"senior Citizens And Travel Insurance: Exploring Options For Australian Travelers"

  "senior Citizens And Travel Insurance: Exploring Options For Australian Travelers" - This article was previously published on June 1, 2018 and has been updated to reflect recent changes to various programs, grants and subsidies in 2020 at the time of writing.

Similar to many other developed countries, Singapore has and will continue to face an aging population. In short, our nation's population is aging, and more and more older people are being supported by fewer and fewer young people.

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While a country's natural replacement rate is usually 2.1 children per woman, our country's current fertility rate is only 1.14.

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This means healthcare schemes, grants and subsidies will become even more important as Singaporeans grapple with the challenges posed by an aging population.

The government has put in place a number of programs to support our seniors through their golden years. These schemes are administered by various government departments, including the Ministry of Health, the Central Provident Fund Board (CPF Board) and the Housing and Development Board.

One of the biggest challenges for health and social care workers in Singapore is getting the right information to the right people. Although Singapore has many schemes, subsidies and grants for seniors, many eligible seniors may not take advantage of them because they don’t even know they exist.

You can do your part by learning about the various schemes, grants and subsidies to support yourself or your aging loved ones through their golden years.

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The various schemes, grants and subsidies can be divided into three groups. They are 1) Medical Subsidy, 2) MediShield Life and 3) Everyday Senior Care Support.

The Community Health Assistance Scheme (CHAS) helps Singaporeans from low- and middle-income families as well as all Nation Builders

, subsidized medical and dental care at participating general practitioners (GPs) and dental practices near their home.

CHAS is a graduated subsidy scheme. This means that low-income families will enjoy higher subsidies. The subsidy level depends on the family's per capita monthly income. If your family has no income, the subsidy level will be linked to the annual value of your home as assessed by the Inland Revenue Authority of Singapore.

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However, senior citizens who qualify for the Pioneer Generation Package will enjoy enhanced CHAS benefits regardless of their household income.

To apply, you can visit the CHAS website, or go to any public hospital, polyclinic, community center (CC) or community development committee (CDC).

Introduced in the 2014 Singapore Budget, the Pioneer Generation Package (PGP) is an $8 billion healthcare fund for the Pioneer Generation, consisting of Singaporeans born in 1949 who acquired Singapore citizenship before 31 December 1986 composition.

In total, approximately 450,000 citizens are eligible for PGP, which includes 1) Outpatient Care Subsidy, 2) MediShield Life Premium Subsidy 3) Medisave Top Up, 4) Disability Income Assistance and 5) Participation Incentive to join CareShield Life.

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– Lifetime annual Medisave supplements ranging from $200 to $800. Also, top-ups are tiered, meaning the older you are, the more subsidized you get.

– Join CareShield Life by December 31, 2023 to receive a total of $4,000 in participation incentives. This will be spread over ten years and used to offset the annual CareShield Life premium.

The Merdeka Generation Package is applicable to Singaporeans born between 1 January 1950 and 31 December 1959 and who became Singapore citizens on or before 31 December 1996. The package is also applicable to senior citizens who did not receive the Pioneer Generation Package but were born on or before 31 December 1996. On or before 31 December 1949, and became a Singapore citizen on or before 31 December 1996

To honor the generation that led the nation as it grew, the Merdeka Generation package includes 1) one-time US$100 PAssion Silver top-up, 2) MediSave top-up, 3) subsidized outpatient care, 4) participation bonus for joining CareShield Life and 5) Additional MediShield Life premium subsidy

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– A one-time $100 PAssion Silver top-up that can be used for public transportation, ActiveSG gym and pool admission, merchants accepted by Ezlink, and Active Aging programs.

– An additional 25% discount on remaining bills for subsidized services and medicines at polyclinics and public Specialty Outpatient Clinics (SOCs). Subsidized rates for public SOCs require a referral from a polyclinic or CHAS clinic.

– An additional 5% subsidy on annual premiums for MediShield Life, increasing to 10% after age 75.

