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Cost of treating an arm dislocation at a public hospital in Singapore 

May you never dislocate an arm like me.

 

My elbow popped out while I attempted and failed my final climbing route of the night. I ended up at the Accident & Emergency Department in Tan Tock Seng Hospital on 17 Mar 2022.

 

Fortunately, the entire medical bill was covered by a mix of my personal Sompo accident plan and corporate AIA medical insurance. I even received a weekly income benefit from Sompo!

 

In summary, the total cost of my personal dislocation accident was $1,360 without subsidies and $765 with subsidies. Below is a more detailed cost breakdown plus my own reflections of the incident.

 

Costs of visiting a public hospital in Singapore

Check out the total costs of my elbow dislocation while getting treated at a public hospital in Singapore:

  • A&E: The emergency visit (including the ambulance ride) was $132 while the medicine dispensed was $4.
  • Consultations: In total, I went for four consultations. The initial visit cost me $40 and subsequent ones were $38. Casting costs $55 while the X-ray costs $25.
  • Medical equipment: My elbow support costs $168, while my 2 arm slings cost $18 in total. Take note there are no government subsidies for medical equipment.
  • Physiotherapy: I went for seven sessions in total. Each session ranged from $18 - $38, depending on whether extra physiotherapy equipment was used. Every session was also with a different physiotherapist.

Entire bill breakdown in Excel, comparing with & without subsidies.

 

Closing thoughts

Here are some reflections I’d like to share and hope that they can be good takeaways for anyone who ever encountered the same thing as me (hopefully not!).

 

Singapore's public hospital experience

Singapore has an efficient public healthcare system with kind healthcare workers. I almost fainted while they removed my cast and the horrified nurses crowded me with blankets and Milo drinks.

 

The expenses are also somewhat affordable, with my bill cut by 56% after subsidies. $700ish is still quite a sum of money though, so be sure to keep cash funds to account for accidents (and potential loss of income), especially if you don't have personal accident insurance! Even if you do, it still takes some time for the insurer to pay out your claims and you have to foot the expenses first. Personally, I keep 15% of my networth in cash for any emergencies.

 

Be prepared for long waiting times at public hospitals, especially if your case isn’t urgent. The wait for my follow-up consultations wasn’t excruciating, but it was still long (about half a day). To be fair, however, I only waited for roughly 15 minutes before they set my arm back at the A&E. 

 

Buying a personal accident plan

I’m also lucky to have bought personal accident insurance. To me, it’s a cheap peace of mind given my active lifestyle whereby the risk of injuries is higher. I paid $192.60/year for my Sompo PAStar Deluxe, which translates to $16.05/month


 

In total, I received $200 in weekly income benefits after the accident. 

I highly recommend this provider and plan. Sompo offers one of the most price-competitive premiums, with all my needed coverage included. The payout also came in three months after the accident happened, which is an acceptable timeframe for me.

 

The top features of this personal accident plan include:

  • Accidental Death/Permanent Disablement up to $100,000

  • Medical expenses coverage up to $3,000 for accidents and 17 Specified Infectious Diseases including Dengue Fever, Hand Foot Mouth Disease, and ZIKA virus

  • Weekly Income Benefit for temporary total disablement for any one Accident, $100 per week

  • Daily Hospitalisation Allowance up to 365 days for any one Accident, $100 per day

  • Mobility Aid purchase or rental of Mobility Aid as prescribed by a Registered Medical Practitioner, up to $3,000 for any one Accident

  • Marriage Bonus Allowance of $100

  • Cancellation of Staycation or Covered Event Due to Hospitalisation

  • Baby Bonus Allowance of $100

  • Free Extension Coverage for Food Poisoning, Accidental Miscarriage, Insect/Animal Bites

  • Full Terrorism Coverage.

 

Proper documentation of invoices

Even after buying a PA plan, you have to claim it to offset your accident expenses. While claiming, the insurer would like to see your medical records/report and invoices before disbursing the amount claimed.

 

 

Be sure to take pictures of all your invoices and label them!

 

Here’s how I labelled my invoices and sorted my bills. 

 

I found it a breeze to track what needs to be claimed after sorting them out.

 

Opting to stop my physiotherapy earlier than recommended

This might not be for all of us, but I opted to stop my sessions due to the distance and time spent travelling to Tan Tock Seng Hospital. 

 

No regrets about stopping earlier as I could easily replicate the physio activities I researched myself online plus what the therapist recommended.

 

What could have been done differently

Looking back, is there anything I would have done differently?

 

I went to Tan Tock Seng Hospital a total of 11 times for consultation, cast removal, and physiotherapy. The travel back and forth was close to 45 minutes from my home in the East. 

 

In hindsight, I probably should have immediately transferred to a nearer hospital like Changi General Hospital for my follow-up consultations. Similarly, I could have gone to a private physiotherapist nearby, especially since I was covered by my personal accident plan.

 

Fortunately, my dad had his car and could ferry me to and fro, with parking roughly ~$5 for each trip. Alternatively, I could also have taken private transport and used my weekly income benefit to offset the costs. 

 

Cheers,

Val