facebookShould the "panel of specialists" in hospitalisation plans today be a concern for those thinking about upgrading their "old" hospitalisation plan? - Seedly

Anonymous

03 Jan 2020

Insurance

Should the "panel of specialists" in hospitalisation plans today be a concern for those thinking about upgrading their "old" hospitalisation plan?

Hi guys, so I have the NTUC Assist Rider. I'm thinking of upgrading to cover private hospitals, but doing so means i lose my Assist Rider benefit (10% copayment cap at $2.5k). Noticed that for new riders (classic or deluxe care riders), there's no copayment cap on non-panel specialists. Should that be a factor for me to consider? How likely I get hospitalised in a private hospital that is not a panel specialist, then end up have to copay with no cap?

Thanks in advance for advice

Discussion (3)

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Tan Li Xing

03 Jan 2020

Financial Consultant at Prudential Assurance Company (Singapore)

Hi Anon,

I think that really depends on what you are looking at. 1 of the main reasons why we would want to upgrade our coverage to that of private hospitals is usually because in private hospitals, we have the option to choose our doctors and also treatment as well. And sometimes in such a case, the panel of specialists in the hospitalistion plan might not even come into play.

Also with the change to coverage for up to private hospitals, usually the annual claimable limit is increased drastically, as compared to public hospitals. Also when you select coverage to that of private hospitals, you have the options to choose public healthcare if you would like to, but if your coverage is only for public healthcare and should you decide to choose treatment in a private hospital instead, there will be a pro-ration factor I believe. So you got to see what suits you and makes the best sense to you​​​

Josh Tan Jian Liang

10 Dec 2019

Co-founder https://theastuteparent.com at Promiseland Independent Pte Ltd

Hi Anon,

I'm an IFA and personally also using NTUC incomeshield.

Yes if you are upgrading to private plan, your Assist Rider will have to change to classic rider.

Good part is, Classic rider is about 10-20% cheaper than assist rider because of the panel limitations. Bad is there's non-panel specialists limitations to claims as you are aware.

Few points to clarify on NTUC Rider panels:

For consultation fees, medicines, examinations and tests for outpatient hospital treatment claim, we will not apply the co-payment limit if the insured’s stereotactic radiotherapy, radiotherapy, chemotherapy, immunotherapy (if it applies) or outpatient renal dialysis is not provided

by our panel1.

For each claim that meets the limits on special benefits (if it applies) or limit in each policy year of your policy, the co-payment for that claim will not be added towards the co-payment limit of $3,000 for each policy year.

With this rider, you will have to make an additional non-panel payment of up to $2,000 in each policy year for inpatient hospital treatment, pre-hospitalisation treatment, post-hospitalisation treatment or special benefits claim(s) (if it applies) if the treatment during the insured’s stay in hospital is not provided by our panel1.

Should that be a factor for me to consider?

This is a tough questions. If you chose advantage plan at the start, perhaps you were more inclined to government hospitals at the start? If government hospital claim, then the panel issue is a non-factor.

It's only a factor if you now have a preferred specialist that is not in NTUC's panel (more than 200 specialist) over here https://www.income.com.sg/specialist-panel .

If you've further questions or need policy servicing, do contact NTUC's hotline or email to [email protected]. Take care

Pang Zhe Liang

09 Dec 2019

Fee-Based Financial Advisory Manager at Financial Alliance Pte Ltd (IFA Firm)

Yes, that should be a factor for you to consider.

At the base level, you will need to understand th...

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