MediSave for the Chronic Disease Management Programme (CDMP)
Chronic conditions are a significant cause of illness and death in Singapore, similar to other developed countries.
If not properly diagnosed and managed, these conditions often lead to more serious complications, which may result in the need for costly treatments and hospitalisations. However, with early detection and good management of these chronic conditions, complications can be avoided or delayed. Individuals are therefore encouraged to have a regular family doctor, undergo recommended health screening, and, if diagnosed with a chronic condition, actively manage their conditions through regular monitoring, appropriate and timely medical treatment, and lifestyle changes.
The Chronic Disease Management Programme (CDMP) was first introduced in Oct 2006. It now covers a total of 20 conditions which includes diabetes mellitus (including pre-diabetes), hypertension, hyperlipidemia (lipid disorders), stroke, asthma, chronic obstructive pulmonary disease (COPD), schizophrenia, major depression, bipolar disorder, dementia, osteoarthritis, benign prostatic hyperplasia, anxiety, Parkinson's disease, nephrosis/nephritis, epilepsy, osteoporosis, psoriasis, rheumatoid arthritis and ischaemic heart disease. Most recently, from 1 Jun 2018, ischaemic heart disease was added as a new condition and the scope of diabetes coverage was extended to include pre-diabetes under CDMP.
To ensure that this programme is accessible to all, the Ministry has engaged the support of more than 1,100 GP clinics around Singapore to provide systematic, evidence-based chronic disease management under the CDMP. The CDMP is also available at all polyclinics, all public hospital Specialist Outpatient clinics (SOCs) and participating private specialist clinics.
Patients can use up to $500 per account per year, under the MediSave500 scheme, to reduce the out-of-pocket cash payments for outpatient chronic disease bills. Each claim is subject to a 15% co-payment in cash. Since 1 Jul 2014, the $30 deductible for CDMP claims has been removed. With the coverage of CDMP aligned with that under CHAS Chronic, eligible patients can tap on both their MediSave and CHAS Chronic subsidies for the outpatient treatments of their CDMP conditions at CHAS GP clinics.
Greater Support for CDMP Providers
Providers can submit patients’ MediSave claims and selected clinical indicators to MOH via web-based platforms such as Mediclaim Online and the MOH Healthcare Claims Portal (MHCP), and integrated clinic management IT solutions such as GPConnect and other Smart Clinic Management Systems (SmartCMS) which allow seamless information flow from the clinic’s CMS to the relevant claims system.
The CDMP Handbook for Healthcare Professionals is also regularly updated to guide doctors in providing more appropriate treatment for their patients with conditions covered under CDMP, and in various administrative details for participation in the programme. You may download a copy of the latest CDMP Handbook below.
Doctors who wish to be MediSave-accredited and participate in the CDMP can apply here.
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