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Expat Exchange - Enrolling in the Public Healthcare System in Singapore
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Marina Bay, Singapore


Enrolling in the Public Healthcare System in Singapore

By Betsy Burlingame

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Summary: A primer on how to enroll in the public healthcare system in Singapore.

If you're planning to enroll in the public healthcare system in Singapore, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

Singapore is renowned for its efficient and high-quality healthcare system. The public healthcare system, managed by the Ministry of Health, is a significant part of the country's healthcare infrastructure. It is not mandatory for all residents, but a large majority of Singaporeans and permanent residents use the system due to its affordability and quality of care. The system is funded by a combination of government subsidies, compulsory savings, a national insurance scheme, and out-of-pocket payments by patients.

Quality and Costs of Singapore's Public Healthcare System

The World Health Organization ranks Singapore's healthcare system as one of the best in the world. The public healthcare system is known for its efficiency and the high standard of care it provides. It includes a network of polyclinics, public hospitals, and specialty centers. The costs are kept affordable through heavy government subsidies, which can cover up to 80% of the total bill in public hospitals.

Eligibility for Foreigners

Foreigners are not automatically eligible for the public healthcare system in Singapore. However, those who hold a valid work pass, such as an Employment Pass, S Pass, or Work Permit, can access public healthcare services. They are, however, not eligible for government subsidies and must pay the full cost of treatment. Foreigners who become permanent residents (PRs) can enjoy subsidized rates.

Steps for Enrolling in the Public Healthcare System

  1. Obtain a valid work pass: To access public healthcare services, foreigners must first obtain a valid work pass. This can be an Employment Pass, S Pass, or Work Permit.
  2. Apply for Permanent Residency: To enjoy subsidized rates, foreigners can apply for permanent residency. This process involves submitting an application to the Immigration and Checkpoints Authority (ICA) and can take several months.
  3. Enroll in MediShield Life: Once a foreigner becomes a PR, they are automatically enrolled in MediShield Life, a basic health insurance plan that helps to pay for large hospital bills and selected costly outpatient treatments.

Alternative Options for Foreigners

Given that foreigners are not eligible for government subsidies until they become PRs, many opt for private health insurance to cover their healthcare costs. There are numerous insurance providers in Singapore that offer a range of health insurance plans, including coverage for hospitalization, outpatient treatment, and specialist consultations.

Foreigners may also choose to seek treatment in private hospitals and clinics, which offer a higher level of comfort and shorter waiting times, but at a higher cost. It's important to note that private health insurance is often necessary to cover the costs of private healthcare.

In conclusion, while Singapore's public healthcare system is primarily designed for its citizens and PRs, foreigners with a valid work pass can still access public healthcare services, albeit at a higher cost. To mitigate these costs, many foreigners opt for private health insurance or seek to become PRs.

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About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


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