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  • user94's Avatar
    3 posts since Apr '15
    • Medical screening is a series of medical tests done at the Medical Classification Centre (MCC) at CMPB (location map).

      The objective of these tests is to ascertain your medical condition and accord you a suitable Physical Employment Status (PES). Based on your PES, you will be assigned to a suitable vocation.

      Here are the various PES gradings:

      • PES A: Fit for all combat vocations
      • PES B1: Fit for most combat vocations
      • PES B2: Fit for some combat vocations
      • PES BP: Fit for obese BMT training
      • PES C: Fit for combat support vocations
      • PES D: Temporary unfit for grading and pending further review
      • PES E: Fit for administrative duties only
      • PES F: Medically unfit for any form of service

      Note that if you are given a PES D grading, it means that more time/tests are required to confirm your medical condition. This normally takes about 2-3 months. However, this duration may be longer depending on your medical condition.

      More information on Medical Classification Centre (NS Portal).

      Edited by eac 28 Apr `15, 12:06AM
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • user94's Avatar
    3 posts since Apr '15
    • Hi, can we open up the memo from the envelope that is sealed by the specialist and see before giving it the mo? Which we will then give the memo without the envelope since it is already opened up

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • HumtyDumty's Avatar
    4 posts since Apr '15
    • Hi! I just saw the specialist and he said that I have anterior shoulder instability. Prior to seeing him, I had 2 episodes whereby my shoulder popped out of place and went back in. He gave me 3 months of excuse upper limb and heavy load. 

      I would like to know if my medical condition is alarming and is it advisable to continue in combat unit? Is my condition also eligible for down pes? Thanks!

    • FYI, PES is http://en.wikipedia.org/wiki/PULHHEEMS.


      1) Go to Public Hospital / Private Specialist.

      Note: You will be classified as a subsidised patient if your first visit is via:

      • Referral letter from a Government Restructured Hospital under subsidised status, A&E, Polyclinic or SAF, without specifying a specialist by name.
      • Discharge from inpatient class B2 or C without specifying a specialist by name.


      2)
      Consult specialist, and do whatever medical check ups required. E.g. physical exam, blood test, x-ray, CT scan, MRI scan.

       

      3) Specialist gave a finalised clinical diagnosis.

       

      4) Get the specialist to write you a memo which is to be given to SAF MO. Those who can and are willing to spend some more money can get him/her to write you a specialist report, which is more precise and detailed.

      Note: For not to waste time and money, please be more direct yet humble. Request the specialist to write about reviewing of PES and medical board / anything specific such as any excuses to your conditions.

       

      5) Book an medical review appointment using the eHealth module @ www.ns.sg (for NSman Reservists).

      Just go down to your camp medical centre (for NSFs).

      Call CMPB @ 6373 1340 to request another PES review (for Pre-Enlistees after CMPB Checkup).

       

      6) Make a trip down to the respective unit camp medical centre. Give the MO whatever supporting documents you have in hand. E.g. Specialist memo/report (most usually the case and highly recommended), x-ray films, CT/MRI scan report, blood investigation lab report... etc.

       

      7) MO will decide whether you are deemed eligible for KIV downgrade, according to the criterias set in the "PES Bible" directive. E.g. Diagnosis, Extent of Diagnosis, Degree of Diagnosis/Injury/Illness/Disease...etc.

       

      8) If deemed so, you will sign an acknowledgement notice of Medical Board, whereby your case statement is prepared for review discussion at the monthly medical board meet (usually at the Formation/Division HQ) with another NSF CPT MO and the Chairman (SAF Regular Medical Doctor of MAJOR rank or above). Your Medical Board result will be post mailed to you by your respective NSHRC (Formation NS Hub).

       

      Time and time again, the questions for Medical Review (Downgrade) is repetitive. Therefore, this serves as a general SOP for Medical Board.

       

      Extract from www.mindef.gov.sg/nsmen:
      NSmen must update their NS HRCs if they should develop any new medical condition or if their existing medical condition has worsened which might affect their ability to perform their duties during ICT. Arrangements will then be made for them to attend a medical review at the SAF medical centre to assess their fitness for NS.

      The NSmen MUST bring along all investigation results and memorandums from his external physician/specialist during the medical review. Depending on the outcome of the medical review, the NSman may be given a medical certificate to defer him from ICT, be scheduled for a medical board to downgrade him if his medical condition is significant, or referred to a restructured hospital for further investigation. In the event that the medical officer determines that the NSman’s medical condition will not affect his ability to participate in the ICT, he will allow the NSman to attend the ICT.

