The Discovery
Ms. Lim’s routine day was disrupted when she noticed her domestic helper's legs were unusually swollen. A quick decision to visit the clinic led to a harrowing diagnosis: acute kidney failure, necessitating immediate hospitalisation and kidney dialysis.
Hospitalisation and Costs
Upon admission to Tan Tock Seng Hospital, the financial reality set in quickly:
- Room Charges: $1,064.78 for a 5-day stay in a Class C room and $601.85 for a day in a specialised unit.
- Daily Treatment Fees: $875 for five days in a standard ward and $200.93 for a day in a specialised unit.
- Medical Investigations and Dialysis: The largest expenses came from renal dialysis and extensive medical investigations, including laboratory tests costing $3,245.77, specialised tests, and X-rays totalling over $400. Renal dialysis alone costs $1,088.00.
- Medications and Other Services: Medication totalled $346.32, and other services added $1,058.30.
The total cost before GST was approximately $10,544.10. After adding GST and additional fees, the final bill was $11,527.56.
Insurance Interaction
During this critical time, the interaction with the insurance company under the Silver Plan became crucial. Despite the comprehensive coverage, the plan required Ms. Lim to manage an initial deposit of $2,000 and co-payments for hospital expenses, as immediate full coverage could not be provided upfront. The specifics of the Silver Plan included a co-payment scheme where 75% of costs above the first $15,000 were covered by insurers and 25% by the employer. This highlighted the importance of understanding the details of insurance coverage, especially regarding co-payment obligations and deposit requirements.
Continuation and Transition
The helper was diagnosed with end-stage kidney failure and had to be repatriated to Myanmar. Ms. Lim faced emotional and logistical challenges, as well as the financial implications of hiring a replacement.
Fortunately, the Silver Plan provided reimbursement for the costs associated with ending employment, which included up to $350 for hiring a replacement.