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i-Medicare - Example

Outpatient Care:

(a) Primary Care:
Consultation, medication, basic diagnostic tests, x-rays and procedures
Benefits Limits of Compensation
Doctor Visits
Panel Doctor $5 co-payment per visit
Non-panel Doctor Reimburse up to $15 per visit, subject to maximum 3 visits per policy year
Emergency Care (A&E)
Restructured hospitals $10* co-payment per visit
Private hospitals & clinics $10* co-payment per visit, reimburse up to $70 per visit
(b) Specialist Care:
Consultation, medication, basic diagnostic tests, x-rays and procedures, up to $500 per policy year
Benefits Limits of Compensation
Specialist (SOC) at restructured hospitals $15* co-payment per visit
Panel private specialists $15* co-payment per visit, reimburse up to $100 per visit
Specialised Investigations Co-payment of 10%

Inpatient Care:

Benefits Per Disability Plan 1 ($) Plan 2 ($)
Inpatient Benefits  
1. Daily Room & Board per day  (maximum 120 days including ICU) 388 250
2. Intensive Care Unit (ICU)  (maximum 30 days) 1,164 750
3. Other Hospital Services  (maximum 120 days) 10,000 7,500
4. Surgical Benefits  (subject to Surgical Schedule) 12,000 8,500
5. Daily In-Hospital Consultation  (maximum 120 days) 100 90
Outpatient Benefits  
6. Pre-Hospitalisation Specialist Consultation (within 90 days prior to admission) 500 450
7. Pre-Hospitalisation Diagnostic x-ray & Laboratory Fee
    (within 90 days prior to admission)		 500 450
8. Post-Hospitalisation Treatment  (within 90 days following discharge) 500 500
9. Emergency Outpatient Treatment  (Accidental) 2,500 2,000
10. Outpatient Kidney Dialysis & Cancer Treatment   (maximum per policy year) 10,000 10,000
Other Benefits  
11. Miscarriage Benefit (including Ectopic Pregnancy) 1,000 1,000
12. Ambulance Fees 100 100
13. Death Benefit 3,000 3,000
14. Overall Limit as charged at Singapore Restructured Hospitals
(maximum for Any One Disability)		 19,500 12,500
15. Daily Hospital Cash Allowance Benefit up to maximum 120 days
per disability when warded in the following Classes of Ward in
Singapore Restructured Hospital:
B1
B2+
B2
C


100
150
200
300


50
100
150
200

*GST will be charged where applicable

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