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Tips
for Health Cover
Health insurance
protects you from incurring a financial loss as a
result of an
illness, disability or accident. Getting the right
health insurance plan can be tricky.
Take up health
insurance early
It is a fallacy to
think that you do not require health insurance until
you are
much older. It is advisable to buy health cover when
you are still young and
healthy as many health insurance products are not
available to people over a
certain age or to those with
an existing illness.
Recent figures show
that one in four Singaporeans will suffer from a
critical
illness in his lifetime. When diagnosed with a
critical illness, 58 per cent
continue to live for 10 years and 41 per cent for
another 20 years. These
statistics support the need for appropriate health
cover.
Seek plans
providing lifetime cover
Buying a health
insurance policy with lifetime coverage is essential
because people are expected to live longer. By year
2050, Singaporeans are expected to live to their 90s,
from the current life
expectancy running in the low 80s.
“As charged”
plans are better
Traditional plans
come with specific sub-limits such as a specified
dollar
benefit for room and board. “As charged” policies
do away with any sub-limits
on medical benefits, although there is an annual
limit. This means that
hospitalisation expenses will be paid according to
what has been billed,
subject to the plan’s deductible and co-insurance.
“As charged” plans are superior as they will
absorb rising health-care costs.
Shield plans have
deductible and co-insurance features
All Shield
hospitalisation plans include a “deductible”, the
first layer of
charges that the policyholder has to bear. Depending
on the type of plan, the
deductible is typically about $2,000 to $3,000.
The plans must also have a co-insurance feature, which
means the policyholder
shares part of the cost of the bill, usually 10 per
cent over and above the
deductible. For example, if an A-class ward bill is
$5,000, the policyholder bears the
first $3,000 as the deductible, and $200 as
co-insurance (10 per cent of the
remaining $2,000). The insurer pays the remaining
$1,800. Insurers offer riders which waive the
deductible and/or co-insurance, for a premium.
Pre-existing
conditions are not covered
Pre-existing
conditions refer to medical conditions, known or
unknown to the
policyholder, that existed before an application was
made to buy a health plan.
Under personal hospitalisation policies, these
pre-existing conditions are
typically spelt out by the insurer and excluded
throughout the lifetime of the
insurance plan.
Premiums rise as
you age
If your plan
involves paying regular premiums throughout the life
of the
policy, note that the premiums increase as you age.
Ensure that you can afford
the premiums over the long run. Most insurers reserve
the right to change the
premiums at any time by giving their policyholders
written notice.
Opt for a plan
with guaranteed renewal
A product that
guarantees that your cover will stay in force as long
as you pay
the premiums on time is naturally better than one that
gives insurers the right
to cancel the cover by giving written notice before
your plan is due for
renewal. However, most insurers reserve the right to
change premiums, benefits,
and the terms and conditions of their plans when they
are due for renewal.
New plans come
with free-look policy
Policyholders are
given 14 days to review their new policies. If you
decide
that the policy does not meet your needs, you can
choose to cancel within 14
days and get a refund of all premiums, less any
expenses.
Consider the
geographical limits
Determine the
geographical limits of your health cover and the
circumstances of
the coverage. For instance, some plans will cover
emergency treatment anywhere in the world
if you are travelling, but not if you are working
overseas for an extended
period.
No need for
several hospitalisation plans
With
hospitalisation or medical expense plans, the total
benefit is limited to
the actual expense incurred so there is no need to buy
extra policies.

By
Lorna Tan
The
Sunday Times’ Invest Editor & Senior finance
Correspondent with The Straits Times
www.LornaTan.com
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Toh

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