No. S 427
Central Provident Fund Act
(Chapter 36)
Central Provident Fund (Medishield Scheme) Regulations 2005
In exercise of the powers conferred by section 57 of the Central Provident Fund Act, the Minister for Manpower hereby makes the following Regulations:
PART I
PRELIMINARY
Citation and commencement
1.  These Regulations may be cited as the Central Provident Fund (MediShield Scheme) Regulations 2005 and shall come into operation on 1st July 2005.
Definitions
2.  In these Regulations, unless the context otherwise requires —
“approved community hospital” means any premises which, in the opinion of the Minister for Health, provides an intermediate level of care for out-patients and in-patients who have simple ailments that do not require specialist medical and nursing care and which is approved by that Minister for the purposes of these Regulations;
“approved hospital” means any hospital, clinic or centre which provides medical treatment and which is approved by the Minister for Health for the purposes of these Regulations;
“approved medical practitioner” means any medical practitioner who is approved by the Minister for Health or such other person as he may appoint for the purposes of these Regulations;
“approved private hospital” means any private hospital approved by the Minister for Health for the purposes of these Regulations;
“approved restructured hospital” means any restructured hospital approved by the Minister for Health for the purposes of these Regulations;
“assured amount”  —
(a)in relation to each item of medical treatment received by a person insured under 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)in relation to each item of medical treatment received by a person insured under 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)in relation to each item of medical treatment received by a person insured under 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 or the assured amount for that item of medical treatment, whichever is the lower;
“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”, in relation to a member, means —
(a)a member’s spouse, child, parent or grandparent; or
(b)any other person who is dependent on the member and whom the Board may approve for the purpose of these Regulations;
“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, 2005 Ed.) and shall not include any excluded medical treatment;
“Government premium rebate” means the sum of money, equivalent to the amount of premium payable under the Scheme in Division 2 of Part II after deducting any premium rebate in regulation 17, which may be paid by the Government to a person under the MediShield Scheme for the Elderly;
“incapacitated” has the same meaning as in section 28 of the Act;
“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)treatment of neoplasms by chemotherapy;
(c)radiotherapy for cancer;
(d)administration of cyclosporin or tacrolimus for organ transplant;
(e)administration of erythropoietin for dialysis and chronic renal failure;
(f)gamma knife treatment;
“insurer” means any insurer which is registered under the Insurance Act (Cap. 142);
“integrated medical insurance plan” means any plan under which a person is insured —
(a)under a medical insurance policy which is approved by the Minister for Health for the purposes of regulation 4(1)(b) of the Central Provident Fund (Private Medical Insurance Scheme) Regulations 2005 (G.N. No. S 428/2005); and
(b)where applicable, under the Scheme in Division 2 of Part II;
“lifetime claim limit” means the total amount that may be claimed by an insured person under the Scheme in his lifetime;
“medical practitioner” means any medical practitioner registered under the Medical Registration Act (Cap. 174) or any dentist registered under the Dentists Act (Cap. 76);
“medical treatment” means any medical, surgical, radiotherapy, treatment of neoplasms by 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;
“premium rebate” means the premium rebate specified in regulation 17;
“private medical insurance plan” means any medical insurance policy which is approved by the Minister for Health for the purposes of regulation 4(1)(a) of the Central Provident Fund (Private Medical Insurance Scheme) Regulations 2005;
“policy year” means a period of 12 months from the date of the commencement or renewal of an insured person’s insurance cover under the Scheme;
“policy year limit” means the total amount that may be claimed by an insured person under the Scheme in a policy year;
“premium” means the premium payable by an insured person or by a member whose dependant is an insured person in each policy year under the Scheme;
“Scheme” means the MediShield Scheme in Division 2 or 3, as the case may be, of Part II;
“subsidised day surgical treatment” means any day surgical treatment received by a person for which that person received a subsidy from the Government;
“treatment of neoplasms by chemotherapy” means the administration of tested and approved chemotherapeutic agents by the usual and known routes in the treatment of malignant neoplasms, certain benign neoplasms and neoplasms of uncertain behaviour as approved by the Minister for Health for the purposes of these Regulations;
“unsubsidised day surgical treatment” means any day surgical treatment received by a person for which that person did not receive any subsidy from the Government.
Persons not covered under Scheme
3.—(1)  Except as expressly provided otherwise in these Regulations, these Regulations shall not apply to —
(a)any person who has attained the age of 80 years ;
(b)any person who is neither a citizen nor a permanent resident of Singapore;
(c)any person who is physically or mentally incapacitated from ever continuing in any employment;
(d)any person who is of unsound mind;
(e)any person who is suffering from a terminal illness or disease; and
(f)any person or class of persons whom the Minister may, by notification in the Gazette, specify.
(2)  Notwithstanding anything in paragraph (1)(a), these Regulations shall apply to an insured person whose policy year under the Scheme had commenced within the 12-month period immediately preceding his attaining 80 years of age, until the end of that policy year.
Made this 29th day of June 2005.
YONG YING-I
Permanent Secretary,
Ministry of Manpower,
Singapore.
[MMS 10.1/82 V12; AG/LEG/SL/36/2005/3 Vol. 1]
(To be presented to Parliament under section 78(2) of the Central Provident Fund Act).