Integrated Shield Plans (IPs) are made up of 2 components (i) the MediShield Life component, and (ii) the additional private insurance component that provides greater coverage intended to cover unsubsidised bills, such as those incurred from Ward A/B1 stays in public hospitals or private hospital stays. The overall IP premium may be affected by both changes in the MediShield Life premiums and premiums for the additional private insurance component.

The Ministry of Health sets the premiums for the MediShield Life component, and provides subsidies to keep MediShield Life premiums affordable.  

Premiums for the additional private insurance component of IPs are set, reviewed and adjusted by insurers based on commercial and actuarial considerations. Insurers may adjust premiums upwards or downwards taking into account their claims experience, medical inflation and their own product changes if any. Insurers have an incentive to keep premiums competitive, to attract and retain policyholders. Singaporeans concerned with the affordability of IP premiums may wish to consider switching to more affordable insurance options, in line with their preferences for hospitalisation coverage.