|Scenario||Claimant to submit the death claim||Documents to submit|
|Deceased had left a will||Executor of Last Will||
|Deceased did not leave a Last Will : -|
|Deceased is married||Spouse||
|Widowed / Divorced with adult children||Any adult child||
|Single with surviving parents||Either parent||
|Single with no surviving parents||Any sibling||
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a) Only for GREAT SupremeHealth’s Life Assured
b) Must be accompanied with Medical Claims Authorisation Form (MCAF)
c) Only applicable for Singapore Citizen or Singapore Permanent Resident
d) Policy is in-force at the date of hospital admission
e) Life Assured was accepted for cover at standard risk
f) The medical conditions and treatments are not excluded from the policy
List of Participating Private Hospitals
1. What is disability?
Disability refers to the inability of the Life Assured as certified in an Assessor's Statement, to perform any of the 6 Activities of Daily Living (ADLs). This means requiring significant assistance from another person throughout the entire activity.
2. What are the 6 Activities of Daily Living (ADLs)?
The 6 Activities of Daily Living are:
The ability to wash in the bath of shower (including getting into and out of the bath of shower) or wash by other means.
The ability to put on, take off, secure and unfasten all garments and, as appropriate, any braces, artificial limbs or other surgical or medical appliances.
The ability to feed oneself food after it has been prepared and made available.
The ability to use the lavatory or manage bowel and bladder function through the use of protective undergarments or surgical appliances if appropriate.
(e) Walking or Moving Around
The ability to move indoors from room to room on level surfaces.
The ability to move from a bed to an upright chair or wheelchair, and vice versa.
3. Does GREAT CareShield Advantage / GREAT CareShield Enhanced provide worldwide coverage?
4. To be insured under GREAT CareShield Advantage / GREAT CareShield Enhanced, I would already have a basic ElderShield or CareShield Life policy. In the event of a Disability, do I need to be assessed twice to make claims for both policies?
No, you will only be required to complete a single claim form and assessment for your both policies.
5. Can I see my own doctor or specialist to be assessed?
You are only able to use your own doctor for the assessment if they are already on the list of MOH Accredited Assessors for Severe Disability Schemes.
6. Should I fully recover from my disability, will I have to continue paying the premiums?
Should you recover from your disability, you will have to resume paying the premiums to continue your coverage. However, if you have exceeded the premium payment age (chosen by you when you first purchased the policy) when you have fully recovered from your disability, no more premium payments will be required and you will continue to enjoy coverage under the policy.
1. How much is the monthly payout that I will receive?
The monthly payout that you will receive depends on your chosen monthly benefit when you had purchased the policy and whether you had purchased GREAT CareShield Advantage or GREAT CareShield Enhanced.
For GREAT CareShield Advantage, if you are still unable to perform 2 or more ADLs after the Deferment Period, you will receive 100% of your chosen monthly benefit amount for as long as you are unable to perform 2 or more ADLs.
For GREAT CareShield Enhanced, if you are still unable to perform 2 ADLs after the Deferment Period, you will receive 50% of your chosen monthly benefit amount for as long as you are unable to perform 2 ADLs. If you are still unable to perform 3 or more ADLs after the Deferment Period, you will receive 100% of your chosen monthly benefit amount for as long as you are unable to perform 3 or more ADLs and any monthly benefit payments under 2 ADLs will cease.
2. How long will I receive the monthly payout?
You will receive the monthly payout for as long as you are unable to perform the applicable number of ADLs.
3. How will the payouts be made to me?
You will receive the payouts as you have indicated in your claim form. You are encourage to choose PayNow or Direct Credit into your bank account for greater convenience.
4. Can the payouts be made to my caregiver?
All payouts will be made to the Policyholder. However, we will consider your request on a case by case basis.
1. Can I stop my premium payment once I file for a claim?
You are required to continue paying the premiums to keep the policy inforce until the admission of the claim. Subsequently, any premiums paid after the Deferment Period will be refunded.
2. I am disabled but I do not stay in Singapore and am unable to go back. How should I file my claim?
You would be required to obtain the Claim Form from the insurer’s website, or contact the insurer’s Customer Service Centre to request for a copy to be mailed to you.
You will then have to submit the completed statement, together with any available medical reports (from registered practitioners in Western medicine), and provide the name, address and clinic of the doctor certifying your medical condition.
Upon receipt of the information, the insurer will send the Assessor’s Statement to the doctor, who will assess the severity of your disability and send the completed statement back to the insurer. The insurer will assess the claim and, where necessary, request your disability to be assessed by a specialist in your country of residence, to be appointed by the insurer.
For claims made from overseas, the insurer shall make every reasonable effort to assess the disability and make claim payments. Under these circumstances, the insurer may commute the benefit payments to a single payment reflecting the present value of future benefit payments.
1. It is not convenient for me to go to any doctor in the panel for my medical assessment. Can the doctor perform the assessment at a location that is convenient for me?
You may make an arrangement for a house call assessment. Do note that the cost of a clinic-based assessment is $100 and house call assessment is $250.
If you are residing in a nursing home, your nursing home can help to submit a Resident’s Assessment Form instead of the disability assessment. Please approach your nursing home for more assistance.
2. Which panel assessor is nearest to my house/institution?
Click here for the Panel Assessor list.
3. Should I recover from my disability and subsequently become disabled again, would I need to go for another medical assessment?
Yes, you would need to go for another medical assessment.
4. Will I get a reimbursement for the assessment fees?
If your claim is successful, we will reimburse the full cost of your assessment.
If your claim is denied, you will be responsible for the cost of the assessment unless waived as part of the first time assessment fee waiver for CareShield Life.
5. Will cognitive impairments be better recognised under revised disability assessment framework?
Yes, assessors will be better equipped and guided more explicitly on the aspects to consider if an insured is suspected to be cognitively impaired.
6. If my General Practitioner (GP) / my nursing home has assessed that I am disabled, why do I still need to visit an accredited assessor for assessment?
Not all GPs would have undergone the rigorous training programme to learn how to assess disability. You would still required to undergo disability assessment which performed by an accredited assessor. If you are staying in a nursing home, you may approach your nursing home for assistance to submit the Resident Assessment Form in place of the severe disability assessment.
1. Will there be any reviews of my disability?
Yes, you may be required to go for periodic reviews on your disability. This will help us to assess if you have recovered or if your disability has worsened. We shall keep you informed when such requirements arise.
2. If my condition has been assessed to have worsened from the inability to perform 1 ADL to the inability to perform 2 or more ADLs, will I have to undergo another assessment to be eligible for the monthly payouts from my plan?
No. If we have assessed during the periodic review that your disability has worsened to the inability to perform 2 or more ADLs, the monthly payout from your plan will start after the Deferment Period.
3. Will I have to pay for these periodic reviews?
Rest assured, we will bear the charges for the periodic reviews regardless of the outcome of the assessment.