2024年5月8日，新加坡衛生部長王乙康在國會書面答覆楊厝港單選區議員葉漢榮有關強制規定醫療保險公司提供透明的醫療程序收費標準的問題。
以下內容為新加坡眼根據國會英文資料翻譯整理：
葉漢榮（楊厝港單選區議員）先生詢問衛生部長 ：
(a) 衛生部是否可以考慮強制醫療保險公司提供透明的醫療程序收費表，以幫助患者在尋求私人護理時做出明智的決定？
(b) 如果考慮，衛生部將如何確保這些收費表在保險公司和醫生的利益衝突中符合患者的利益？
(c) 衛生部可否規定處理這些收費表的索賠和賠付的時限？
衛生部還對選定的私人保險服務指標進行監測。衛生部網站上公布了每家保險公司的 IP 索賠處理時間和賠付情況，以及預定治療的預授權周轉時間。
王乙康（衛生部長）先生：醫療程序沒有強制性的收費表，因為這取決於患者的病情和程序的複雜程度。任何公布的收費表也將由醫療服務提供者而不是保險公司制定。儘管如此，醫生可以與綜合健保計劃 (IP) 保險公司簽訂合同協議，以承諾的專家組費用提供服務，保險公司可以考慮公布這些費用。
衛生部 (MOH) 已針對約30種常見疾病制定了私立醫院收費基準，為合理收費提供參考。在衛生部網站上也可以找到常見疾病過往帳單金額，該網站每年都會更新。我們鼓勵患者在選擇醫療服務提供者時參考這些標準。
衛生部還監測私人保險的特定服務指標。衛生部網站上公布了每家保險公司的綜合健保計劃（IP）索賠處理時間（含賠付）和預定治療的預授權周轉時間。
以下是英文質詢內容：
Mr Yip Hon Wengasked the Minister for Health (a) whether the Ministry can consider mandating transparent fee schedules from health insurers for medical procedures to help patients make informed decisions when seeking private care; (b) if so, how will the Ministry ensure that such fee schedules will be in the interest of patients amidst the competing interests of the insurers and doctors; and (c) whether the Ministry can implement a stipulated timeframe to process the claims and payouts for these fee schedules.
Mr Ong Ye Kung: Medical procedures do not have mandatory fee schedules as this depends on the patient's condition and complexity of the procedure. Any fee schedule published will also be done by the healthcare provider and not the insurer. That said, doctors may enter into contractual agreements with Integrated Shield Plan (IP) insurers to provide services at committed panel fees, which insurers can consider publishing.
On the Ministry of Health's (MOH's) part, it has developed private hospital fee benchmarks for about 30 common conditions to provide a reference of reasonable fees. Past bill sizes of common conditions can also be found on MOH's website, which is updated annually. Patients are encouraged to refer to them when choosing a healthcare provider.
MOH also monitors selected service indicators for private insurance. The claims processing duration for IP claims with payouts and pre-authorisation turnaround time for scheduled treatment for each insurer are published on MOH's website.
未完待续,请点击[下一页]继续阅读
{nextpage}圖源：谷歌地圖
KT丨編輯
HQ丨編審
新加坡國會丨來源