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Continued from
FrontPage of Article
Annex A
(I) Claims Return Rate
Under the "Claims
Return Rate" category, we publish:
(a) The percentage
of claims processed by insurers for cases with positive payouts,
within one week, two weeks and a month (called cumulative claims
return rate);
(b) The median
number of days it takes for each insurer to process claims with
payouts.
After insurers
complete claims assessment, the claim is forwarded to CPF Board, who
typically takes one additional day to finalise claims assessment.
Payment is subsequently made to the claimant through the hospital.
Table 1: Claims
return rate
(1)
|
|
<= 1 week |
<= 2 weeks |
<= 4
weeks |
Median
(Days) |
|
AIA |
62% (+6%) |
80% (+9%) |
87% (+6%) |
6 (-1 day) |
|
AVIVA |
62% (+12%) |
67% (+2%) |
75% (+4%) |
5 (-2 days) |
|
Great
Eastern |
63% (+21%) |
71% (+8%) |
84% (+3%) |
4 (-6 days) |
|
NTUC
Income |
27% (+26%) |
41% (+31%) |
74% (+22%) |
18 (-10 days) |
|
Prudential |
- (2) |
- (2) |
- (2) |
- (2) |
(From July to Sept
2006.
Figures in brackets show change from 15th August publication)
Note (1): The
number of days insurers take to process claims includes the time it
takes to obtain medical records from claimants or medical
institutions.
Note (2):
Insufficient claims in the time period for statistically significant
results
(II) Letter of Guarantee
(III) Absorption of Cost of Medical Records
The letter of
guarantee, provided by insurers to hospitals, is an assurance of
payment on behalf of the patient for the portion of the hospital
bill covered by insurance. It alleviates the financial burden on
patients by reducing the amount that patients have to pay upfront to
hospitals.
Medical records can
be requested from medical institutions by either the insurer or
claimant. Medical institutions levy a charge for medical records due
to the administrative costs of retrieving and collating medical
information.
|
|
Provides
Letter of
Guarantee |
Absorbs
costs of obtaining medical records
(1)
|
|
AIA |
No |
No |
|
AVIVA |
No |
No |
|
Great
Eastern |
No |
Yes |
|
NTUC
Income |
Provided to
Restructured Hospitals and Institutions |
Yes |
|
Prudential |
No |
No |
(As of 15 November
2006)
Note (1): Insurers
who are shown to absorb the cost of obtaining medical records do so
in the majority (more than 90%) of cases. There might still exist
situations where the claimant is requested to pay for medical
records.
Source:
www.moh.gov.sg Media Release
15 Nov 2006
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