What’s Co-Pay and How Does That Improve Your Health Insurance

0
7

– Commercial –

With healthcare costs increasing steadily, it’s comprehensible that each the associated fee of healthcare and medical insurance are an increasing concern for everybody.

One method to administer the prices of medical insurance is co-payments; Co-Pay is a mechanism that permits insurance providers to cut back the associated fee and present a win-win scenario for each insurers and the insured.

A health policy with a co-pay clause can provide help to make savings in the long term in the proper circumstances. Let’s cover what are co-payments and who they could be best fitted to.

What’s Co-Pay?

Co-pay is an agreement between the insured and insurer that the insured can pay a percentage of the hospitalisation expenses and the remaining will likely be covered by the insurer. The proportion paid by the insured with co-pay can vary from 10-30% of the sum assured.

What’s the Good thing about Co-Payments?

Considering lots of us buy insurance because we don’t wish to foot a big hospital bill, co-pay might sound counterproductive. Nevertheless, that’s not necessarily the case; as a co-pay clause reduces the danger incurred to the insurer, it often ends in the reduction of premiums in your Integrated Shield Plan.

MediShield Life

MediShield Life is the essential medical insurance plan that protects all Singapore residents and everlasting residents against large hospital bills, no matter age or pre-existing conditions.

It’s possible for Singaporeans to boost their existing MediShield Life coverage using MediShield approved Integrated Plans (IP). IPs reminiscent of Prudential PRUShield Health Insurance Plan can expand the coverage beyond what the essential MediShield Life policy offers.

Moreover, MediSave could be used to totally pay in your MediShield Life, and may contribute towards your IP as well as much as withdrawal limits.

Age Withdrawal Limits
40 years old & below S$300 per yr
41-70 years old $600 per yr
71 years old & above $900 per yr

Read Also: Key Moments in Life When You Might Need an Integrated Shield Plan

PRUShield

PRUShield along Prudential’s suite of supplementary plans are designed to enrich MediShield Life and offer you more comprehensive medical coverage depending in your age & budget.

PRUShield provides you with a powerful set of advantages even without the complimentary plans, including:

PRUShield Advantages
  • Covering as much as S$1.2 million in medical treatments yearly
  • Covers 180 days of pre-hospitalisation coverage and 12 months of post-hospitalisation coverage
  • No medical underwriting for brand new plan purchases at significant life events
  • Emergency and planned overseas medical treatments covered

There are 3 important PRUShield plans: Standard, Plus and Premier, with different levels of coverage.

Primary Plans Coverage Supplementary Plans
PRUShield Standard Coverage for medical and surgical expenses at restructured hospitals (as much as Class B1 ward) No Supplementary Plans
PRUShield Plus Coverage for medical and surgical expenses at restructured hospitals (as much as Class A ward) PRUExtra Plus CoPay & PRUExtra Plus Lite CoPay
PRUShield Premier Coverage for medical and surgical expenses at private and restructured hospitals PRUExtra Premier Copay, PRUExtra Premier Lite CoPay & PRUExtra Premier Lite CoPay

Read Also: Prudential PRUShield Health Insurance Review

PRUExtra

picture of a hand with an IV drip

PRUExtra plans are supplementary plans that could be used to further augment PRUShield plans that you could be considering in order that your coverage matches your needs.
There are 2 highlight features which are a part of all PRUExtra plans.

  • The PRUExtra plans cover 50% of your co-insurance amount
  • There may be a S$3000 stop-loss for Panel providers and Prolonged Panel specialists

graphic of how MediShield, PRUShield and PRUExtra makes healthcare bills more affordable

Graphic Based on PRUShield E-Brochure

PRUShield Premier Supplementary Plans

PRUExtra Premier CoPay
PRUExtra Premier CoPay provides one of the best coverage that PRUShield can offer, offering coverage in any respect Singapore private and restructured hospitals. PRUExtra premier covers 95% of your deductible amount.

PRUExtra Premier Lite CoPay
PRUExtra Premier Lite provides many of the advantages of the regular premier version, including coverage of personal hospitals and cutting your co-insurance amount by half. Nevertheless, in exchange for lower premiums, it only covers 50% of your deductible amount.

PRUExtra Preferred CoPay
PRUExtra Preferred CoPay provides nearly all the advantages of PRUExtra Premier CoPay. Nevertheless, it only covers select private and restructured hospitals. Thankfully the list of healthcare providers and specialist that PRUExtra Preferred CoPay covers is sort of extensive and could be found on the PRUPanel Connect website. Apart from this small restriction, PRUExtra Preferred CoPay share the 95% deductible coverage with PRUExtra Premier CoPay

PRUShield Plus Supplementary Plans

There are 2 PRUExtra supplementary plans for PRUSheild Plus, PRUExtra Plus CoPay and PRUExtra Plus Lite CoPay. PRUExtra Plus CoPay covers 95% of your deductible whilst each PRUExtra Plus Lite CoPay covers 50% of your deductible. These PRUExtra supplementary plans have the identical hospital/ward coverage as PRUShield Plus, covering all Singapore Restructured Hospitals (as much as Class A Ward).

picture of a doctor's hand typing on a computer

Prolonged Panel (EP)

The prolonged panel is an initiative arrange by the Multilateral Healthcare Insurance Committee (MHIC) allowing IP insurers to recognise one another’s panel doctors mutually. Eligible policyholders searching for treatment from EP specialists profit from a S$3000 stop-loss.
For a Registered Medical Practitioner to be considered an EP specialist, they need to:

  • Be on one other IP insurer’s approved panel list;
  • Obtain pre-authorisation from Prudential;
  • Follow Prudential fees schedule;
  • Meet pre-Authorisation terms and conditions.

Claim-Based Pricing

PRUExtra Premier CoPay in addition to PRUExtra Preferred CoPay each profit from a claim-based pricing model. With this pricing system, you begin paying the bottom premium of your age band and the PRUWell reward, giving 20% savings in case your policy is incepted with no exclusions.
Your premium level is set by previous claims through the review period. So long as no claims are made, you’ll proceed to pay the standard-level premium.

Conclusion

Co-Pay, alongside other mechanisms reminiscent of claim-based pricing, allows insurers to create a pricing model that’s cheaper for us. Allowing us to spend more on the coverage that we’d like, allowing us to have peace of mind with our medical insurance coverage at a reasonable cost.

Interested users, seeking to get an Integrated Shield plan with comprehensive coverage and claims-based pricing, can discuss with this detailed PRUShield review or apply for one here.

Additional Resources

Follow us on Social Media

Send in your scoops to news@theindependent.sg 

– Commercial –

LEAVE A REPLY

Please enter your comment!
Please enter your name here