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INTERMEDIATE AND LONG-TERM CARE IN SINGAPORE

By Integrated Health Services Division and Healthcare Finance Division

ABSTRACT This paper outlines the different types of intermediate and long-term care (ILTC) residential facilities in Singapore, and provides information on the bed situation and charges in these facilities. This would allow Singaporeans to make more informed decisions on where to seek care when they require it. It would also provide the ILTC industry with comparative benchmarks and clearer market signals so as to facilitate the provision of services to meet the needs of Singaporeans. INTRODUCTION 2 Singapore has an ageing population. It is projected that the number of residents aged 65 years or older will increase threefold from the current 300,000 to 900,000 by 2030. 3 The majority of older people lead healthy and independent lives. However, there are some who require skilled nursing or rehabilitation services after they are discharged from acute hospitals. Residential ILTC facilities serve this need. Home-based and community-based services such as home nursing and day rehabilitation centres are also part of ILTC services. These services help the older person to age-in-place in his home for as long as appropriate. ILTC RESIDENTIAL FACILITIES 4 There are three different types of residential ILTC facilities available – Community Hospitals, Chronic Sick Hospitals and Nursing Homes for the Elderly. These facilities are either managed privately or by Voluntary Welfare Organisations (VWOs). MOH provides subsidies to needy persons who require ILTC services at these facilities. To ensure that subsidies benefit those who require it most, all persons who wish to receive MOH subsidies have to undergo means testing1.

1 There are currently three levels of subsidy - 75%, 50% or 25%. The subsidy will be paid directly to

the ILTC providers, and this amount will be reflected in the patients’ bills.

MOH Information Paper: 2006/ 014

2

Community Hospitals 5 Community Hospitals are intermediate care facilities. They cater to patients who are fit for discharge from acute hospitals but require inpatient convalescent and rehabilitative care. Chronic Sick Hospitals 6 Chronic Sick Hospitals provide skilled nursing and medical care on a long-term basis to older persons with advanced, complicated medical conditions. Nursing Homes for the Elderly 7 Nursing Homes for the Elderly provide long-term skilled nursing care for older persons. These older persons do not have families or caregivers to look after them at home, or the caregiver is unable to provide the level of nursing care required. 8 Table 1 below provides a breakdown of VWO and private sector Nursing Homes and the numbers receiving MOH subsidies. Table 1: Number of Nursing Homes by Operator and MOH Subsidy Status

Nursing Home Operator Total number of

nursing homes

No. of nursing homes

receiving MOH subsidies /

MOH portable subsidies

VWO Nursing Homes 28 23

Private Nursing Homes 31 8

a. VWO Nursing Homes receiving MOH subsidies Patients who meet the means test criteria are referred by Integrated Care Services2 (ICS) to VWO Nursing Homes which receive MOH subsidies. The VWOs provide additional support if the patient requires further financial and social assistance.

b. VWO Nursing Homes that do not receive MOH subsidies Some VWO-operated Nursing Homes are self-funded through their own fund-raising and do not receive MOH subsidies. Although patients here are not subsidised by MOH, these VWOs are able to provide the necessary financial and social assistance to patients who are unable to afford the Nursing Home fees.

c. Private Nursing Homes which are under MOH portable subsidy scheme Since April 2003, MOH has extended subsidies to patients who meet the means test criteria and are admitted to accredited Private Nursing Homes. These homes have set aside a certain proportion of their beds for patients who are eligible for MOH subsidies and referred by ICS. This allows for greater private sector participation in the provision of MOH-subsidised care.

d. Private Nursing Homes which are not under the MOH portable subsidy scheme These are Private Nursing Homes, which cater to full-paying patients.

2 Integrated Care Services (ICS) is the coordinating agency which facilitates referrals to Nursing

Homes receiving subsidies from MOH.

3

9 A summary of the characteristics of the various residential ILTC services are summarised in Table 2 below: Table 2: Characteristics of ILTC Institutions Type of ILTC Institution Placement by

ICS Long-term care

(> 1 month) Additional

financial aid by ILTC institution

Medisave Claimable

Institutions receiving MOH subsidies

Community Hospital ��

Chronic Sick Hospital ��

VWO Nursing Home ��

Private Nursing Home (under portable subsidies scheme)

��

Institutions that do not receive MOH subsidies

Chronic Sick Hospital ��

VWO Nursing Home ��

Private Nursing Home ��

ILTC BED SITUATION 10 Table 3 below shows the number of licensed beds and residents in the various residential ILTC institutions: Table 3: Bed Situation in ILTC institutions

Type of ILTC Institution Number Licensed Beds Residents

Community Hospitals 4 663 476

Chronic Sick Hospitals* 5 474 378

VWO Nursing Homes (receiving MOH subsidies) 23 4245 3994

VWO Nursing Homes (without MOH subsidies) 5 867 748

Private Nursing Homes (receiving MOH portable subsidies)

8 1518 947

Private Nursing Homes 23 1764 1233 * Inclusive of the VWO which is not receiving MOH subsidies.

11 Annexes A, B and C provide detailed information on the bed situation at each of the various institutions. ILTC CHARGES 12 The following section features a comparison of charges for ILTC institutions3. To ensure a ‘like-for-like’ comparison, the charges compared are for non-subsidised patients in VWO and private sector establishments. Patients who are subsidised (either by MOH and/or VWOs) can expect to pay significantly less than the charges tabulated. Community Hospitals and Chronic Sick Hospitals

3 The charges were obtained through a survey of ILTC institutions. Institutions that are not featured

did not respond to the survey.

