Subsidy Level & Co-Payment

Subsidy & Co-payment

Service Provider Service Content Government Subsidy Scheme Participant Co-payment Fee
Family Doctor Screening Consultation $196 (one-off) $120 or less (one-off) as determined by Family Doctor
Treatment Consultation $166 (per subsidised consultation) Co-payment fee per visit as determined by the Family Doctor upon enrolment in the Scheme
(the Government recommended co-payment fee is $150)
Drug For each Scheme Participant who is provided with drugs for chronic diseases included in the list of Specified Drugs during the quarter, the Family Doctor can receive a quarterly subsidy of $105 per Scheme Participant No additional co-payment fee for drugs under the list of Specified Drugs and/or up to 3 days of drugs for episodic illnesses
Medical Laboratory Investigations in Screening Phase Full subsidy No additional co-payment fee
Investigations in Treatment Phase Partial subsidy per investigation item Co-payment fee per item
Nurse Clinic and Allied Health Services Dedicated Nurse Clinic under District Health Network Partial subsidy per subsidised visit $80 (per visit)
Dedicated Allied Health Services under District Health Network Partial subsidy per subsidised visit
Optometrist/Physiotherapist :
$150 (per visit)
Dietitian/Podiatrist :
$380 (per visit)
DHC/DHCE Health management group activities Full subsidy No additional co-payment fee
Note:
  1. Subject to mutual agreement, Family Doctor may charge the Scheme Participant for services outside the service scope of the Scheme
  2. Under the bi-directional referral mechanism, each attendance of one-off Medicine specialist consultation provided by HA is charged at a standardised fee of $250. In the event that drug prescription is required, a fee of $20 will be charged for each drug item prescribed [4 weeks as chargeable unit (except for self-financed drugs)]. The arrangement also applies to Scheme Participants who are HA staff or civil service eligible persons.
Medical fee waiver
Medical fee waiver is not applicable to the Scheme (including one-off Medicine specialist consultation provided by HA under the bi-directional referral mechanism)