Non-pioneer generation senior Singaporeans to get $100-$200 a year in Medisave top-ups

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Medisave can be used to pay for your personal or immediate family members’ hospitalization expenses, day surgery expenses and certain outpatient expenses at any hospital in Singapore.

No registration is required if you have already received GST Voucher-Cash or GST Voucher-Medisave. Otherwise, you can apply through any community centre, social services office (SSO), provident fund service center or GST voucher website.

Launched in 2015, the scheme allows seniors aged 65 and over to use an additional $200 of their annual medical savings for outpatient treatment at CHAS-registered public sector Specialist Outpatient Clinics (SOCs), GPs and polyclinics.

Note that the $200 in Flexi-Medisave can be used on top of other outpatient medical savings limits, such as the $400 annual limit for the Chronic Disease Management Plan and the $300 limit for outpatient scans.

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You can learn more about the use of Flexi-Medisave in a press release issued by the Department of Health.

MediShield Life is a basic health insurance plan that covers major hospital bills and certain outpatient treatments and is available to Singapore Citizens and Permanent Residents. The government subsidizes up to 50% of MediShield Life premiums for all seniors from low- and moderate-income families.

Additional support will be provided for seniors who cannot afford MediShield Life premiums even after subsidies. No application is required for this, as the subsidy will be allocated based on existing information in the government database.

To check or update the household information used to calculate the premium subsidy, you can check the Home Check Electronic Service.

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Medifund Silver targets seniors in need and helps seniors who need financial support as their medical bills run out. Medifund assistance can be sought by consulting with a Medical Social Worker at a Medifund-approved agency.

While CHAS, PGP, and the various MediShield and Medisave subsidies and top-ups have been amply discussed, there are many areas that are offered under Senior Care Support that are less well known.

The ILTC subsidy is not only for the elderly, but also for those who need further care and treatment after discharge from hospital and those who are frail and need daily assistance.

Access to this type of medical and social care can be expensive in the long run, with subsidies of up to 80% for home care and up to 75% for residential services (such as nursing homes) to help offset these costs.

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To qualify for these subsidies, the main eligibility criteria are: 1) the person must be a Singapore citizen or permanent resident, 2) meet the required entry criteria for ILTC services, and 3) be receiving care from a provider funded by the Ministry of Health.

Again, the subsidy is graded according to the monthly household income per person and varies according to the type of care required.

Offered by HDB, this program allows HDB homeowners who are 65 or older, or have family members who are 65 or older in their home, to make their apartment senior-friendly by installing useful items. These items include grab bars, non-slip bathroom floors and ramps.

People between the ages of 60 and 64 who need assistance with one or more Activities of Daily Living (ADLs) are also eligible. These activities include washing/bathing, dressing, feeding, toileting, mobilization, and transfers.

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You can apply for EASE through HDB e-Services, Mobile@HDB on your mobile phone, or by going to the HDB branch administering your estate. So if you are already planning to install these items, don't miss out on such subsidies.

Also read: Government guidance on subsidizing non-slip tiles, handrails and ramps under the Enhancement for Active Seniors (EASE) scheme

Seniors who wish to hire an FDW, or those who wish to hire an FDW to care for family members who live with them, may qualify for a lower tax rate of $60 per month. The qualifying age for seniors is 67. This only applies to Singaporean seniors. If the elder is a permanent resident and you or your spouse is a Singaporean, you can also apply for tax concessions.

If you're an employer, you don't need to apply, as the concession will automatically apply to all seniors aged 67 and over.

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In addition, persons with disabilities (PWD), certified by a Singapore-registered medical practitioner as needing assistance with at least one activity of daily living (ADL), such as showering, feeding, dressing or toileting, are also eligible for the concession.

If you hire a foreign domestic worker to care for a family member who needs 3 or more ADLs of permanent assistance, you may also be eligible for the Home Care Supplement, which is $200 a month. See AIC for more details.

Due to delays caused by COVID-19 measures, the launch of CareShield Life has been postponed to the end of 2020 instead of mid-2020 as previously announced.

CareShield Life will replace existing ElderShield and provide better coverage for

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