4

13 Annexes D and E provide a comparison of the following charges for non-subsidised patients at Community Hospitals and Chronic Sick Hospitals:

a) Ward Charges b) Treatment Fees c) Average Bill4 d) Refundable Deposit e) Administrative Charges

14 Charges vary not only across different institutions, but also for different bed-types within individual institutions. There is also a tendency for charges to be higher for the more private bed-types. II. Nursing Homes for the Elderly 15 Annex F provides a comparison of the following charges for non-subsidised patients at Nursing Homes:

a) Ward Charges b) Deposits c) Administrative Charges

16 Unlike Community Hospitals and Chronic Sick Hospitals, charges for Nursing Homes vary not only according to bed type, but also according to patients’ nursing care 'Category' (i.e. Categories I-IV). The nursing care category provides an indicator of the skilled nursing care required by individual patients, with Category IV needing the most care, and Category I, the least care. 17 In addition, the items included under ‘Ward Charges’ vary from institution to institution. Annex G features a comparison of items included under Ward Charges for each institution. FUTURE PLANS FOR RESIDENTIAL ILTC FACILITIES 18 An additional 124 Community Hospital beds will be available when the new Ren Ci Community Hospital is ready in 2008. 19 The private sector has the flexibility to develop ILTC services based on their assessment of the market demand. Two new stand-alone and purpose-built Private Nursing Homes are in their construction stages. They will add more than 500 extra Private Nursing Home beds when completed. REGULAR UPDATES 20 ILTC services will continue to evolve in response to the changing needs of Singaporeans. MOH will regularly update the information on the ILTC bed situation

4 Average Bill is inclusive of Ward Charges and Treatment Fees.

5

and charges to ensure that patients and the industry will be able to continue to benefit from this information. NB: Please refer to MOH website for latest version

6

Annex A Information on Community Hospitals (as at 30 Sep 06)

Name Number of

Licensed Beds Number of Patients

1 ANG MO KIO - THYE HUA KWAN HOSPITAL LTD 201 179 2 BRIGHT VISION HOSPITAL 100 50

3 ST ANDREW’S COMMUNITY HOSPITAL 200 123

4 ST LUKE'S HOSPITAL LTD* 162 124

*Footnotes

• St. Luke's Hospital Ltd closed 8 beds for upgrading work.

7

Annex B Information on Chronic Sick Hospitals (as at 30 Sep 06)

Name Number of

Licensed Beds Number of Patients

1 BRIGHT VISION HOSPITAL 82 56

2 KWONG WAI SHIU HOSPITAL AND NURSING HOME (KWSH)*

50 11

3 REN CI HOSPITAL & MEDICARE CENTRE (JALAN TAN TOCK SENG)

150 140

4 REN CI HOSPITAL & MEDICARE CENTRE (HOUGANG)

174 162

5 ST LUKE'S HOSPITAL LTD* 18 9

*Footnotes

• Kwong Wai Shiu Hospital and Nursing Home o Does not receive MOH subsidies o Uses 50 beds flexibly as community hospital, chronic sick hospital and hospice beds

• St Luke's Hospital Ltd closed 3 beds due to upgrading work.

8

Annex C -1 Information on VWO Nursing Homes Receiving MOH Subsidies (as at 4 Sep 2006)

Name Number of

Licensed Beds Number of Residents

1 ALL SAINTS HOME (TAMPINES) 179 175

2 APEX HARMONY LODGE 210 207

3 ASSISI HOME & HOSPICE 4 4

4 BETHANY METHODIST NURSING HOME 272 267

5 BRIGHT HILL EVERGREEN HOME* 196 145

6 BRIGHT VISION HOSPITAL 88 87

7 GRACE LODGE 72 72

8 JAMIYAH NURSING HOME (DARUL SYIFAA) 156 139

9 JU ENG HOME FOR SENIOR CITIZENS 314 308

10 LING KWANG HOME FOR SENIOR CITIZENS 350 330

11 LIONS HOME FOR THE ELDERS (BEDOK) 154 147

12 LIONS HOME FOR THE ELDERS (TOA PAYOH) 200 181

13 MAN FUT TONG NURSING HOME 232 218

14 PEACEHAVEN NURSING HOME* 373 335

15 REN CI HOSPITAL & MEDICARE CENTRE (JALAN TOCK SENG)

120 118

16 SINGAPORE CHRISTIAN HOME FOR THE AGED 33 33

17 SOCIETY FOR THE AGED SICK 192 186

18 SREE NARAYANA MISSION HOME FOR THE AGED SICK

224 207

19 ST JOSEPH'S HOME 117 113

20 ST THERESA'S HOME 200 187

21 SWAMI HOME 240 222

22 THONG TECK HOME FOR SENIOR CITIZENS 180 177

23 VILLA FRANCIS HOME FOR THE AGED 139 136

* Footnotes

• Bright Hill Evergreen Home closed 46 beds for renovation works.

• Peacehaven Nursing Home's 34-bedded dementia hostel ward opened in May 2006.

9

Annex C -2 Information on VWO Nursing Homes Not Receiving MOH Subsidies (as at 4 Sep 2006)

Name Number of


1 ALL SAINTS HOME (HOUGANG) 144 129 2 KWONG WAI SHIU HOSPITAL AND NURSING HOME 350 276

3 MORAL HOME FOR THE AGED SICK 120 117

4 TAI PEI OLD PEOPLE'S HOME 183 162

5 THIAN LENG OLD FOLKS HOME 70 64

Information on Private Nursing Homes under MOH portable subsidy scheme (as at 4 Sep 2006)

Name Number of


1 EAST COAST MEDICARE CENTRE PTE LTD 120 110

2 ECON MEDICARE CENTRE PTE LTD (UPPER EAST COAST)

159 124

3 NIGHTINGALE NURSING HOME PTE LTD 83 66

4 ORANGE VALLEY NURSING HOME (CLEMENTI) 267 190 5 ORANGE VALLEY NURSING HOME (SIMEI)* 242 45 6 PACIFIC HEALTHCARE NURSING HOME PTE LTD 259 77

7 THE LENTOR RESIDENCE 148 111

8 UNITED MEDICARE CENTRE 240 224

* Footnotes

• Orange Valley Nursing Home (Simei) is a new nursing home which was licensed in April 2006.

