Singapore legislation
Regulation 15
Regulation 15
Reimbursement by another person
Subregulation 1
Where —
an insured person’s claim under the Scheme in respect of any approved medical treatment or services received by the insured person has been paid from the Fund; and
another person, who is under an obligation (contractual or otherwise) to pay or reimburse the insured person for charges incurred in respect of the approved medical treatment or services, has made the payment or reimbursement,an amount computed in accordance with the following formula becomes due and payable to the Fund by the insured person on the date such payment or reimbursement is made by that other person:X + Y – Z,where Xis the total amount of the payment or reimbursement made by that other person;Yis the total amount of the claim paid from the Fund under the Scheme; andZis the total amount of the charges incurred by the insured person.
Subregulation 2
Paragraph (1) does not apply if the other person referred to in paragraph (1)(b) is an insurer under an obligation to pay or reimburse that insured person under an integrated shield plan.
Subregulation 3
Where an insured person is insured under an integrated shield plan, regulation 10 of the MediShield Life Scheme (Private Medical Insurance Scheme) Regulations 2015 applies instead of paragraph (1).