Subsidies for the Elderly
The Singapore Government recognizes that these step-down care services can be expensive because patients are admitted for long periods of time. As such, the government provides financial assistance in the form of subsidies to the elderly. To ensure that the subsidy goes to those who need it, an income assessment framework, called the "Means Test" was introduced in year 2000.
Subsidies are available only to elderly who: - Are Singapore citizens or Permanent Residents
- Meet the admission criteria of the step-down care services required
- Are admitted to Government funded institutions and services
The subsidy will go directly to the service providers who will use it to offset the bill for the step-down care fees and charges.
"Means Test" is a method to calculate the subsidies that an elderly will get if he/she needs step-down care services. It takes into consideration: - gross income of the patient, his/her spouse and the immediate family members
- number of family members and
- ownership of major assets such as private property
There are currently three levels of subsidy - 75%, 50% or 25%. For example, if the total income is $800 per month and there are 4 family members, then the per capita income works out to $200. The elderly will qualify for 75% subsidy. This means that the Government will pay 75% of the fees and charges incurred for step-down care while the elderly and his/her family will pay the remaining 25%. Steps to Applying for SubsidyStep 1 - Prepare the necessary documents for submission
You will need to provide the following documents for yourself, your spouse and immediate family members: - Your identity card or passport.
- Current pay slip or latest tax returns (if you are a part-time worker, an odd jobber or self-employed with no pay slip, a statutory declaration would have to be made at the Commissioner for Oaths).
- Documents indicating all sources of income including wages and rentals (before CPF deduction) of family members must be submitted together with their NRIC numbers. These include current pay slips or latest income tax returns of:
- All children.
- Siblings who are staying at the same address.
- Other relevant documents such as letter of adoption, retrenchment letters and Medisave Statements.
Source: http://www.moh.gov.sg/mohcorp/hcfinancing.aspx?id=16072
This basically shows how the government is trying to solve the market failure of inequity by using market based solution - Subsidies.
Subsides can be given out in the form of means-tested benefits or universal benefits. In the above extract, the strategy used is Means Testing.
In the above context, MOH sets 3 levels of subsidy for subsidies for elderly for hospitalization.
If the income per capita is from $0 to $330, they will receive 75% subsidiy.If the income per capita is from $331 to $800, they will receive 75% subsidiy.If the income per capita is from $801 to $1300, they will receive 25% subsidiy. And lastly, if the income per capita is above $1300, they will not recieve any subsidy.
Also, from the above extract, it shows that Means Testing have weaknessess.
1. Forms are required to be filled in and people often feel embarassed to apply, hence reducing the effectivness of this strategy due to less people being helped and inequity cannot be lessen.
2. Some people who are self-employed like high-income hawkers do not have a fix income. Hence, they can declare that their income is lower than what they actually earn. They will get the same subisdy as the others who really need it. This does not resolve the problem of inequity as the higher income people who are not truthful gets the same benefits.
:D
Max Khoo
09S115