10

Annex C -3 Information on Private Nursing Homes Not under MOH portable subsidy scheme (as at 4 Sep 2006)

Name Number of


1 CHERRY NURSING HOME PTE LTD 41 26

2 EAST SHORE RESIDENCE 31 17

3 ECON MEDICARE CENTRE PTE LTD (BRADDELL) 68 53

4 ECON MEDICARE CENTRE PTE LTD (CHAI CHEE) 167 103

5 ECON MEDICARE CENTRE PTE LTD (CHOA CHU KANG)

63 48

6 ECON NURSING HOME SERVICES (1987) PTE LTD (BUKIT TIMAH)

190 155

7 ECON NURSING HOME SERVICES (1987) PTE LTD (BUANGKOK)*

155 19

8 GREENVIEW NURSING HOME (S) PTE LTD 49 49

9 IRENE NURSING HOME PTE LTD 66 66

10 LEE AH MOOI OLD AGE HOME 110 105

11 MARGARET CHIO NURSING HOME PTE LTD 41 40

12 MIN CHONG COMFORT HOME PTE LTD 90 87

13 MOONLIGHT HOME FOR THE AGED AND HANDICAPPED

26 24

14 ORANGE VALLEY NURSING HOME (BIGGIN HILL) 125 85

15 ORANGE VALLEY NURSING HOME (BUKIT MERAH) 104 55

16 ORANGE VALLEY NURSING HOME (THOMSON)* 116 8

17 OUR LADY OF LOURDES NURSING HOME PTE LTD 19 18

18 PAEAN NURSING HOME PTE LTD 20 18

19 SERENE NURSING HOME PTE LTD 50 49

20 SOO'S NURSING HOME PTE LTD 24 23

21 SUNNYVILLE NURSING HOME (1996) PTE LTD 49 46

22 WINDSOR CONVALESCENT HOME PTE LTD 50 45

23 WINDSOR NURSING HOME PTE LTD 110 94

* Footnotes

• Econ Nursing Home Services Pte Ltd (Buangkok) is a new nursing home which was licensed in May 2006.

• Orange Valley Nursing Home (Thomson) is a new nursing home which was licensed in August 2006.

Annex D Information on Community Hospital Charges [Charges quoted are for unsubsidised patients and are inclusive of Goods & Services Tax (GST)] Note: Ward Charges, Treatment Fees and Average Bills are monthly figures

Wards (By Bed Type) 1-bedded 2-bedded 4-bedded 6-bedded 8-bedded > 8 bedded Others

Charge Category Institution Name

Air-con Air-con Air-con Air-con w/o Air-con w/o Air-con w/o Air-con

Ang Mo Kio - Thye Hua Kwan Hospital Ltd

$7,500 N/A $4,950 $1,890 $1,290 $840 N/A $2,3701

Kwong Wai Shiu Hospital and Nursing Home

N/A N/A N/A N/A N/A N/A $1,800 N/A

St Andrew's Community Hospital

N/A N/A N/A N/A N/A N/A $1,512 (Ward charges and

Treatment fees)2

N/A

Ward Charges

St Luke's Hospital Ltd $4,725 $4,095 $3,465 N/A $2,520 $1,890 N/A N/A

Ang Mo - Thye Hua Kwan Hospital Ltd

$1,590 N/A $1,590 $870 $660 $540 N/A $9901




N/A N/A N/A N/A N/A N/A Included in ward charges

2

N/A

Treatment Fees

St Luke's Hospital Ltd $1,575 $1,575 $1,575 N/A $1,575 $1,575 N/A N/A

Ang Mo Kio-Thye Hua Kwan Hospital Ltd

3

$10,740 N/A $8,640 $3,900 $2,850 $2,040 N/A $4,7101




3

N/A N/A N/A N/A N/A N/A $2,746.20 N/A

Average Bill

St Luke's Hospital Ltd 4

$7,781 $7,151 $6,521 N/A $2,772 $2,079 N/A N/A

12


Charge Category Institution Name



5

$7,240 N/A $5,140 $410 $100 $100 N/A $1,2101


N/A N/A N/A N/A N/A N/A $100 (with Medisave)

$300 (without

Medisave)

N/A


6

N/A N/A N/A N/A N/A N/A $100

Refundable Deposit

St Luke's Hospital Ltd $2,500 $2,000 $1,700 N/A $1,000 $500 N/A N/A


N/A N/A N/A N/A N/A N/A N/A N/A



St Andrew's Community Hospital*

N/A N/A N/A N/A N/A N/A $13.65 (per admission

for CPF transmission fee)

N/A

Administration Fees

St Luke's Hospital Ltd N/A N/A N/A N/A N/A N/A N/A N/A

1 5-bedded (Air con)

2 Ward charges are combined with treatment Fees

3 Average Bill for that particular ward (bed type) includes both ward charges and treatment fees.

4 Average Bill size includes ward charge, treatment fees- therapy treatment, medications both standard and non-standard, laboratory and diapers.

