Co-Insurance

Percentage of the bill (after deductible) that you still pay. MediShield Life co-insurance is typically 10%.

What co-insurance is

Co-insurance is the percentage of an insurance claim that you pay yourself, after any deductible. The insurer pays the remainder.

Co-insurance is most familiar in Singapore's hospitalisation context — MediShield Life and most Integrated Shield Plans require co-insurance of 10% of the bill above the deductible.

How co-insurance works

Example: S$50,000 hospital bill. Deductible S$2,500. Co-insurance 10% on the remaining S$47,500 = S$4,750. Your out-of-pocket: S$2,500 + S$4,750 = S$7,250. Insurer pays the rest.

MediShield Life co-insurance steps down for larger bills: 10% on the first S$30,000 above deductible, then 5% beyond — reducing the burden of catastrophic bills.

Without co-insurance, insurance would face moral hazard — patients have no skin in the game when choosing treatments or wards.

Reducing co-insurance via riders

Since 2021, regulators mandate a minimum 5% co-payment on Integrated Shield Plan riders — you can't get coverage that pays the entire bill.

Pre-2021 riders ('full riders') paid 100%, but these proved problematic — patients had no incentive to consider cost, leading to runaway medical inflation.

Current best: an IP rider that reduces the deductible to a smaller amount and limits co-pay to 5% (regulated floor).

Effective out-of-pocket with a modern rider on a S$50,000 bill: roughly S$3,000 – S$5,000 — versus S$7,250 with no rider.

Co-insurance in other insurance products

Motor insurance: 'voluntary excess' is functionally co-insurance — you choose how much you'll pay per accident, lower premium for higher excess.

Travel insurance: 10% – 20% co-insurance on certain claims (e.g., loss of personal items).

Critical Illness: typically no co-insurance — pays the full sum assured on a valid claim.

Frequently asked questions

What is co-insurance?

The percentage of an insurance claim you pay after any deductible, with the insurer paying the remainder. Most common in hospitalisation policies — MediShield Life and standard Integrated Shield Plans charge 10% co-insurance above the deductible.

Why do insurers use co-insurance?

Skin in the game. If insurance paid 100%, patients would have no incentive to consider treatment costs. Co-insurance moderates demand and keeps premiums lower. The 2021 minimum 5% co-pay rule was a regulatory response to pre-2021 'full riders' that drove unsustainable medical inflation.

Can I reduce co-insurance?

Yes, with an Integrated Shield Plan rider. Modern riders bring out-of-pocket co-payment down to the 5% regulated minimum (with annual cap). Premium for the rider is meaningful but typically worth it for the protection on large bills.

Does co-insurance apply to outpatient treatments?

Yes for certain approved outpatient services (dialysis, chemo, immunotherapy). MediShield Life co-insurance is 10% on these; IP riders can reduce it. For most everyday GP visits and routine outpatient care, you pay 100% (these aren't typically covered by hospitalisation insurance).

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