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Applicable for admissions or treatments received on or after 1 October 2022

Inpatient/day surgery

Claim limits

Daily Ward and Treatment Charges1

- Normal ward

$800 per day*

- Intensive care unit ward

$2,200 per day*

* An additional claim limit of $200 per day applies for the first two inpatient days

- Psychiatric (up to 60 days per policy year)

$160 per day

- Community hospital (Rehabilitative)2

$350 per day

- Community hospital (Sub-acute)2

$430 per day

- Inpatient palliative care service (general)

$460 per day

- Inpatient palliative care service (specialised)

$500 per day

Surgical procedures

A

B

C

- Table 1 A/B/C (less complex procedures)

$240 

$340 

$340 

- Table 2 A/B/C

$580 

$760 

$760 

- Table 3 A/B/C

$1,060 

$1,160 

$1,280 

- Table 4 A/B/C

$1,540 

$1,580 

$1,640 

- Table 5 A/B/C

$1,800 

$2,180 

$2,180 

- Table 6 A/B/C

$2,360 

$2,360 

$2,360 

- Table 7 A/B/C

$2,600 

$2,600 

$2,600 

Implants

$7,000 per treatment

Radiosurgery, including Proton Beam Therapy – Category 4

$10,000 per treatment course

Continuation of autologous bone marrow transplant treatment for multiple myeloma

$6,000 per treatment



Applicable for admissions or treatments received on or after 1 December 2023

Outpatient treatment

Claim limits

Patients receiving treatment for one primary cancer

- Cancer drug treatment1

$200 - $9,600 per month, depending on cancer drug treatment1

- Cancer drug services

$3,600 per year

Patients receiving treatment for multiple primary cancers2

- Cancer drug treatment1

Sum of the highest cancer drug treatment limit amongst the claimable treatments received for each primary cancer per month

- Cancer drug services

$7,200 per year

Radiotherapy for cancer

- External (except Hemi-body)

 $300 per treatment

- Brachytherapy

$500 per treatment

- Hemi-body

$900 per treatment

- Stereotactic

$1,800 per treatment

- Proton Beam Therapy - Category 1

$300 per treatment

- Proton Beam Therapy - Category 2

$500 per treatment

- Proton Beam Therapy - Category 3

$1,800 per treatment

Kidney Dialysis

 $1,100 per month

Immunosuppressants for organ transplant

 $550 per month

Erythropoietin for chronic kidney failure

$200 per month

Long-term parenteral nutrition

$1,700 per month

1 Refer to the Cancer Drug List on the MOH website for the applicable claim limit.

 

2Defined as two or more cancers arising from different sites and/or are of a different histology or morphology group. The claim limits for patients receiving treatment for multiple primary cancers are accorded on an application basis; doctors are to send the application form to MOH for assessment.


Maximum claim limits

 

Maximum claim limits

Claim limits

Per policy year

 $150,000

Per lifetime

No limit

1 Includes meal charges, prescriptions, professional charges, investigations and other miscellaneous charges

2 Claimable only upon referral from a hospital after an inpatient admission or from a public hospital’s emergency department for further medical treatment.


Exclusions

Excluded treatments and procedures

There are a number of standard exclusions which are not covered by MediShield Life.

Standard exclusions



Applications

Learn how to authorise the use of your MediShield Life or get reimbursed