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Outpatient Insurance in Singapore for Expats

Outpatient insurance in Singapore helps cover medical expenses for treatments that do not require hospitalization. It typically includes consultations with doctors, diagnostic tests, prescription medications, and services like physiotherapy or traditional Chinese medicine. This makes it a practical option for expats and residents who want affordable access to routine healthcare.

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Compared to inpatient plans, outpatient insurance is more cost-effective and involves less paperwork and fewer claim procedures. It allows individuals to receive quality medical care without the need for overnight hospital stays, offering both convenience and financial savings.

So if you’re an expat looking to get medical insurance in Singapore, we’ve got you covered. In this article, we’ll give you all the deets on the differences between inpatient and outpatient care, as well as the pros and cons of both types of outpatient care in Singapore.

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Key Differences Between Inpatient and Outpatient Care

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The main difference between outpatient and inpatient care is that inpatient care involves overnight stays in a hospital, while outpatient care does not require hospitalization and is typically provided in clinics or specialized facilities.

It’s essential to be informed about several key aspects since coverage plans may differ in the scope of benefits provided. The section below provides a detailed explanation of each type of care.

What Is Inpatient Care and What Does It Cover?

An inpatient is essentially an individual who has been hospitalized and is required to stay overnight, whether for a short duration or an extended period. Doctors opt to keep these patients within the hospital to ensure closer monitoring of their condition.

In comparison to outpatient care, inpatient care typically incurs higher costs due to overnight stays in a hospital or facility, along with the need for continuous care throughout the day and night. Conversely, outpatient care tends to be less expensive as it does not include overnight stays.

Inpatient insurance may include the following benefits:

  • Accommodation in semi-private or private hospital rooms during surgical procedures
  • Access to intensive care facilities
  • Coverage for medical fees, including those for nurses and doctors
  • Provision of inpatient medications administered during hospitalization
  • Inclusion of fees for surgery, anesthesia, and use of operating rooms
  • Reimbursement for ambulance transportation costs
  • Coverage for diagnostic tests such as X-rays, CAT scans, PET scans, and laboratory tests
  • Provision of surgical appliances and expenses related to prosthetic devices
  • Coverage for organ transplant procedures

Health insurance typically covers inpatient care, although outpatient care coverage may vary depending on the insurance plan. Do keep in mind that some plans solely provide coverage for inpatient care, whereas others extend coverage to both inpatient and outpatient care.

What Is Outpatient Care and Why It’s Cheaper

Outpatient care includes any medical service or treatment that does not necessitate hospitalization. For instance, a routine annual check-up with your primary care physician is an example of outpatient care.

Any visit to a clinic or specialized facility that is not within a hospital setting is categorized as outpatient care. This also applies to urgent situations where patients are discharged from the emergency department on the same day they arrive.

Since outpatient care typically requires less of the hospital’s resources, the treatments and procedures tend to be cheaper compared to inpatient care.

What Services Are Included in Outpatient Insurance Plans?

Different plans offer diverse levels of benefits for both inpatient and outpatient care. Thus, it’s essential to understand the scope of your insurance coverage. Be sure to review the outpatient schedule to guarantee that you and/or your family are adequately covered for future treatments.

Outpatient insurance in Singapore may typically provide coverage for:

  • General practitioners expenses
  • Clinic visits
  • Specialists visits
  • Prescription medication expenses
  • Vaccinations
  • Diagnostic tests such as X-rays
  • Scheduled health examinations

Outpatient insurance plans in Singapore may also offer coverage for chiropractic care and alternative therapies like Traditional Chinese Medicine (TCM). It’s important to note that while certain aspects of alternative therapies may be covered, not all components may be included in the policy.

Also, keep in mind that when searching for health insurance in Singapore, a broker or insurer may ask you whether you’re looking for a standard inpatient-only plan or a plan that includes both inpatient and outpatient insurance coverage.

Common Exclusions in Outpatient Insurance Coverage

The general exclusions of outpatient insurance coverage include dental treatments, cosmetic procedures, and pre-existing medical conditions, to name a few.