5 Deposit for patients with Medisave. Figures differ for patients without Medisave.

6 Deposit is for Administrative and Ambulance charges

N/A: Not applicable

13

Annex E Information on Chronic Sick Hospital Charges [Charges quoted are for unsubsidised patients and are inclusive of Goods & Services Tax (GST)] Note: Ward Charges, Treatment Fees and Average Bills are monthly figures


Charge Category

Institution Name




Ren Ci Hospital and Medicare Centre

N/A N/A N/A N/A N/A N/A $2,850 to $2,945

($95 per day)

N/A

Ward Charges

St Luke's Hospital Ltd

$4,725 $4,095 $3,465 N/A $2,520 $1,890 N/A N/A


N/A N/A N/A N/A N/A N/A $339 N/A



Treatment Fees


$1,260 $1,260 $1,103 N/A $1,103 $1,103 N/A N/A




1

N/A N/A N/A N/A N/A N/A $3,030 to $3,131

($101 per day)

N/A

Average Bill


2

$6,395 $5,765 $4,977 N/A $2,741 $1,922 N/A N/A

14


Charge Category

Institution Name





N/A N/A N/A N/A N/A N/A >$6003

N/A

Refundable Deposit


$2,500 $2,000 $1,700 N/A $1,000 $500 N/A N/A

1

Average Bill for that particular ward (bed type) includes both ward charges and treatment fees and consumable items 2

Average Bill size includes ward charge, treatment fees- non standard medication, consumables, diapers and enteral feeds.

3 Based on estimated length of stay

N/A: Not applicable

15

Annex F Table 1 Information on Nursing Home Charges- Category 1 [Charges quoted are for unsubsidised patients and are inclusive of Goods & Services Tax (GST)] Note: Ward Charges are monthly figures and are inclusive of Bed, Laundry, Housekeeping, Meals, Nursing care & Activities of Daily Living (ADL) assistance.

Ward Charges (By Bed Type) Deposits Institution Name 1-bedded 2-bedded 4-bedded 6-bedded 8-bedded > 8-bedded Others ^ Refundable Non-

refundable

Administrative Charges

VWO Nursing Homes All Saints Home (Tampines)

$2,100 $1,680 N/A N/A N/A N/A N/A $2,2001 N/A $250

2

All Saints Home (Hougang)

$2,415 $1,890 $1,575 N/A N/A $1,365 N/A 1 month ward charges and $300

3

N/A $263

Apex Harmony Lodge

$3,600 $2,200 N/A N/A N/A N/A $1,500 (5 bedded)

2 months ward charges

N/A $500

Bright Hill Evergreen Home

N/A N/A N/A N/A N/A N/A $200-$600 (23 bedded)

1 month ward charges

N/A N/A

Jamiyah Nursing Home

N/A $800 N/A N/A N/A $800 N/A 2 months ward charges

N/A $200

Ju Eng Home For Senior Citizens

$2,500 $1,800 $1,500 N/A N/A N/A $1,600 (3 bedded)


N/A $300


N/A N/A N/A N/A N/A $450 N/A N/A N/A N/A

Lions Home for the Elders

N/A N/A N/A N/A $1,300 $1,300 (6-8

bedded)

N/A 1 month ward charges and

$2004

N/A $325

Man Fut Tong Nursing Home

N/A $2,500 $2,000 N/A $1,500 N/A N/A $1,500 N/A $3005

16


refundable


Moral Home for the Aged Sick

N/A $1,500 $400 to $1,100

$400 to $1,100

$400 to $1,100

N/A N/A 2 months ward charges

N/A $500


N/A N/A N/A N/A N/A $1,950 to $2,015 ($65 per

day)

N/A >$6006

N/A N/A

Sree Narayana Mission Home for the Aged Sick

N/A N/A N/A N/A $1,500 N/A N/A $4407

$508

$150

St Joseph's Home

N/A N/A N/A N/A $700 N/A N/A $500

N/A N/A

SWAMI Home N/A $2,100 $1,890 $1,680 N/A $1,575 N/A 1 month ward charges

N/A N/A

Tai Pei Old People's Home

N/A N/A N/A N/A N/A N/A $650 N/A N/A N/A

Thian Leng Old Folks Home

N/A N/A $800 N/A N/A N/A N/A $800 N/A $500

Villa Francis Home for the Aged

N/A N/A N/A N/A $700 N/A N/A 1 month ward charges

N/A N/A

Private Nursing Homes

Cherry Nursing Home Pte Ltd

N/A N/A N/A N/A N/A N/A $950 $500 N/A $500

East Coast Medicare Centre

$3,200 $2,400 $1,650 $1,360 N/A N/A N/A 1 month ward charges

N/A $600

East Shore Residence

$4,988 $3,413 N/A N/A N/A N/A $2,888 (5 bedded)


N/A $525

The Lentor Residence

$2,730 $1,680 N/A N/A $1,155 N/A N/A 2 months ward charges

N/A $9459

Margaret Chio Nursing Home

N/A $700 $700 $700 N/A N/A N/A $30010

N/A $100-$40011

17


refundable


Moonlight Home for the Aged and Handicapped

N/A N/A N/A $1,000 N/A N/A N/A N/A N/A $500

Our Lady of Lourdes Nursing Home

$1,200 $1,100 $900 N/A N/A N/A N/A $500 N/A $250

Pacific Healthcare Nursing Home

N/A $1,680 $1,365 N/A N/A $1,050 N/A 1 month ward charges

$630

Paean Nursing Home

N/A $700 $700 $700 N/A N/A N/A $30010

N/A $100-$40011

Soo's Nursing Home

$1,200 $1,100 $1,100 N/A N/A N/A N/A N/A N/A N/A

Windsor Nursing Home

N/A $1,500 $1,200 $1,000 N/A N/A N/A $200 N/A $400

11 month ward charges and medical deposits 2 Nurse assessment & clerk charges

3 Medical Fees

4 For medication

5 To cover service costs incurred by the MSW, Business Office, Medical, Nursing, Rehab and Admin Depts from time of referral to assessment and admission.

