The Medishield and Private Shield plans require the patient to co-pay the part of the hospital bill, comprising of the deductible and co-insurance. Some insurance companies offer a rider to cover the co-payment. Many insurance agents sell the rider as an attractive benefit. In my view, it is all right for the consumer to self-insure and make the co-payments out of savings (e.g. Medisave), rather than pay the insurance premium (that includes a loading for expenses and profit).
My explanation can be found here: www.tankinlian.com/latest.aspx (look for Medishield and private Shield).
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