CPF

CPF Medisave: A Guide + 6 Things You Can Pay With It

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Medisave

As a Singaporean or Singapore Permanent Resident, you will have to contribute to your Medisave Account regardless of whether you are a salaried employee or self-employed person.

The purpose of Medisave is to help individuals set aside funds for potential personal or immediate family’s hospitalisation, day surgery, and specific outpatient expenses.

It’s important to know what it can be used for to maximise it and reduce the amount of cash you have to pay for medical treatments. With the help of Medishield Life and private insurance, you may not even have to pay a single cent for some of your medical needs.


Content:

  1. How much money goes towards my Medisave every month?
  2. How much interest does the Medisave Account offer?
  3. What can I use my Medisave funds for?
  4. I need to use my Medisave. What do I need to do?

How much money goes towards my Medisave every month?

For salaried employees

Say you are 30 years old with a full-time job and your monthly salary is S$4,000 a month.

According to the table below, your monthly CPF contribution as an employee would be S$800. Your employer would need to contribute S$680 to your CPF. The total amount of CPF contribution would be S$1,480 a month.

Your Age Total CPF Contribution (% of salary)

For monthly wages S$750 and above

By Employer By You Total
55 and Below 17 20 37
56 to 60 13 13 26
61 to 65 9 7.5 16.5
Above 65 7.5 5 12.5

And according to the table below, an equivalent of 8% of your salary goes into your Medisave. That means that every month, S$320 out of the total contribution of S$1,480 is credited into your Medisave Account.

Your Age CPF Allocation Rates (% of salary)

For monthly wages S$750 and above

Ordinary Account Special Account Medisave Account
35 and Below 23 6 8
35 to 45 21 7 6
46 to 50 19 8 10
51 to 55 15 11.5 10.5
56 to 60 12 3.5
61 to 65 3.5 2.5
Above 65 1 1

For the self-employed

Say you are 30 years old and you earned a net trade income of $8,000 in a particular year. According to the table below, your mandatory Medisave contribution would be S$320.

Net Trade Income Age on 1 January of income year
Below 35 35 to 44 45 to 49 50 and above
Above S$6,000 to S$12,000 4% 4.5% 5% 5.25%
Above S12,000 to S$18.000 4% to 8%

[480+0.16(NTI-12000)]x100/NTI

4.5% to 9%

[540+0.18(NTI-12000)]x100/NTI

5% to 10%

[600+0.2(NTI-12000)]x100/NTI

5.25% to 10.5 %

[630+0.21(NTI-12000)]x100/NTI

Above S$18,000 8%

(up to S$5,760)

9%

(up to S$6,480)

10%

(up to S$7,200)

10.5%

(up to S$7,560)

How much interest does the Medisave Account offer?

The current CPF interest rates are:

Ordinary Account 2.5% +1% for the first S$60,000 in the 3 accounts with up to S$20,000 from the Ordinary Account
Special / Medisave Account 4%
Retirement Account (for those aged 55 and above) 4% +1% for the first S$60,000 across your accounts

+1% for the first S$30,000 across your accounts

How much can I have in my Medisave Account?

The maximum amount of funds you can have in your Medisave Account is called the Basic Healthcare Sum (BHS). This sum is currently $54,500, adjusted yearly. The sum would be fixed once you turn 65 years old. Excess funds will go into your Special or Retirement Account.

What can I use my Medisave funds for?

1. Integrated Shield Plans

As long as you are a Singaporean or Permanent Resident, you are covered under MediShield Life, which is payable by Medisave. It is a basic health insurance plan that helps you with large hospital bills and some outpatient treatments, such as dialysis and chemotherapy for cancer.

However, the benefits offered by MediShield Life are calculated based on the costs of Class B2/C wards in public hospitals. You would also have to pay deductible and coinsurance.

If you prefer to waive off your deductible, stay in Class A/B1 wards, and/or visit private hospitals, you may consider purchasing Integrated Shield Plans (IP) offered by private insurers.

The good news is, you can use your Medisave funds to pay for the premiums, up to a cap. With the introduction of the new co-payment rules for Integrated Shield Plans, you are responsible to co-pay at least 5% of your hospital bills, capped at a minimum of S$3,000 a year.

