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Singapore’s Integrated Shield Plan: Latest Updates in 2025

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Key Points

  • Research suggests that Singapore’s Integrated Shield Plans (IPs) in 2025 will see premium increases due to MediShield Life enhancements, with government support to offset costs.
  • It seems likely that IPs will align with expanded MediShield Life coverage, including high-cost treatments like cell and gene therapies.
  • The evidence leans toward improved claims processes, such as digital submissions, to enhance policyholder experience.
  • There may be adjustments in coverage for specific treatments and hospital ward eligibility, affecting out-of-pocket costs.

Overview of 2025 Updates

Singapore’s Integrated Shield Plans (IPs) are private insurance plans that complement MediShield Life, offering enhanced coverage for higher ward types and treatments.

In 2025, updates are driven by enhancements to MediShield Life, starting from April 2025, which include higher claim limits and expanded coverage for new treatments.

This will likely lead to increased premiums for IPs, but the government is providing MediSave top-ups and subsidies to help manage costs.

What Are Integrated Shield Plans?

Understanding IPs & MediShield Life:

IPs work alongside MediShield Life, which covers all residents for basic hospital bills and selected outpatient treatments.

IPs consist of two components: The MediShield Life component, managed by the Central Provident Fund Board, and an additional private insurance component offered by insurers like AIA, Great Eastern, and Singlife.

  • This private component targets higher ward classes, such as Class A or B1 in public hospitals, or private hospital stays, offering more comfort and choice of doctors.
  • The difference lies in coverage levels: MediShield Life is designed for Class B2/C bills, while IPs extend to higher wards, making them suitable for those who prefer private care or anticipate larger medical expenses.
  • IPs can cover treatments not fully addressed by MediShield Life, such as certain outpatient cancer drugs.
What is an Integrated Shield Plan?
Source: moh.gov.sg

 

Who should consider an IP?

It’s ideal for individuals seeking better coverage, especially if you prefer private hospitals, have specific health concerns, or want lower out-of-pocket costs.

For example, working professionals aged 25-40 might opt for IPs to ensure flexibility in healthcare choices, while retirees may value comprehensive coverage for chronic conditions.

What’s Changing in 2025?

MediShield Premiums 2025 (1)

In 2025, MediShield Life is undergoing enhancements, implemented progressively from April, to better protect against large medical bills and cover new types of care.

These include higher claim limits, expanded coverage for high-cost treatments like cell, tissue, and gene therapy products (CTGTPs), and new deductibles, such as an SGD 500 annual outpatient deductible from January 2026.

Premiums for MediShield Life will increase, with a cap at 35% over three years, averaging 22% per person, starting from April 2025 upon policy renewal. These adjustments will be phased in evenly from April 2025 to March 2028.

For IPs, which include the MediShield Life component, these changes mean:

Criteria Details
Premium Increases Premium increases for the MediShield Life part will be offset by government support such as MediSave top-ups and up to 60% premium subsidies for lower-income older Singaporeans.
Adjustments to Private Insurance Potential adjustments to the private insurance component may align with new MediShield Life benefits or offer enhanced coverage for treatments like CTGTPs, initially covering two-thirds of subsidised patients by October 2025.
Pre-existing Conditions Updates on pre-existing conditions and exclusions may vary by insurer, so policyholders should review terms.
Claims Process Changes Changes in panel doctor requirements and claims processes will focus on digital submissions for faster processing.

Premium Adjustments & Affordability in 2025

Why Are Premiums Increasing (or Decreasing)?

Premiums are increasing due to rising healthcare costs, as medical inflation and new treatments drive up claim expenses.

The Ministry of Health (MOH) announced that MediShield Life premiums need to rise (the total premium increases amount to SGD 1.8 billion over the next three years).

To fund these enhancements, and since IPs include this component, their premiums will follow suit.

However, the government is releasing SGD 600 million from the MediShield Life Fund and providing an additional SGD 4.1 billion in support over three years.

This comprises SGD 3.4 billion in MediSave top-ups and SGD 0.7 billion in premium subsidies, to ensure affordability.

