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I have already contributed up to the Basic Healthcare Sum (BHS). Why am I still required to participate in Contribute-As-You-Earn (CAYE)?

As a self-employed person, you’re still required to make MediSave contributions even if you have met the Basic Healthcare Sum (BHS). This is from the same for employees.

The MediSave amount above the BHS will be transferred to your CPF Special Account (SA) or Retirement Account (RA), which have interest rates equal or higher than that of the MediSave Account. The BHS cap and overflow arrangement are intentionally planned to avoid over savings in MediSave and to supplement your retirement savings. These overflows which end up in your SA or RA can be withdrawn according to the withdrawal guidelines. If you’ve met the Full Retirement Sum in your SA or RA, the savings in excess of the BHS will be transferred to your Ordinary Account (OA). Savings in the OA can be used for other purposes such as housing repayment.