The maximum amount of Medisave funds you can use to pay for your annual IP premiums:

  • S$300 – 40 years old and below on your next birthday.
  • S$600 – 41 to 70 years old on your next birthday.
  • S$900 – 71 years or older on your next birthday

Anything on top of that you will have to pay with cash.

2. Inpatient care

To be able to use your Medisave funds for in-patient care, you would need to be admitted to hospital for at least eight hours. Here are the Medisave withdrawal limits:

Type Withdrawal Limits
Inpatient hospital charges S$450 per day, including a maximum of S$50 for daily doctor attendance fees
Approved day surgeries’ hospital charges Up to S$300 per day, including a maximum of S$30 for daily doctor attendance fees
Surgical operations for both inpatient and day surgeries Up to S$7,550, depending on the complexity of the operation, Refer here for more details.
Psychiatric hospital charges S$150 per day, including a maximum of S$50 for daily doctor attendance fees. Subject to a yearly maximum of S$5,000

3. Hospice and rehabilitative care

Here are the Medisave withdrawal limits for end of life and rehabilitative care

Type Withdrawal Limits
Home palliative and day hospice care A combined lifetime withdrawal limit of S$2,500 per patient (adults and paediatrics)

Patients diagnosed with terminal cancer or end-stage organ failure will not be subjected to any withdrawal limit if the bill is paid using their own Medisave account

Approved community hospital charges Up to S$250 per day, including a maximum of S$30 for daily doctor attendance fees. Subject to a maximum of $5,000 a year
Approved convalescent hospital charges Up to S$50 per day, including a maximum of S$30 for daily doctor attendance fees. Subject to a maximum of S$3,000 a year
Approved hospice charges Up to S$200 per day, including a maximum of S$30 for daily doctor attendance fees
Day rehabilitation charges at approved day rehabilitation centres Up to S$25 per day, subject to a maximum of S$1,500 a year
Treatment in approved day hospitals Up to S$150 per day, including a maximum of S$30 for daily doctor attendance fees and a maximum of S$3,000 per year

4. Outpatient care

For outpatient treatments and related costs (not undertaken while hospitalised), here are the limits of Medisave withdrawal limits:

Type Withdrawal Limits
Outpatient treatments of 20 conditions under the Chronic Disease Management Programme:

Diabetes, hypertension, lipid disorders, stroke, asthma, chronic obstructive pulmonary disease, schizophrenia, major depression, bipolar disorders, dementia, osteoarthritis, anxiety, benign prostatic hyperplasia, Parkinson’s disease, nephrosis/nephritis, epilepsy, osteoporosis, psoriasis, rheumatoid arthritis, or ischaemic heart disease

S$500

under Medisave500 limit. Subject to 15% co-payment by the patient

Flexi-Medisave for the elderly, aged 60 and above Up to S$200 per patient per year for outpatient medical treatment at:

– Specialist Outpatient Clinics in public hospitals and national speciality centres

– Polyclinics

– Participating Community Health Assist Scheme (CHAS) Medical GP clinics

Can be used together with other outpatient Medisave limits, such as the Medisave500 limit

Outpatient MRI scans, CT scans, and other diagnostics for cancer patients Up to S$600 per year
Outpatient scans for diagnosis or treatment of a medical condition Up to S$300 per year

Does not apply to plain X-rays or scans that are already claimable under other Medisave schemes, such as scans for cancer treatment, chronic disease under the Chronic Disease Management Programme, or antenatal scans

Assisted Conception Procedures (ACP) – both inpatient and outpatient 1st cycle – S$6,000

2nd cycle – S$5,000

3rd and subsequent cycles – S$4,000

A lifetime Medisave withdrawal limit of S$15,000 also applies. Only patient’s and spouse’s Medisave accounts may be used

Outpatient renal dialysis treatment S$450 a month

Only the patient’s Medisave may be used. For patients aged 18 and below, the parents’ Medisave may be used

Outpatient radiotherapy for cancer patients For External Therapy, S$80 per treatment

Brachytherapy with external radiotherapy, S$300 for each treatment

For Brachytherapy without external radiotherapy, S$360 per treatment

Superficial X-Ray, S$30 for each treatment

For Stereotactic radiotherapy, S$2,800 per treatment

Outpatient radiosurgery treatment for cancer patients (namely Novalis radiosurgery treatment and Gamma Knife treatment) S$7,500 per treatment and S$300 hospital charges per day
Outpatient chemotherapy for cancer patients

