Central Provident Fund (Medisave Account Withdrawals) (Amendment) Regulations 2004

No. S 642

Central Provident Fund Act

(Chapter 36)

Central Provident Fund (Medisave Account Withdrawals) (Amendment) Regulations 2004

In exercise of the powers conferred by section 77(1)(j) of the Central Provident Fund Act, the Minister for Manpower, after consulting with the Central Provident Fund Board, hereby makes the following Regulations:

Citation and commencement

1.—(1) These Regulations may be cited as the Central Provident Fund (Medisave Account Withdrawals) (Amendment) Regulations 2004 and shall, with the exception of regulation 3, be deemed to have come into operation on 1st August 2004.

(2) Regulation 3 shall be deemed to have come into operation on 1st November 2001.

Amendment of regulation 2

2. Regulation 2(1) of the Central Provident Fund (Medisave Account Withdrawals) Regulations 2001 (G.N. No. S 570/2001) (referred to in these Regulations as the principal Regulations) is amended —

(a)

by deleting the definition of “approved medical practitioner” and substituting the following definition:

“ “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;”;

(b)

by inserting, immediately after the definition of “medical clinic”, the following definition:

“ “medical practitioner” means any medical practitioner registered under the Medical Registration Act (Cap. 174) or any dentist registered under the Dentists Act (Cap. 76);”; and

(c)

by inserting, immediately after the definition of “out-patient”, the following definition:

“ “pre-delivery medical treatment” means any medical treatment prescribed by a medical practitioner that is received by a pregnant woman in relation to her pregnancy before the delivery of a child or the termination of her pregnancy;”.

Amendment of regulation 4

3. Regulation 4 of the principal Regulations is amended —

(a)

by deleting the words “, subject to a maximum of $3,000 per year per patient in excess of the amount permitted to be withdrawn under sub-paragraph (i) or (ii), as the case may be” in paragraph (1)(a)(iii); and

(b)

by deleting paragraph (2) and substituting the following paragraph:

“(2) The total amount that may be withdrawn by a member for the payment of attendance fees of all approved medical practitioners under this regulation shall not exceed $50 for each day the member or his dependant is hospitalised.”.

Amendment of regulation 10

4. Regulation 10 (2) of the principal Regulations is amended by deleting the words “regulation 4 or 5” and substituting the words “regulation 4, 5 or 13A”.

Deletion and substitution of regulation 13 and new regulation 13A

5. Regulation 13 of the principal Regulations is deleted and the following regulations substituted therefor:

“Delivery charges

13.—(1) Where a female member, or a female dependant of a member, has received medical treatment as an in-patient from an approved medical practitioner in an approved hospital in respect of her confinement for the delivery of a child, no withdrawal shall be made under regulation 4 for the payment of any charges relating to the medical treatment, except with the approval of the Minister for Health, if —

(a)

the child is delivered before 1st August 2004 and, at the time of such delivery, the female member or female dependant had 3 or more living children; or

(b)

the child is delivered on or after 1st August 2004 and, at the time of such delivery —

(i)	the female member or female dependant has 4 or more living children; and
(ii)	the total of the amounts standing to the credit of the parents of the child in their respective medisave accounts is less than $15,000.

(2) Notwithstanding paragraph (1)(b)(ii), where the total of the amounts standing to the credit of the parents of the child in their respective medisave accounts is less than $15,000, but will be increased to $15,000 within such period after the date of the delivery of the child as the Board may determine, the Board may, on the application of a member, in its discretion and subject to such terms and conditions as it may impose, allow the member to make the withdrawal without the approval of the Minister for Health under paragraph (1).

Pre-delivery medical treatment

13A.—(1) Except as provided in this regulation, no withdrawal shall be made for the payment of any charges incurred by a female member, or a female dependant of a member, in respect of any pre-delivery medical treatment received by her.

(2) Subject to paragraphs (3) and (4), where a female member, or a female dependant of a member, who has received pre-delivery medical treatment undergoes on or after 1st August 2004 the delivery of a child or the termination of her pregnancy as an in-patient, the total amount that may be withdrawn by the member for the payment of the pre-delivery medical treatment and the medical treatment for the delivery of the child or the termination of the pregnancy shall not exceed the aggregate of —

(a)

the lower of —

(i)

the total of all charges actually incurred in respect of the pre-delivery medical treatment and the medical treatment for the delivery of the child or the termination of the pregnancy; or

(ii)

the total of —

(A)	a sum of $300 per day multiplied by the number of days the female member or female dependant was hospitalised; and
(B)	the fees or part thereof for the pre-delivery medical treatment and the medical treatment for the delivery of the child or the termination of the pregnancy not in excess of the amounts determined by the Minister for Health for such treatments; and

(b)

in a case involving one or more additional operations, the amount of operation fees for a maximum of 3 surgical procedures involving not more than 2 anatomical systems and not more than 2 procedures within each system, which shall not exceed —

(i)	the amount as determined by the Minister for Health for such operation or operations; or
(ii)	a total of $5,000,

whichever is the lower.

