blood Transfusion for Thalassaemia* Intravenous Antibiotic Infusion* at : (1) KK Women's and Children's Hospital (2) National University Hospital (3) Singapore General Hospital (4) Tan Tock Seng Hospital Rental of Devices for Long-Term Oxygen Therapy and Infant Continuous Positive Airway Pressure Therapy* Immunosuppressant Drugs for Organ Transplant* MRI, CT scans and diagnostics** related to neoplasm treatment $100 per treatment $350 per month $600 per weekly cycle, up to a maximum of $2,400 per year. $75 per month $300 per month $600 per patient per year **Other diagnostics used in cancer treatments include blood tests, mammographs/ mammogram, ultrasounds, X-rays and PET which may be performed for pretreatment, evaluation during treatment and posttreatment follow-up. Outpatient Scans # $300 per patient per year # Excludes scans already covered under Medisave limits for specific treatments (e.g. cancer, pre-natal check-ups and screening mammograms) as existing withdrawal limits apply Home Palliative Care/Day Hospice Care $2,500 per patient s lifetime (Both Home Palliative Care and Day Hospice Care share the same lifetime limit. The lifetime limit will not apply if the patient is diagnosed with terminal cancer or end stage organ failure and the medical bill is paid using the patient s own Medisave)

Chronic Diseases 1. Diabetes 2. Hypertension 3. Lipid disorders 4. Stroke 5. Asthma 6. Chronic Obstructive Pulmonary Disease (COPD) 7. Schizophrenia 8. Major Depression 9. Dementia 10. Bipolar Disorder 11. Osteoarthritis 12. Benign Prostatic Hyperplasia 13. Anxiety 14. Parkinson s Disease 15. Nephrosis/Nephritis 16. Epilepsy 17. Osteoporosis 18. Psoriasis 19. Rheumatoid Arthritis $400 per Medisave Account holder per year Approved Vaccinations 1. Hepatitis B 2. Pneumococcal (PCV13) (for patients below the age of six years old) 3. Human Papillomavirus (HPV) (for female patients between the ages of 9 to 26) 4. 5-in-1 combination vaccination covering Diphtheria, Pertussis, Tetanus, Haemophilus Influenzae type b, Inactivated Poliomyelitis 5. 6-in-1 combination vaccination covering Diphtheria, Pertussis, Tetanus, Haemophilus Influenzae type b, Inactivated Poliomyelitis and Hepatitis B vaccinations 6. Diphtheria, Tetanus and acellular Pertussis (DTaP/Tdap) 7. Bacillus Calmette-Guerin (BCG) 8. Measles, Mumps and Rubella (MMR) 9. Oral Poliomyelitis vaccine (OPV) 10. Inactivated Poliomyelitis vaccine (IPV) 11. Haemophilus influenzae type b (Hib) 12. Influenza (for patients in high risk groups) 13. Pneumococcal (PPSV23) (for patients in high risk groups) Approved Health Screening 1. Mammogram (for female patients aged 50 and above) For patients below the age of one year old 2. Hearing test 3. G6P deficiency screening 4. Metabolic screening 5. Thyroid function test

Outpatient Flexi-Medisave $200 per patient per year Only the patient s Medisave or the patient s spouse s Medisave may be used. Note: Both the patient and the spouse need to be 65 years old or older. * Your non-immediate family members Medisave may be used for these outpatient treatments at restructured hospitals/ medical clinics, subject to eligibility conditions. For example, the patient must be a dependant of the Medisave Account holder who is still actively making contributions, and the patient has exhausted his own and his immediate family members Medisave Accounts. The same prevailing withdrawal limits apply. If you wish to find out if you are eligible to use your non-immediate family member's Medisave (for example, siblings) to pay for subsidised approved outpatient treatments at a restructured hospital or government polyclinics, you need to approach the staff at the hospital s Business Office or the polyclinic. High-risk Groups The definition of high-risk groups for influenza and pneumococcal vaccinations is as follows: Vaccination Schedule Influenza One dose recommended annually Pneumococcal (polysaccharide) One dose of 23-valent pneumococcal polysaccharide vaccine (PPSV23) is recommended. One-time revaccination after 5 years is recommended for (i) persons aged 2 64, with certain medical conditions 1, (ii) persons aged >65 if they were Recommended Groups Persons aged 65 years and older; Children aged six months to less than five years (i.e. 59 months); Adults and children who have chronic disorders of the lung or heart systems, including asthma; Adults and children who have required regular medical follow-up or hospitalisation during the preceding year due to chronic metabolic diseases (including diabetes mellitus), renal, neurologic, liver, or blood disorders, or immunosuppression (including immunosuppression caused by medications or the Human Immunodeficiency Virus); Children and adolescents aged six months to 18 years who are receiving long-term aspirin therapy and therefore might be at risk for developing Reye syndrome after influenza infection; Women at all stages of pregnancy; Residents of nursing homes and intermediate and long-term care facilities. Persons aged 65 years and above Persons aged 2 64 years with the following conditions: Chronic lung disease a, chronic heart disease b, chronic renal disease c, chronic liver disease d, diabetes mellitus; Cochlear implants; Cerebrospinal fluid leaks; Persons with chronic blood disorders Persons with poor immune status/function e.

vaccinated five or more years previously and they were <65 years old at time of first vaccination. 1 Chronic renal failure or nephrotic syndrome; functional or anatomic asplenia (e.g., sickle cell disease or splenectomy); and for persons with poor immune status/function. a Including chronic obstructive pulmonary disease (COPD), chronic bronchitis and emphysema; and conditions such as bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD). Children with respiratory conditions caused by aspiration, or a neuromuscular disease (e.g. cerebral palsy) with a risk of aspiration. b Including those requiring regular medication and/or follow-up for ischaemic heart disease, congenital heart disease, hypertension with heart complications, and chronic heart failure c Including nephrotic syndrome, chronic renal failure and renal transplantation d Including biliary atresia, cirrhosis and chronic hepatitis e Immunosuppression, due to disease or treatment, including HIV infection at all stages,asplenia or splenic dysfunction, patients undergoing chemotherapy leading to immunosuppression, individuals on or likely to be on systemic steroids for more than a month at a dose equivalent to prednisolone at 20mg per day (any age), or for children under 20kg, a dose of 1mg per kg per day Information is correct as at 1 August 2016.