Includes analgesic medication and suppressive treatments (neuroendocrine and nuclear medicine treatments)

S$1,200 per month
Outpatient anti-retroviral treatment for HIV patients

Includes drugs used for the treatment of opportunistic infections

S$550 per month

Only the patient’s own Medisave may be used. For patients aged 18 and below, their parents’ Medisave may be used

Outpatient desferal drug and blood transfusion for Thalassaemia treatment S$350 per month
Outpatient Hyperbaric Oxygen Therapy S$100 per treatment cycle
Outpatient Intravenous Antibiotic Treatment S$600 per weekly cycle, up to S$2,400 a year
Outpatient Long Term Oxygen Therapy and Infant Continuous Positive Airway Pressure Therapy S$75 per month

Medisave may be used for the rental of the devices that provide concentrated oxygen or pressured oxygen for the above treatments

Outpatient immunosuppressants for patients after organ transplants S$300 per month
Outpatient Autologous Bone Marrow Transplant

Only available at Medical Institutions whose clinical protocols have been approved by MOH

S$2,800 per year

Related: 4 Asian Countries Where Medical Procedures are Cheaper than Singapore

5. Vaccinations and screening

For childhood and adult vaccinations and health screening, Medisave withdrawals limits are as follows:

Type Withdrawal Limits
Childhood Vaccinations (under the National Childhood Immunisation Schedule)

  • Pneumococcal vaccinations (for children aged below 5)
  • Human Papillomavirus (HPV) (for females aged between 9 – 26 years of age)
    • Cervarix
    • Gardasil (4-valent HPV vaccine)
  • Hepatitis B vaccination
  • Measles, Mumps and Rubella (MMR)
  • Tuberculosis (BCG)
  • Diphtheria, Pertussis & Tetanus (DTaP/Tdap)
  • Poliomyelitis
  • Haemophilus Influenza Type B (Hib)

S$500

under Medisave500 limit

Adult Vaccinations (for target populations under the National Adult Immunisation Schedule)

  • Influenza
  • Pneumococcal vaccinations
  • Human Papillomavirus (HPV) (for females aged between 9 – 26 years of age)
    • Cervarix
    • Gardasil (4-valent HPV vaccine)
  • Hepatitis B vaccination
  • Measles, Mumps and Rubella (MMR)
  • Diphtheria, Pertussis & Tetanus (DTaP/Tdap)
  • Varicella
Health Screening

  • Mammogram screenings
  • Colonoscopy screenings
  • Selected screening tests for newborns in the outpatient setting

6. Maternity needs

Under the Medisave Maternity Package, parents can use their Medisave for pre-delivery medical expenses, such as consultations and ultrasound and delivery expenses.

Type Withdrawal Limits
Pre-delivery medical expenses S$900
Surgical withdrawal limit S$750 for vaginal delivery

S$2,150 for caesarean delivery

Hospital charges Up to S$450 per day

Related: What is the Price of Pregnancy in Singapore?

I need to use my Medisave. What do I need to do?

Thankfully, Medisave-accredited medical institutions are able to do most of the work for you. All you need to do is sign the MCAF (Single or Multiple Institutions) form on the day of your surgery.

By doing so, medical institutions can do the following on your behalf:

  • Check how much Medisave you can withdraw for the treatment and whether you can claim from MediShield Life or your IP
  • Claim from your MediShield Life or IP to pay for approved treatments
  • Withdraw from your Medisave to pay for approved treatments
  • Withdraw from your Medisave to pay for your immediate family member’s (parent, spouse, children, and grandparents) approved treatments

CPF Medisave

If you only have Medishield Life

The Medisave-accredited medical institution would submit the claim against Medishield Life for you and withdraw any outstanding bills from your Medisave.

If you don’t want to pay with your Medisave, you don’t have sufficient funds in your account, or you have hit the withdrawal limit, you would have to pay the remaining amount in cash.

If you have an IP

You can obtain a Letter of Guarantee (LOG) offered by your insurer for partial or full waiver of the deposit you would need to make for inpatient and day surgeries. With a full waiver, you would not need to fork out a single cent for your surgery.

To claim against your IP for eligible self-paid bills, including pre- and post-hospitalisation bills, submit the completed insurer’s claim form, original final medical receipts, and other required documents to your insurer. If you have an insurance advisor, he/she can help you with this process.

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