Let me just focus on the Pioneer Generation Package. It is
all about healthcare and how to pay from their Medisave savings plus Medishield
Life and outpatient subsidies. For those who are 80 and above this year, the
Medisave top ups and Medishield Life subsidy will see them fully covered
without having to cough out extra payement. This is a fairly clear cut case.
The 70 to 80 will get their proportional top ups plus 50% subsidies on the
Medishield Life premiums. The Medisave top ups range from $200 to $800
depending on the age group with the 65s getting $200 annually for life. The
Medishield Life premium subsidies will be 40% for the 65s and 60% for the 90s.
There is a little thing that is not clear here. Would the
65s be getting $200 top up for life or the amount would increase as they hit
the higher age group? This point is very important as we get to the details of
the give and give budget. What would be the net position when the take and take
Medishield Life Scheme is announced?
Assuming the Medishield Life premium for a 65 is at $600,
can be more, a 40% subsidy would mean that he still has to pay $360. With a
$200 Medisave top up, his net payment is $160.
In the case of a 70 year old and a Medishield Life premium
of $1000, a 50% subsidy means he will have to pay $500. If he gets a $500
Medisave top up, he needs not pay anything extra.
For the 80s, the announcement is that the govt will pay
fully for their Medishield Life premium for this year, so likely the compulsory
scheme will be implemented this year. What about subsequent years? If the
Medishield Life premium is $3000, a 60% subsidy means they need only to pay
$1,200. With a $800 Medisave top up, he still needs to come up with a cash
payment of $400.
The above scenarios look very affordable and reasonable. The
situation would not be the same if the Medishield Life premiums are higher than
the above guesstimates. And for the 65s, if the Medisave top up is fixed at
$200 annually with no match up as they hit the next age group, then the higher
Medishield Life premiums will become less affordable and getting worse with
years.
The other issue to consider is the Medishield Life package
itself, what are being covered and whether there are things like co payments,
and exclusion clauses. As for the subsidies for outpatient treatments, the
pioneers will be paying less with the subsidies. There is not upfront payment
of any kind. But like all subsidised or discount pricing, the trick is how high
is the ‘marked up’ The subsidy and discount could be just a marketing ploy and
the net effect is that one is paying more and more while feeling shiok with the
high subsidies.
The thing that people may forget at this point in time is
that while the Pioneer Generation have escaped the dragnet to pay Medishield
Life for life, those that were not in the package, the younger generations and
their children will be the ones that would be there to pay and pay for life.
Can they afford it?
The euphoria now is give and give and give by the govt. Wait
for the take and take and take part to fall in place for the net effect of this
budget to be felt. Hope the morphine jab will last and the pain will not be
excruciating when it comes. There is a saying, ‘xian tian hou ku’, or give you
the sweet first then comes the bitterness.