Central Provident Fund (Medishield Scheme) Regulations

Central Provident Fund Act

(Chapter 36, Section 57)

Central Provident Fund
(Medishield Scheme) Regulations

Rg 20

G.N. No. S 97/1991

REVISED EDITION 1993

(1st April 1993)

[1st July 1990]

PART I

Preliminary

Citation

1. These Regulations may be cited as the Central Provident Fund (MediShield Scheme) Regulations.

Definitions

2.—(1) In these Regulations, unless the context otherwise requires —

“approved hospital” means any hospital, clinic or centre providing medical treatment approved by the Minister for Health for the purposes of these Regulations;

“assured amount”, in relation to each item of medical treatment received by a person insured under —

(a)	the Scheme in Division 2 of Part II, means the amount specified in the second column of the Third Schedule in respect of that item of medical treatment;
(b)	Plan A of the Scheme in Division 3 of Part II, means the amount specified in the third column of the Third Schedule in respect of that item of medical treatment;
(c)	Plan B of the Scheme in Division 3 of Part II, means the amount specified in the fourth column of the Third Schedule in respect of that item of medical treatment;

“claim limit”, in relation to each item of medical treatment, means the charge levied by the approved hospital for that item of medical treatment but not exceeding the assured amount for that item of medical treatment;

“day surgical treatment” means any surgical treatment received by a person who is admitted and discharged on the same day, and includes any ancillary medical treatment received by that person between such admission and discharge, but shall not include any excluded medical treatment;

“dependant” means a member’s spouse, child, parent or grandparent who is below the age of 75 years ;

[S 72/2001 wef 01/01/2001]

[S 11/2002 wef 01/12/2001]

“excluded medical treatment” means any medical treatment specified in the First Schedule;

“gamma knife treatment” has the same meaning as in the Central Provident Fund (Medisave Account Withdrawals) Regulations (Rg 17) and shall not include any excluded medical treatment;

“incapacitated” has the same meaning as in section 29 of the Act;

[S 696/2002 wef 01/01/2003]

“insured’s contribution”, in relation to any claim by an insured person, means the amount specified in the Fourth Schedule for which the insured person is responsible under the Scheme in respect of any one or more claims in a policy year;

“insured out-patient medical treatment” means any of the following medical treatment as an out-patient of any approved hospital:

(a)	renal dialysis;
(b)	chemotherapy for cancer;
(c)	radiotherapy for cancer;
(d)	administration of cyclosporin for organ transplant; [S 407/99 wef 01/10/1999]
(e)	administration of erythropoietin for dialysis; [S 11/2002 wef 01/12/2001]
(f)	gamma knife treatment;

“medical treatment” means any medical, surgical, radiotherapy, chemotherapy, renal dialysis treatment or gamma knife treatment and includes investigations, medicines, curative materials and surgical implants, and where such treatment has been received by a person as an in-patient in an approved hospital, includes the maintenance of that person in the hospital, but shall not include any excluded medical treatment;

“member” includes a member who is an undischarged bankrupt;

“Plan” means Plan A or Plan B, as the case may be, of the Scheme in Division 3 of Part II;

“policy year” means a period of 12 months from the date of the commencement of an insured person’s insurance cover under the Scheme;

“premium” means the premium payable by an insured person in each policy year under the Scheme;

“Saint Andrew’s Mission Hospital” means the Saint Andrew’s Mission Hospital incorporated under the Saint Andrew’s Mission Hospital Ordinance (Cap. 376);

“Scheme” means the MediShield Scheme in Division 2 or 3, as the case may be, of Part II.

(2) In these Regulations, a reference to payment in cash includes —

(a)	where payment is to be made by a member to the Board, payment by cheque, money or postal order, or through any electronic funds transfer systems whereby payment is effected by directing the transfer of funds electronically from the bank account of the member to the bank account of the Board; and
(b)	where payment is to be made by the Board to the member, payment by cheque.

Persons not covered under Scheme

3. These Regulations shall not apply to —

(a)	any member of the Fundwho has attained the age of 75 years; [S 72/2001 wef 01/01/2001]
(b)	any member of the Fundwho is neither a citizen nor a permanent resident of Singapore; [S 72/2001 wef 01/01/2001]
(c)	any member of the Fundwho is physically or mentally incapacitated from ever continuing in any employment; [S 72/2001 wef 01/01/2001]
(d)	any member of the Fundwho is of unsound mind; [S 72/2001 wef 01/01/2001]
(e)	any member of the Fundwho is suffering from a terminal illness or disease; and [S 72/2001 wef 01/01/2001]
(f)	any member or class of members of the Fund whom the Minister may, by notification in the Gazette, specify. [S 72/2001 wef 01/01/2001]

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