Chronic Diseases 

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Chronic diseases are a significant cause of illness and death in Singapore. This is a phenomenon common to all developed countries.

If not properly managed, these conditions often lead to more serious complications. Many patients begin treatment late and only when severe complications arise. They end up going to multiple specialists for treatment of their many problems and may have to be hospitalized. Not only do they suffer significant pain, high medical costs are incurred as well.

However, with early detection and good management of these chronic conditions, complications can be avoided or delayed.

Patients with such chronic conditions are encouraged to work with their doctors, particularly their Family Physicians, to actively manage their conditions, through regular monitoring, appropriate and timely medical treatment and lifestyle changes.

Use of Medisave

As disease management programmes can largely be effected at the outpatient level, MOH has allowed the use of Medisave to help pay part of the outpatient cost, and reduce out of pocket payment for patients.

Medisave use for Chronic Disease Management Programme (CDMP) was launched in Oct 2006. Diabetes was the first chronic condition covered under the scheme. More conditions were added to CDMP over the years and since 1 Jun 2015, there are a total of 19 conditions under the CDMP.

Year added to CDMP Chronic condition
Oct 2006
 
Diabetes
Jan 2007
 
Hypertension, lipid disorders and stroke
Apr 2008
 
Asthma and chronic obstructive pulmonary disease (COPD)
Oct 2009
 
Major depression and schizophrenia
Nov 2011
 
Dementia and bipolar disorder
Jan 2014
 
Osteoarthritis, benign prostatic hyperplasia, anxiety, Parkinson’s disease and nephrosis/nephritis

Jun 2015
 

Epilepsy, osteoporosis, psoriasis, rheumatoid arthritis

 

Details on Medisave Use
 

  • Your doctor (whose clinic has to be participating in CDMP) will need to indicate in the Medical Claims Authorisation Form that you suffer from one of the 19 chronic conditions in the above list.
  • For each bill, patients will need to co-pay 15% of the bill in cash. Medisave can be used to pay for the remaining amount. This is regardless of whether the bill is for a one-off visit or a package.
     
    • Deductible:
      The deductible of $30 has been removed since 1 July 2014.
    • Co-payment:
      A co-payment (in cash) of 15% will apply for each CDMP bill; and
    • Annual withdrawal limit:
      Withdrawals will be subject to an annual outpatient withdrawal limit of $400 per Medisave account with effect from 1 Jan 2012. Patients can also use the Medisave of their immediate family member(s)* to pay for their treatment, up to a limit of $400 per year per account. A maximum of up to 10 accounts may be used.
      See Table 1 for a billing example.
    • Signup
      Patients can sign up for this programme at any participating clinics directly. Clinics participating in the programme will be identified with a decal/sticker which will be displayed at the clinic.

Table 1: Billing Example
 

Medical Bill

Patient Pays

Medisave Pays

$100

15% of bill = $15

$100 - $15 = $85

* Immediate family member refers to a member's spouse, child or parent. Grandparents who are citizens or permanent residents of Singapore may use the Medisave of their grandchildren as well.

 

Better education for patients

We aim to help patients and their families better understand these conditions and what they can do to manage them, so that they can achieve better health. Empowering the patients and motivating them to take responsibility for their own health and making relevant changes to their lifestyles, (e.g. changing their diets and exercising) are important success factors. The Ministry, together with HPB, will provide patients with patient education folders, containing background information on chronic conditions, patient booklets for recording of vital clinical indicators to aid self-monitoring, and answers to patients' frequently asked questions.

We have developed educational tool-kits and other support materials to assist doctors in providing more effective treatment to their patients under this Programme.

For Doctors/ Clinics

GPs/Clinics who wish to be Medisave-accredited can apply with the Ministry of Health here.

For Patients

More information on chronic disease management can be found on HPB’s website. If your clinic is not participating in this programme, you may invite them to apply by clicking here.