Chronic Conditions

Chronic Conditions
CHAS Benefits with Healthier SG
Subsidised Rates for Healthcare Services

CHAS, Pioneer Generation (PG) and Merdeka Generation (MG) cardholders can receive subsidies for selected chronic conditions at participating General Practitioner (GP) clinics.

Chronic conditions are medical conditions that are generally progressive and require long-term care and medication. There are 23 chronic conditions covered under CHAS. They are:

Allergic Rhinitis
Anxiety⁺
Asthma
Benign Prostatic Hyperplasia
Bipolar Disorder⁺
Chronic Hepatitis B
Chronic Obstructive Pulmonary Disease
Dementia
Diabetes Mellitus (DM) (including Pre-Diabetes)
Epilepsy
Gout
Hypertension (High blood pressure)
Ischaemic Heart Disease
Lipid Disorders (e.g. High cholesterol)
Major Depression⁺
Nephritis/Nephrosis (Chronic Kidney Disease)
Osteoarthritis
Osteoporosis
Parkinson's Disease
Psoriasis
Rheumatoid Arthritis
Schizophrenia⁺
Stroke

⁺ Only claimable at selected clinics. Please click here and select "Medical Advice" for the list of CDMP+ clinics.

As chronic conditions are generally progressive and require long-term care and medication, it is important that patients manage them well through regular follow-ups and good lifestyle habits, to lower risks of complications, lessen medical bills, reduce stress and improve quality of life.

CHAS Benefits with Healthier SG

To further support patients with chronic conditions, enhanced subsidies are provided under Healthier SG.

Through the Healthier SG Chronic Tier Subsidy Framework, all CHAS, PG and MG cardholders can get  common chronic medications at their enrolled Healthier SG GP Clinic, at prices comparable to those at polyclinics. The Healthier SG Chronic Tier will benefit cardholders who have higher medication needs and whose bills may exceed the current CHAS annual subsidy limits.

Only one subsidy tier may be used at each chronic visit. Residents may choose between the CHAS Chronic Tier or Healthier SG Chronic Tier, to apply the subsidy tier that best benefits them based on their medication needs. Pro-ration of the annual dollar subsidy balance will automatically apply upon switching between the two tiers.

For more details on the chronic subsidies for each card type, please visit the ‘Cards and Subsidies’ page.

Additionally, patients with conditions under the CDMP can use MediSave to fully pay for their treatment at their enrolled Healthier SG GP clinics, up to the MediSave500/700 limit. They no longer need to co-pay 15% of their bill in cash.

Certain GP clinics may also arrange for direct delivery of selected chronic medications under the Healthier SG Medication List to the enrollee's home. Delivery charges may apply.

Subsidised Rates for Healthcare Services

Patients who seek treatment for chronic conditions at CHAS GP clinics can also receive subsidised rates for healthcare services such as Diabetic Foot Screening, Diabetic Retinal Photography and nurse counselling.

By utilising these services, patients will be better supported by a care team comprising of their own GP, nurses and care coordinators, to better manage their conditions. Patients may speak to their GPs to be assessed and referred to these services.

Diabetic Foot Screening (DFS)
Patients with diabetes are at risk of developing diabetic foot complications such as nerve damage and extremely poor bloody circulation. Patients are encouraged to go for DFS at least once a year to detect complications, seek early treatment and reduce the risk of leg amputations.
Diabetic Retinal Photography (DRP)
Diabetes can damage the blood vessels in the eyes, especially if the condition is poorly managed. Patients are encouraged to go for DRP at least once a year to detect early signs of eye damage and prevent complications that can lead to vision loss or blindness.
Nurse counselling
Patients who are newly diagnosed or have difficulties managing their chronic conditions, are encouraged to go for nurse counselling. Working together with the patient’s GP, the nurse counsellor will support patients in their journey to better manage their condition through personalised care plans which include lifestyle tips and dietary modifications.

Find out more through these resources:

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Related FAQs

The tier is determined based on the complexity of your chronic condition(s). "Simple" refers to visits for one chronic condition. "Complex" refers to visits for two or more chronic conditions, or one chronic condition with complication(s). Your GP can advise you which chronic subsidy tier you are eligible for.

Patients are expected to co-pay for their treatment under CHAS. CHAS clinics are expected to charge CHAS patients reasonable fees for the medical and dental treatments provided under CHAS.

We encourage you to check with your doctor or dentist on the likely fees that you will be charged before proceeding with your treatment(s). The treatment required and the fees will vary according to each patient's condition. The amount you pay will be based on the fees charged by the clinic, minus your CHAS subsidies.

It is compulsory for all CHAS GP and dental clinics to issue itemised bills to all CHAS patients.

For medical clinics, the itemised bill shall state the following:

(a) the total amount charged (before subsidy), with a breakdown of the amount into charges for consultation, medication, investigation and other goods/services, at minimum (where applicable);
(b) the total amount of subsidy claimed for the patient; and
(c) the total amount payable by the patient (after subsidy).

Minimum level of bill itemisation required (medical clinics):
Bill Itemisation (GP Clinics)

For dental clinics, the itemized bill shall state the following:

(a) the total amount charged (before subsidy), with a breakdown of the amount into the individual dental procedures performed on the patient under CHAS (with the number of times each procedure was performed and the amount charged);
(b) the total amount of subsidy claimed for the patient under CHAS; and
(c) the total amount payable by the patient under CHAS (after subsidy).

Minimum level of bill itemisation required (dental clinics):

Healthier SG enrolees can opt for the CHAS Chronic Tier or the Healthier SG Chronic Tier at each visit.

The remaining balance in the annual dollar limits under the CHAS Chronic Tier or Healthier SG Chronic Tier will be pro-rated at your next visit when you switch between subsidy frameworks. Hence, If your dollar-based limits under CHAS Chronic Tier are exhausted, that would mean that your dollar-based limits under Healthier SG Chronic Tier would have been exhausted as well. This is to account for the difference in annual limits between the two subsidy frameworks. You may wish to consult your enrolled Healthier SG clinic, who will advise if CHAS Chronic Tier or Healthier SG Chronic Tier is more suitable for your medication needs.

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All of us can now apply for CHAS!

If you are a Singapore citizen aged 21 and above, simply log in to our online application system using Singpass and submit an application for yourself and your loved ones at home.

Apply Online Now Login to MyCHAS

CHAS Benefits with Healthier SG

Subsidised Rates for Healthcare Services

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Related FAQs

For chronic conditions, there is a Simple and Complex subsidy tier. How do I know which tier I am eligible for?

What are the likely fees that I have to pay at the participating clinic using my CHAS card?

Why does using Healthier SG Chronic Tier subsidy reduce my CHAS Chronic Tier subsidy balance (or vice versa)?

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Subsidised Rates for Healthcare Services

Related FAQs

For chronic conditions, there is a Simple and Complex subsidy tier. How do I know which tier I am eligible for?

What are the likely fees that I have to pay at the participating clinic using my CHAS card?

Why does using Healthier SG Chronic Tier subsidy reduce my CHAS Chronic Tier subsidy balance (or vice versa)?