6 Based on estimated length of stay

7 Medical $200, Bed $240 8 1st medical consultation

9 Effective for lifetime

10 In case of delayed payment and ambulance services 11 Doctor's consultation, blood & urine tests N/A: Not applicable

18

Table 2 Information on Nursing Home Charges- Category 2 [[Charges quoted are for unsubsidised patients and are inclusive of Goods & Services Tax (GST)] Note: Ward Charges are monthly figures and are inclusive of Bed, Laundry, Housekeeping, Meals, Nursing care & Activities of Daily Living (ADL) assistance.

Ward Charges (By Bed Type) Deposits Institution

Name 1-bedded 2-bedded 4-bedded 6-bedded 8-bedded > 8-bedded Others Refundable Non-refundable


VWO Nursing Homes

All Saints Home (Tampines)

$2,205 $1,785 N/A N/A N/A N/A N/A $2,3001

N/A $2502


$2,415 $1,890 $1,575 N/A N/A $1,365 N/A 1 month ward charges

and $3003

N/A $263

Apex Harmony Lodge

$3,600 $2,200 N/A N/A N/A N/A $1,500 (5 bedded)


N/A $500

Bethany Methodist Nursing Home

N/A N/A N/A N/A N/A N/A $797 (Dormitory)

$1,594 N/A $324


N/A N/A N/A N/A N/A N/A $200 to $600

(20 bedded open ward)


N/A N/A


N/A $1,000 N/A N/A N/A $1,000 N/A 2 months ward charges

N/A $200


$2,500 $1,800 $1,500 N/A N/A N/A $1,600 (3 bedded)


N/A $300


N/A N/A N/A N/A N/A $600 N/A $1,200 N/A N/A

Ling Kwang Home for Senior Citizens

N/A N/A N/A N/A N/A N/A $1,000 $1,0005

N/A $3006

19

Ward Charges (By Bed Type) Deposits Institution Name 1-bedded 2-bedded 4-bedded 6-bedded 8-bedded > 8-bedded Others Refundable Non-

refundable



N/A N/A N/A N/A $1400 $1400 (6-8 bedded

ward)

N/A 1 month ward charges

and $2007

N/A $350


N/A $2,500 $2,000 N/A $1,500 N/A N/A $1,500 N/A $3008


N/A $1,500 $400 to $1,100

$400 to $1,100

$400 to $1,100


N/A $500

Peacehaven Nursing Home

$1,617 N/A N/A N/A N/A N/A N/A 1 month ward charges

and $1009

N/A N/A


N/A N/A N/A N/A N/A $1950 to $2015

($65 per day)

N/A >$60010

N/A N/A

Society For The Aged Sick

N/A N/A N/A N/A $636 N/A N/A $636 N/A N/A


N/A N/A N/A N/A $1,500 N/A N/A $44011

$5012

$150

St Joseph's Home


SWAMI Home

N/A $2,100 $1,890 $1,680 N/A $1,575 N/A 1 month ward charges

N/A N/A




N/A N/A $850 to $900

N/A N/A N/A N/A $850 to $900

N/A $500

20


refundable


Thong Teck Home for Senior Citizens

N/A N/A N/A N/A N/A N/A $1,200 N/A Half month ward

charges

N/A


N/A N/A N/A N/A $900 N/A N/A 1 month ward charges

N/A N/A

Private Nursing Home

Cherry Nursing Home

N/A N/A N/A N/A N/A N/A $1,000 $500 N/A $500



N/A $600


$4,988 $3,413 N/A N/A N/A N/A $2,888 (5 bedded)


N/A $525



N/A $94513


N/A $800 $800 $800 N/A N/A N/A $300 14

N/A $100-$40015




$1,200 $1,100 $950 N/A N/A N/A N/A $500 N/A $250



N/A $630

Paean Nursing Home

N/A $800 $800 $800 N/A N/A N/A $30014

N/A $100 to $40015

Soo's Nursing Home

$1,200 $1,100 $1,100 N/A N/A N/A N/A N/A N/A N/A

21


refundable


Windsor Convalescent Home

N/A $1,500 $1,200 $1,000 N/A N/A $900 (Open ward)

$200 N/A $400


N/A $1,500 $1,200 $1,000 N/A N/A N/A $200 N/A $400

1 One month ward charges and medical deposits 2 Nurse assessment & clerk charges 3 Doctor’s fee

4 Payable if patient is discharged within 1 month; waived for stays over 1 month. 5 Excluding respite care 6 Uniforms, various professional assessments 7For medication 8 To cover service costs incurred by MSW, Business Office, Medical, Nursing, Rehab and Admin Depts from time of referral to assessment and admission. 9 For Medical apt 10 Based on estimated length of stay 11 Medical $200, Bed $240 121st medical consultation 13 Effective for lifetime

14 In case of delayed payment and ambulance services

15 Doctor's consultation, blood & urine tests

N/A: Not applicable

22

Table 3 Information on Nursing Home Charges- Category 3 [Charges quoted are for unsubsidised patients and are inclusive of Goods & Services Tax (GST)] Note: Ward Charges are monthly figures and are inclusive of Bed, Laundry, Housekeeping, Meals, Nursing care & Activities of Daily Living (ADL) assistance.