However, it’s important to note that there are some general exclusions and limitations to outpatient benefits, which can differ based on different insurers. Therefore, it’s a good idea to be aware of these common exclusions:

  • Pre-existing medical conditions
  • Injuries or illnesses resulting from self-inflicted actions or involvement in criminal activities or substance abuse
  • Cosmetic procedures such as botox treatments
  • Pregnancy and childbirth-related expenses
  • Dental care treatments

Outpatient Insurance in Singapore: Pros and Cons for Expats

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Outpatient coverage offers cost-effective and convenient healthcare options, particularly appealing to younger generations. With that said, it may not provide the comprehensive protection desired by older individuals and often requires bundling with inpatient coverage.

From cost-saving advantages to generational comfort levels, here’s what you need to know about outpatient insurance.

Pros

  • Cheaper rates compared to inpatient coverage, which means potential savings on medical bills.
  • Helps ease the financial load for employees during sick days.
  • Minimal hassle with paperwork and claims, making the process smoother.
  • Likely to catch the eye of younger generations like Gen Z and younger millennials due to its affordability and convenience.

Cons

  • Older millennials, Gen Xers, and Baby Boomers might not feel comfortable with only outpatient coverage, preferring more comprehensive plans.
  • Many insurance companies don’t offer standalone outpatient coverage, so you might have to sign up for inpatient services to get outpatient benefits.

Frequently Asked Questions

What is the healthcare policy in Singapore?

In Singapore, citizens benefit from universal healthcare, where the government funds the public health system and mandatory health insurance. Access to care in public facilities is straightforward, although public healthcare services are not free.

Can foreigners get healthcare in Singapore?

Only Singaporeans and permanent residents are eligible. Expats, on the other hand, must pay their medical expenses in cash, which can be costly. Consequently, many expats in Singapore choose private insurance, either through employer-provided group insurance or individual insurance plans.

Is Singapore’s healthcare system good?

As per the 2023 Legatum Prosperity Index, Singapore ranked 1st among 104 countries, in the “health component” category which evaluates the population’s overall health and accessibility to essential health services.

Is healthcare in Singapore expensive?

Healthcare costs in Singapore are relatively high for the region but less than what you might expect in the US. This is not surprising, given the evolving demographics in Singapore and investments made by hospitals in advanced medical technology, attracting medical tourists from overseas.

Conclusion

While inpatient care involves hospitalization, outpatient care provides medical treatments not require admission, thus making it cheaper. Understanding the differences between inpatient and outpatient insurance coverage is essential when looking for healthcare options in Singapore. 

Outpatient insurance in Singapore caters to a wide range of medical needs, including consultations, diagnostic tests, and alternative therapies like traditional Chinese medicine. However, it’s crucial to be familiar with policy details, considering exclusions and limitations on certain treatments.

With an established reputation as a top-tier international health insurance broker, Pacific Prime boasts over 20 years of experience tailoring health insurance plans for both locals and expats, ensuring they align with each individual requirements and budget.

So if you’re an expat in Singapore hoping to secure a comprehensive health insurance plan that covers outpatient care, we always have the pleasure to help you do just that with impartiality and service-mindedness.

If you have any further questions, do not hesitate to get in touch with us.

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Content Writer at Pacific Prime
Veerabhatr is a content writer with over 6 years of experience with a particular penchant for storytelling and marketing, both in print and online. He now works with an experienced team of writers at Pacific Prime, aiming to shed light on the essence and benefits of insurance for companies and individuals by creating engaging, informative content across multiple platforms.

After obtaining his Bachelor’s Degree in Social Sciences, International Relations from Mahidol University International College, Veerabhatr has forged his career as a content writer in the travel, lifestyle, and real estate industries, writing in both English and Thai. He now continues to hone his skills as a writer at Pacific Prime, looking to engage and educate the audience by simplifying insurance.

Writer by day, and a DJ by night, Veerabhatr is a staunch music lover, and listens to all spectrums of genres available. He also loves to drink beer (moderately), eat all types of food, go to the beach, and learn about different cultures across the globe. He is also a die-hard fan of football and motorsports.
Veerabhatr Sriyananda
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