(3) The total amount that may be withdrawn by a member under paragraph (2)(a)(ii) (A) for the payment of attendance fees of all approved medical practitioners who treated the member or dependant, as the case may be, shall not exceed $50 per day.

(4) No withdrawal shall be made under paragraph (2) for the payment of any charges relating to pre-delivery medical treatment received by a female member, or a female dependant of a member —

(a)

if the charges are not claimed as part of the charges for the delivery of a child or the termination of her pregnancy, as the case may be; or

(b)

if she undergoes the delivery of a child and at the time of her delivery —

(i)	she has 4 or more living children; and
(ii)	the total of the amounts standing to the credit of the parents of the child in their respective medisave accounts is less than $15,000,

and the Minister for Health does not approve the payment of the charges.

(5) Subject to paragraphs (6) and (7), where a female member, or a female dependant of a member, who has received pre-delivery medical treatment undergoes on or after 1st August 2004 any day surgical treatment to terminate her pregnancy, the total amount that may be withdrawn by the member for the payment of the pre-delivery medical treatment and the day surgical treatment shall not exceed the aggregate of —

(a)

the lower of —

(i)

the total of all charges actually incurred in respect of the pre-delivery medical treatment and the day surgical treatment; or

(ii)

the total of —

(A)	a sum of $150 for hospital charges for the day the female member or female dependant undergoes the day surgical treatment; and
(B)	the fees or part thereof for the pre-delivery medical treatment and the day surgical treatment, not in excess of the amounts determined by the Minister for Health for such treatments; and

(b)

(i)	the amount as determined by the Minister for Health for such operation or operations; or
(ii)	a total of $5,000,

whichever is the lower.

(6) The total amount that may be withdrawn by a member under sub-paragraph (a)(ii)(A) of paragraph (5) for the payment of attendance fees of all approved medical practitioners who treated the member or dependant, as the case may be, on the day referred to in that sub-paragraph shall not exceed $30.

(7) No withdrawal shall be made under paragraph (5) for the payment of any charges relating to pre-delivery medical treatment received by a female member, or a female dependant of a member, unless the charges are claimed as part of the charges for the termination of her pregnancy.

(8) Notwithstanding paragraph (2), the Minister for Health may, on the application of a member, in the Minister’s discretion and subject to such terms and conditions as the Minister may impose, authorise the member to make a withdrawal under paragraph (2) in respect of the delivery of a child if —

(a)	the child was delivered before 1st August 2004; and
(b)	all other requirements for a withdrawal under paragraph (2) have been satisfied.

(9) Notwithstanding paragraph (4)(b)(ii), the Board may, on the application of a member, in its discretion and subject to such terms and conditions as it may impose, allow the member to make a withdrawal under paragraph (2) without the approval of the Minister for Health under paragraph (4)(b)(ii) in respect of the delivery of a child if —

(a)	the total of the amounts standing to the credit of the parents of the child in their respective medisave accounts will be increased to $15,000 within such period after the date of the delivery of the child as the Board may determine; and
(b)	all other requirements for a withdrawal under paragraph (2) are satisfied.

(10) Nothing in this regulation authorises any member to withdraw any sum under this regulation in excess of the total credit balance in the member’s medisave account.”.

Amendment of regulation 15

6. Regulation 15 of the principal Regulations is amended by deleting paragraph (1) and substituting the following paragraphs:

“(1) Notwithstanding anything in these Regulations but subject to this regulation, where a female member or spouse of a male member has received medical treatment for conception from an approved medical practitioner as an in-patient or out-patient from an approved hospital or an approved clinic designated by the Minister for Health, the amount that may be withdrawn by the member to pay for such treatment shall not exceed —

(a)

where the medical treatment for conception was received before 1st August 2004 —

(i)	a sum of $4,000 per treatment cycle; or
(ii)	the total credit balance in the member’s medisave account,

whichever is the lower; or

(b)

where the medical treatment for conception was received on or after 1st August 2004 —

(i)

in the case of the first withdrawal for a treatment cycle —

(A)	a sum of $6,000; or
(B)	the total credit balance in the member’s medisave account,

whichever is the lower;

(ii)

in the case of the second withdrawal for a treatment cycle —

(A)	a sum of $5,000; or
(B)	the total credit balance in the member’s medisave account,

whichever is the lower; or

(iii)

in the case of the third withdrawal for a treatment cycle —

(A)	a sum of $4,000; or
(B)	the total credit balance in the member’s medisave account,

whichever is the lower.

(1A) Notwithstanding paragraph (1), where a female member or spouse of a male member has received medical treatment for conception before 1st August 2004, the Minister for Health may, on the application of the member, in the Minister’s discretion and subject to such terms and conditions as the Minister may impose, authorise the member to make a withdrawal in accordance with paragraph (1)(b).”.

[G.N. Nos. S 679/2001; S 102/2002; S 319/2002; S 528/2002]

Made this 11th day of October 2004.

YONG YING-I

Permanent Secretary,
Ministry of Manpower,
Singapore.

[MMS 10/82 V20; AG/LEG/SL/36/2002/2 Vol. 5]

(To be presented to Parliament under section 78(2) of the Central Provident Fund Act).

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