28/09/2026
The Latest Changes On The Most Popular Illness Most People Think They’ll Never Fall Victim To
If you are concerned about cancer (whether now or in the future) then this post is for you.
In recent times, MOH has announced that they will be implementing new rules around cancer treatments and services with a new Cancer Drug List (CDL).
Here’s a summary of what you need to know.
Before I dive into the changes, here’s some information that’ll be useful for you to keep in mind.
The typical cost of cancer treatment in Singapore is about $8000 - $17,000/month (paid in cash if you don’t have insurance).
Of course, if you do have hospitalization insurance (better known as a Shield Plan + Rider), it will help alleviate most of the cost.
Here’s the thing… this is how it used to be.
Unfortunately, from 1st April 2023, the coverage is calculated differently and here’s how it's going to impact you.
Before
Shield Plan + Rider coverage used to be “As Charged” aside from the 5% co-insurance that everyone needs to pay.
After
Shield Plan + Rider coverage is now calculated as a multiplier of the numerical limit allowed by MediShield Life for each specific drug.
What Does This Mean For You?
If your treatment bill exceeds the limit then you pay the excess in cash.
If you don’t have a shield plan and its rider, and are solely relying on MediShield Life, the numerical limit is lower, meaning you have to pay even more cash.
You’ll probably have to dig into your savings, which means you’ll be depleting your hard earned assets.
If you don’t have enough cash then you’ll go into debt.
Before
ALL cancer drugs used to be covered under MediShield Life and ISPs.
After
Now, if the cancer drug that you are prescribed is not on the CDL, then you’re on your own.
What Does This Mean For You?
Assuming you don’t have any hospitalization plan at all, then you’ll have to fork out cash because MediShield Life doesn’t cover drugs not on the CDL.
If you have a hospitalization plan but you don’t have a rider, you’ll also need to be prepared to fork out cash because ISPs are paid for using Medisave, hence still bound by MOH’s rules.
Same consequence here, you’ll have to dig into your hard earned assets to pay for your treatment, and if you don’t have enough savings? Be ready to face debt.
So what now?
Step 1: Review your Shield Plan
Be sure to speak to your financial consultant to ask about the changes to your Shield Plan! It’ll be good to know the exact allowance you have for drugs listed on the CDL.
If you don’t have a Shield Plan yet, now’s the time to look into it. Unless you’re truly at peace with the possibility of going into debt…
Step 2: Riders are now your best friend!
If you have a Shield Plan already but no Rider (for whatever reason), it’s time to go get yours because Riders cover cancer drugs NOT listed on the CDL.
Reason being they are paid for in cash and have no ties to Medisave and MediShield, meaning your private insurer has full discretion to give you an annual allowance for drugs not on the CDL.