Hospital bill
Eligible inpatient bill for one hospital stay, after any government subsidy. MediShield Life's payout is already part of the Shield plan payout.
Plan type
Age next birthday
Where is the client treated?
Who pays what
| Main plan + new rider | Split of the bill | Plan pays | Client pays | How the client's share is made up | Without rider |
|---|
Client pays at each hospital type — same bill
● Lowest in each column. Highlighted column = the hospital type selected above.
How it's calculated
- Pro-ration (Class A plans at a private hospital only): the plan only recognises a % of the bill — the rest is the client's.
- Deductible: the client pays this first. New riders cannot pay the S$3,500 minimum (MOH rules from 1 Apr 2026).
- Co-payment: with a rider the client pays 5% (Income: 5–10%) of the rest; without a rider, 10% co-insurance (GE P PRIME outside panel: 40%).
- Stop-loss: the rider caps the co-payment at S$6,000 a year — only with panel, pre-authorised extended panel (where offered) or restructured hospitals.
- Annual limit: anything above the plan's policy-year limit is the client's.
Assumptions
- First claim in the policy year (deductible and stop-loss not yet used); one inpatient stay, all charges reasonable & customary and within sub-limits; Singapore Citizen.
- Restructured hospital = Class A ward (S$3,500 deductible). Day surgery and lower wards have different deductibles.
- GE P PRIME "panel" assumes a partnering hospital (Mount Alvernia, Farrer Park, Raffles, Thomson). Raffles Shield A pro-ration is 60% at other private hospitals (70% at Raffles Hospital).
- † Not confirmed in insurer documents: GE, Singlife and HSBC have no stated pre-authorised extended-panel route, so extended panel is treated as non-panel; Singlife restructured hospitals are assumed to count as preferred providers.
- Prudential Preferred Care: no rider cover with non-panel doctors or at 'No Access' hospitals (e.g. Mount Elizabeth, Gleneagles, Farrer Park, Parkway East).
- * The client's share is normally paid in cash; MediSave can be used for part of it within withdrawal limits.
- For illustration only — actual claims depend on each policy's terms, exclusions and the insurer's assessment.