Ward Charges (By Bed Type) Deposits Institution

Name

1-bedded 2-bedded 4-bedded 6-bedded 8-bedded > 8-bedded

Others ^ Refundable Non-refundable


VWO Nursing Homes


$2,310 $1,890 N/A N/A N/A N/A N/A $2,4001

N/A $250

2



and $3003

N/A $263

Apex Harmony Lodge

$3,600 $2,200 N/A N/A N/A N/A $1,500 (5 bedded)


N/A $500


N/A N/A N/A N/A N/A N/A $1070 (Dormitory)


N/A $324


N/A N/A N/A N/A N/A N/A $200-$600 (23 bedded open ward)


N/A N/A



N/A $200


$2,500 $1,800 $1,500 N/A N/A N/A $1,600 (3 bedded)


N/A $300

Kwong Wai Shiu


Ling Kwang Home For Senior Citizens

N/A N/A N/A N/A N/A N/A $1,100 $1,1005

N/A $3006

23

Ward Charges (By Bed Type) Deposits Institution Name

1-bedded 2-bedded 4-bedded 6-bedded 8-bedded > 8-

bedded Others ^ Refundable Non-

refundable


Lions Home For The Elders

N/A N/A N/A N/A $1500 $1500 (6-8

bedded ward)


and $2007

N/A $375


N/A $2,500 $2,000 N/A $1,500 N/A N/A $1,500 N/A $3008


N/A $1,500 $400 to $1,100

$400 to $1,100

$400 to $1,100


N/A $500



and $1009

N/A N/A


N/A N/A N/A N/A N/A $1950 to $2015

($65 per day)

N/A >$600 10

N/A N/A

Singapore Christian Home for the Aged

N/A N/A N/A N/A N/A N/A $1,200 (Open ward)


N/A N/A

Society For The Aged Sick


Sree Narayana Mission Home For The Aged Sick

N/A N/A N/A N/A $1,500 N/A N/A $44011

$5012

$150

St Joseph's Home

N/A N/A N/A N/A $1,200 N/A N/A $500

N/A N/A

St Theresa’s Home

N/A N/A N/A N/A *0 -1100 N/A N/A 2 months ward charges

N/A N/A


N/A N/A

Tai Pei Old People’s Home


24




refundable



N/A N/A $950 to $1,000

N/A N/A N/A N/A $950 to $1,000

N/A $500

Thong Teck Home For Senior Citizens

N/A N/A N/A N/A N/A N/A $1,400 N/A Half month's ward charges (Estimated at

$700)

N/A

Villa Francis Home For The Aged

N/A N/A N/A N/A $1,200 N/A N/A 1 month ward charges

N/A N/A


Cherry Nursing Home

N/A N/A N/A N/A N/A N/A $1,000 $500 N/A $500



N/A $600


$4,988 $3,413 N/A N/A N/A N/A $2,888 (5 bedded)


N/A $525



N/A $94513


N/A $900 $900 $900 N/A N/A N/A $30014

N/A $100 to $400

15




$1,200 $1,100 $1,000 N/A N/A N/A N/A $500 N/A $250



N/A $630

Paean Nursing Home

N/A $900 $900 $900 N/A N/A N/A $30014

N/A $100 to $400

15

25




refundable


Soo's Nursing Home Pte Ltd

$1,400 $1,200 $1,200 N/A N/A N/A N/A N/A N/A N/A

United Medicare Centre

N/A N/A $1,890 $1,785 N/A N/A N/A $1,900 N/A $840


N/A $1,500 $1,200 $1,000 N/A N/A $900 (Open ward)

$200 N/A $400


N/A $1,500 $1,200 $1,000 N/A N/A N/A $200 N/A $400

1One month charges and medical deposits

2 Nurse assessment & clerk charges

3 Doctors fees

4 Payable when patient discharged within 1 month stay; waived for stays over 1 month

5 Excluding respite care

6 Uniforms, various professional assessments

7 Medication

8 To cover service costs incurred by MSW, Business Office, Medical, Nursing, Rehab and Admin Depts from time of referral to assessment and admission. 9 For Medical apt 10 Based on estimated length of stay 11 Medical $200, Bed $240 121st medical consultation 13 Effective for lifetime



N/A: Not applicable

26

Table 4 Information on Nursing Home Charges- Category 4 [Charges quoted are for unsubsidised patients and are inclusive of Goods & Services Tax (GST)] Note: Ward Charges are monthly figures and are inclusive of Bed, Laundry, Housekeeping, Meals, Nursing care & Activities of Daily Living (ADL) assistance.


1-bedded 2-bedded 4-bedded 6-bedded 8-bedded > 8-bedded Others ^ Refundable Non-

refundable


VWO Nursing Homes


$2,415 $1,995 N/A N/A N/A N/A N/A $2,5001 N/A $250

2



and $3003

N/A $263

Apex Harmony Lodge

$3,600 $2,200 N/A N/A N/A N/A $1,500 (5 bedded)


N/A $500


N/A N/A N/A N/A N/A N/A $1,581 (Dormitory)


N/A $324


N/A N/A N/A N/A N/A N/A $200-$600 (23 bedded open ward)


N/A N/A



N/A $200


$2,500 $1,800 $1,500 N/A N/A N/A $1,600 (3 bedded)


N/A $300




N/A N/A N/A N/A N/A N/A $1,300 $1,3005

N/A $3006


N/A N/A N/A N/A $2000 $2000 (6-8 bedded

ward)


and $2007

N/A $500

27



refundable



N/A $2,500 $2,000 N/A $1,500 N/A N/A $1,500 N/A $3008

Moral Home For The Aged Sick

N/A $1,500 $400 to $1,100

$400 to $1,100

$400 to $1,100


N/A $500



plus $1009

N/A N/A


N/A N/A N/A N/A N/A $1950 to $2015

($65 per day)

N/A >$600 10

N/A N/A

Singapore Christian Home for the Aged

N/A N/A N/A N/A N/A N/A $1,000 (Open ward)


N/A N/A

Society For Aged Sick

N/A N/A N/A N/A $1,200 N/A N/A $1,200 N/A N/A

Sree Narayana Mission Home For The Aged Sick

N/A N/A N/A N/A $1,500 N/A N/A $44011

$5012

$150

St Joseph's Home

N/A N/A N/A N/A $1,650 N/A N/A $500

N/A N/A

St Theresa’s Home

N/A N/A N/A N/A $0 - $1100 N/A N/A 2 months ward charges

N/A N/A


N/A N/A

Tai Pei Old People’s Home



N/A N/A $1050 to $1200

N/A N/A N/A N/A $1,050 to $,1200

N/A $500


N/A N/A N/A N/A N/A N/A $1,600 N/A Half month's ward charges

(Estimated at $800)