How to Manage Higher Premiums

To manage these increases, consider the following steps:

Criteria Details
Use MediSave IP premiums can be paid using MediSave, up to the annual withdrawal limit, which helps reduce out-of-pocket expenses.
Choose the Right Plan Assess your needs based on age, health status, and hospital preferences.
For instance, if you’re healthy and prefer public hospitals, a plan covering Class B1 might suffice, while those preferring private care might need higher coverage.  
Leverage Subsidies Check eligibility for premium subsidies, especially if you’re in a lower or middle-income bracket, with enhancements offering up to 60% subsidies for older Singaporeans from April 2025.
Review Regularly Periodically review your plan to ensure it remains cost-effective, especially after life events like marriage or childbirth.

What’s New in Coverage & Benefits?

1. Enhanced Coverage for Specific Treatments

With MediShield Life expanding coverage, IPs are likely to follow suit. Key updates include:

  • New Treatments: Coverage for high-cost therapies like CTGTPs, critical for conditions like cancer and genetic disorders, will be available, initially covering two-thirds of subsidised patients by October 2025. This is a significant shift, as treatments like risdiplam for spinal muscular atrophy, costing around SGD 90,000 annually even after subsidies, become more accessible.
  • Cancer Drug Coverage: IPs may align with MediShield Life’s list of clinically proven and cost-effective cancer drugs, potentially covering more outpatient treatments.
  • Hospital Ward Eligibility: Continued coverage for Class A/B1 wards in public hospitals or private hospitals, ensuring flexibility in choosing healthcare settings.

Employee Health Screenings

2. Panel vs. Non-Panel Doctors: What You Need to Know

Insurer-approved doctor panels are evolving, with some IPs offering benefits for choosing panel doctors, such as lower co-payments or guaranteed claims.

However, if you choose a non-panel doctor, you might face higher out-of-pocket costs or claim rejections, depending on the plan.

It’s crucial to check your policy for details and consider your preferred healthcare providers when selecting a plan.

Claims & Policyholder Experience: What’s New?

1. Faster, More Transparent Claims Process

Insurers are enhancing claims processes, with digital submissions becoming standard for faster processing.

This reduces paperwork and improves transparency, with new measures to lower claim rejection rates by clarifying coverage terms and exclusions.

For example, MOH notes common reasons for rejections, such as non-covered treatments, and insurers are working to address these.

2. Out-of-Pocket Costs & Co-Payment Updates

With MediShield Life introducing new deductibles, such as up to SGD 1,500 for inpatient care from April 2025, IPs will need to adjust co-payment structures.

To minimise unexpected bills:

  • Understand your plan’s deductibles and co-insurance rates, fully payable through MediSave where applicable.
  • Seek pre-approval for treatments, especially high-cost ones, to ensure coverage.
  • Keep track of annual limits and exclusions to avoid surprises.

Choosing the Right Integrated Shield Plan in 2025

Selecting the right IP involves comparing offerings from insurers like AIA, Great Eastern, Singlife, HSBC Life, Income, Prudential, and Raffles Health Insurance. Key factors include:

Criteria Details
Cost Compare premiums for MediShield Life and private components, and review lifetime costs, which can vary by over SGD 85,000 for the same age group, according to MOH.
Coverage Ensure it covers your preferred ward class, treatments, and has sufficient claim limits.
Claim Reliability Look for insurers with low rejection rates and efficient processing, as highlighted in MOH comparisons.
Rider Options Consider riders for additional coverage, such as critical illness or dental care, to enhance protection.

When to review or switch plans? Do so annually, especially after MediShield Life updates in April 2025, or after significant life changes like a new job, marriage, or health diagnosis.

Use online comparison tools from platforms like SingSaver or DBS Health Marketplace to make informed decisions.

Our Commitment to Keeping Medical and Health Insurance Premiums Affordable | Berjaya Sompo Insurance

The 2025 updates to Integrated Shield Plans are closely tied to MediShield Life enhancements, with premium increases offset by government support and potential expansions in coverage for new treatments.

To ensure you have the right coverage without overpaying, review your plan, leverage subsidies, and stay informed about changes. Check with your insurer for updates or review your IP today to align with your needs.

Key Citations

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