N/A

28



refundable



N/A N/A N/A N/A $1,650 N/A N/A 1 month ward charges

N/A N/A

Private Nursing Homes Cherry Nursing Home

N/A N/A N/A N/A N/A N/A $1,000 $500 N/A $500



N/A $600


$4,988 $3,413 N/A N/A N/A N/A $2,888 5 bedded


N/A $525



N/A $94513


N/A $1,000 $1,000 $1,000 N/A N/A N/A $30014

N/A $100 to $400

15

Moonlight Home For The Aged and Handicapped



$1,200 $1,100 $950 N/A N/A N/A N/A $500 N/A $250



N/A $630

Paean Nursing Home

N/A $1,000 $1,000 $1,000 N/A N/A N/A $300 14

N/A $100 to $400

15

Soo's Nursing Home

$1,200 $1,100 $1,100 N/A N/A N/A N/A N/A N/A N/A


N/A N/A $1,995 $1,890 N/A N/A N/A $2,000 N/A $840


N/A $1,500 $1,200 $1,000 N/A N/A $900 (Open ward)

$200 N/A $400


N/A $1,500 $1,200 $1,000 N/A N/A N/A $200 N/A $400

29



refundable


1One month charges and medical deposits

2 Nurse assessment & clerk charges

3 Doctors fees

4 Payable when patient discharged within 1 month stay; waived for stays over 1 month

5 Excluding respite care

6 Uniforms, various professional assessments

7 Medication

8 To cover service costs incurred by MSW, Business Office, Medical, Nursing, Rehab and Admin Depts from time of referral to assessment and admission.

9 For Medical apt 10

Based on estimated length of stay 11 Medical $200, Bed $240 121st medical consultation 13 Effective for lifetime



N/A: Not applicable

30

ANNEX G Items included/not included under ‘Ward Charges’ in Nursing Homes (Notes: Yes: Item include; No: Item not included; n/a: Item not available.)

ITEMS INCLUDED UNDER WARD CHARGES Institution

Name

Thera

py S

erv

ices -

P

hysio

thera

py

Thera

py S

erv

ice

s-

Occupational th

era

py

Thera

py S

erv

ices -

S

pee

ch t

hera

py

Thera

py S

erv

ices -

P

odia

try

Medic

al S

ocia

l W

ork

S

erv

ice

s

Sta

ndard

Me

dic

al &

S

urg

ical S

up

plie

s

Am

bula

nce t

ransport

to

hospitals

De

ath

Cert

ific

ate

duri

ng o

ffic

e h

ours

De

nta

l/ D

entu

res

Dia

pers

Escort

serv

ice to

ho

spital

La

b t

est

s

Medic

al consultatio

n

by in-h

ouse d

octo

r (G

P)

Medic

al consultatio

n

by in-h

ouse d

octo

r (s

pecia

list)

Medic

atio

n

Nutr

itio

nal

Supple

ments

/ N

G

Tub

e F

ee

ds

Outp

atient S

pecia

list

Outp

atient C

linic

consulta

tion

Oxy

gen T

hera

py

X-r

ays

Oth

ers

VWO Nursing Homes


Yes Yes No No Yes Yes No No No No No No No No No No No n/a No No


Yes Yes No No No No No No No No No No No No No No No No No n/a

Apex Harmony Lodge

Yes Yes Yes Yes Yes Yes No Yes No Yes Yes No Yes Yes No Yes No Yes No n/a


Yes Yes Yes Yes Yes Yes No Yes Yes No No No No Yes Yes Yes No No No n/a


Yes Yes Yes Yes n/a Yes Yes No No Yes Yes No No No Yes Yes Yes Yes n/a n/a


Yes Yes No No Yes No No Yes (office hours)

Yes No Yes No Yes No No No No No No n/a


Yes Yes Yes Yes Yes Yes No No Yes (no

den-tures)

No No Yes Yes Yes No No Yes Yes Yes n/a

31


Name

Thera

py S

erv

ice

s -

P

hysio

thera

py

Thera

py S

erv

ices-

Occu

pation

al th

era

py

Thera

py S

erv

ice

s -

S

pe

ech

thera

py

Thera

py S

erv

ice

s -

P

odia

try

Medic

al S

oci

al W

ork

S

erv

ices

Sta

ndard

Me

dic

al &

S

urg

ical S

up

plie

s

Am

bula

nce tra

nsport

to

hospitals

Death

Cert

ific

ate

duri

ng o

ffic

e h

ours

Denta

l/ D

entu

res

Dia

pers

Escort

serv

ice t

o

hospital

Lab t

ests

Medic

al con

sultation

by in-h

ouse d

octo

r (G

P)

Medic

al con

sultation

by in-h

ouse d

octo

r (s

pecia

list)

Medic

ation

Nutr

itio

nal

Sup

ple

ments

/ N

G

Tub

e F

eeds

Outp

atient S

pecia

list

Outp

atient C

linic

consulta

tion

Oxygen T

hera

py

X-r

ays

Oth

ers


Yes Yes n/a n/a Yes Yes No Yes No No Yes No Yes Yes Yes No No No No No


Yes Yes Yes n/a Yes No No Yes Yes No No No Yes n/a No No No No No n/a

Lions Home For The Elders

Yes Yes No No Yes Yes No No No No No No Yes Yes Yes Yes (standard)

No Yes No n/a

Man Fat Tong Nursing Home

Yes Yes No No Yes Yes No No No No No No- Yes No No No No No No Yes


Yes No No No No No No No No No No No No No No No No No No No


Yes Yes Yes Yes Yes Yes No No No No No No Yes Yes No No n/a n/a n/a n/a


Yes Yes Yes Yes Yes Yes Yes - During office

hrs only

No No No Yes No Yes Yes No No No No No No

Singapore Christian Home For The Aged

Yes Yes Yes No Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes No Yes Yes NA

Society For Aged Sick

Yes Yes n/a n/a n/a No No No n/a No Yes No No n/a No No n/a n/a n/a n/a

32


Name

Thera

py S

erv

ice

s -

P

hysio

thera

py

Thera

py S

erv

ices-

Occu

pation

al th

era

py

Thera

py S

erv

ice

s -

S

pe

ech

thera

py

Thera

py S

erv

ice

s -

P

odia

try

Medic

al S

oci

al W

ork

S

erv

ices

Sta

ndard

Me

dic

al &

S

urg

ical S

up

plie

s

Am

bula

nce tra

nsport

to

hospitals

Death

Cert

ific

ate

duri

ng o

ffic

e h

ours

Denta

l/ D

entu

res

Dia

pers

Escort

serv

ice t

o

hospital

Lab t

ests

Medic

al con

sultation

by in-h

ouse d

octo

r (G

P)

Medic

al con

sultation

by in-h

ouse d

octo

r (s

pecia

list)

Medic

ation

Nutr

itio

nal

Sup

ple

ments

/ N

G

Tub

e F

eeds

Outp

atient S

pecia

list

Outp

atient C

linic

consulta

tion

Oxygen T

hera

py

X-r

ays

Oth

ers


Yes Yes No No No Yes No No No No No No No No No No No No No No

St Joseph's Home

Yes Yes Yes Yes Yes Yes No Yes No No Yes No Yes Yes Yes Yes No Yes No n/a

St Theresa's Home

Yes Yes n/a n/a Yes Yes No Yes Yes Yes No No Yes Yes No Yes No n/a No n/a

SWAMI Home

Yes Yes Yes Yes Yes Yes No No No No Yes No Yes Yes No No No No No n/a


Yes Yes n/a n/a n/a No No No No No No No No No No No No No No No


Yes No No No No No No No No No No No No No No No No No No No


Yes Yes No No Yes No No No No No No No No No No No No No No No.


Yes Yes No No Yes Yes No Yes No No No No Yes No Yes Yes No Yes No No


Cherry Nursing Home

No No No No No No No No No No No No No No No No No No No n/a

33


Name

Thera

py S

erv

ice

s -

P

hysio

thera

py

Thera

py S

erv

ices-

Occu

pation

al th

era

py

Thera

py S

erv

ice

s -

S

pe

ech

thera

py

Thera

py S

erv

ice

s -

P

odia

try

Medic

al S

oci

al W

ork

S

erv

ices

Sta

ndard

Me

dic

al &

S

urg

ical S

up

plie

s

Am

bula

nce tra

nsport

to

hospitals

Death

Cert

ific

ate

duri

ng o

ffic

e h

ours

Denta

l/ D

entu

res

Dia

pers

Escort

serv

ice t

o

hospital

Lab t

ests

Medic

al con

sultation

by in-h

ouse d

octo

r (G

P)

Medic

al con

sultation

by in-h

ouse d

octo

r (s

pecia

list)

Medic

ation

Nutr

itio

nal

Sup

ple

ments

/ N

G

Tub

e F

eeds

Outp

atient S

pecia

list

Outp

atient C

linic

consulta

tion

Oxygen T

hera

py

X-r

ays

Oth

ers


Yes (group)

Yes (group)

n/a n/a n/a No No No n/a No No No No No No No No No No No


No No No n/a n/a No No No n/a No n/a No No No No No n/a No No No


No n/a n/a n/a n/a n/a No No n/a No No n/a No n/a No No n/a No n/a n/a


No No No No No Yes No No No No No No Yes Yes Yes No Yes No No No


Yes n/a n/a n/a n/a No No Yes No No No n/a No No No No No No No No


No n/a n/a n/a n/a n/a No No n/a No n/a No No n/a No No n/a No n/a No

Pacific Healthcare Nursing Home Pte Ltd

Yes (Basic)

Yes (Basic)

No No No No No No No No No No No No No No No No No n/a

Paean Nursing Home

No No No No No Yes No No No No No No Yes Yes Yes No Yes No No No

Soo's Nursing Home

No No No n/a No No No No No No No n/a No No No Yes No No No n/a


Yes Yes No No No Yes No No No No No No No No Yes (Basic)

No No Yes No n/a

34


Name

Thera

py S

erv

ice

s -

P

hysio

thera

py

Thera

py S

erv

ices-

Occu

pation

al th

era

py

Thera

py S

erv

ice

s -

S

pe

ech

thera

py

Thera

py S

erv

ice

s -

P

odia

try

Medic

al S

oci

al W

ork

S

erv

ices

Sta

ndard

Me

dic

al &

S

urg

ical S

up

plie

s

Am

bula

nce tra

nsport

to

hospitals

Death

Cert

ific

ate

duri

ng o

ffic

e h

ours

Denta

l/ D

entu

res

Dia

pers

Escort

serv

ice t

o

hospital

Lab t

ests

Medic

al con

sultation

by in-h

ouse d

octo

r (G

P)

Medic

al con

sultation

by in-h

ouse d

octo

r (s

pecia

list)

Medic

ation

Nutr

itio

nal

Sup

ple

ments

/ N

G

Tub

e F

eeds

Outp

atient S

pecia

list

Outp

atient C

linic

consulta

tion

Oxygen T

hera

py

X-r

ays

Oth

ers


No n/a n/a n/a n/a n/a No No n/a No No n/a No No No n/a n/a n/a n/a n/a


No n/a n/a n/a n/a n/a No No n/a No No n/a No n/a No n/a n/a n/a n/a n/a

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