      Edited by eac 29 Apr `15, 10:33PM
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • Eric see's Avatar
    2 posts since Feb '15
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • bhhhhhhhhhhhhhhhhhhhhhhh's Avatar
    2 posts since May '15
    • Hi guys I need some help on this. I have allergic rhinitis which has caused me to cough incessantly and have a blocked nose for the past few months ever since i enlisted. I have had this problem since young and it has always been controlled using the nasal spray. However, the spray has since failed to have any effect ever since i enlisted. I have consulted my gp who refered me to a specialist who prescribed another nasal spray and antibiotics which likewise did not work... Altogether I have already tried at least 3 different kinds of sprays and went through a few courses of antibiotics but the problem still persists... Its has been affecting my sleep at night as well as doing pt as i will keep coughing nonstop, compounded by the nasal congestion. It had even led to a bad bout of acute sinusitis. I have gotten a specialist memo explaining my conditon which i plan to submit to the mo. What can the mo do to help me with this problem?

      Please advice me on this matter thanks

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
    • FYI, PES is http://en.wikipedia.org/wiki/PULHHEEMS.


      1) Go to Public Hospital / Private Specialist.

      Note: You will be classified as a subsidised patient if your first visit is via:

      • Referral letter from a Government Restructured Hospital under subsidised status, A&E, Polyclinic or SAF, without specifying a specialist by name.
      • Discharge from inpatient class B2 or C without specifying a specialist by name.


      2)
      Consult specialist, and do whatever medical check ups required. E.g. physical exam, blood test, x-ray, CT scan, MRI scan.

       

      3) Specialist gave a finalised clinical diagnosis.

       

      4) Get the specialist to write you a memo which is to be given to SAF MO. Those who can and are willing to spend some more money can get him/her to write you a specialist report, which is more precise and detailed.

      Note: For not to waste time and money, please be more direct yet humble. Request the specialist to write about reviewing of PES and medical board / anything specific such as any excuses to your conditions.

       

      5) Book an medical review appointment using the eHealth module @ www.ns.sg (for NSman Reservists).

      Just go down to your camp medical centre (for NSFs).

      Call CMPB @ 6373 1340 to request another PES review (for Pre-Enlistees after CMPB Checkup).

       

      6) Make a trip down to the respective unit camp medical centre. Give the MO whatever supporting documents you have in hand. E.g. Specialist memo/report (most usually the case and highly recommended), x-ray films, CT/MRI scan report, blood investigation lab report... etc.

       

      7) MO will decide whether you are deemed eligible for KIV downgrade, according to the criterias set in the "PES Bible" directive. E.g. Diagnosis, Extent of Diagnosis, Degree of Diagnosis/Injury/Illness/Disease...etc.

       

      8) If deemed so, you will sign an acknowledgement notice of Medical Board, whereby your case statement is prepared for review discussion at the monthly medical board meet (usually at the Formation/Division HQ) with another NSF CPT MO and the Chairman (SAF Regular Medical Doctor of MAJOR rank or above). Your Medical Board result will be post mailed to you by your respective NSHRC (Formation NS Hub).

       

      Time and time again, the questions for Medical Review (Downgrade) is repetitive. Therefore, this serves as a general SOP for Medical Board.

       

      Extract from www.mindef.gov.sg/nsmen:
      NSmen must update their NS HRCs if they should develop any new medical condition or if their existing medical condition has worsened which might affect their ability to perform their duties during ICT. Arrangements will then be made for them to attend a medical review at the SAF medical centre to assess their fitness for NS.

      The NSmen MUST bring along all investigation results and memorandums from his external physician/specialist during the medical review. Depending on the outcome of the medical review, the NSman may be given a medical certificate to defer him from ICT, be scheduled for a medical board to downgrade him if his medical condition is significant, or referred to a restructured hospital for further investigation. In the event that the medical officer determines that the NSman’s medical condition will not affect his ability to participate in the ICT, he will allow the NSman to attend the ICT.

    • Please submit the hospital specialist memo to the camp doctor to assess and process.

      As usual, please refer to this guideline:
      http://sgforums.com/forums/1390/topics/392446

  • bhhhhhhhhhhhhhhhhhhhhhhh's Avatar
    2 posts since May '15
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • Someonename's Avatar
    1 post since May '15
    • Hi guys! Would love to get some advise and help from anyof you. I'm enlisting soon in scdf. I would want to be a firefighter but my highest qualification is secondary 3.(some privacy reason) can i be posted to FFC vocation with only those qualification? Or are there any other ways? Really appreciate for your help!

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
    • Please call the 24/7 NS hotline at 1800-3676767 to speak to a customer service officer.

  • Kazirus's Avatar
    5 posts since Oct '12
    • Hello all, I would like to enquire about some things.

      I was diagnosed with mild sleep apnea about many years back (AHI of 5.7). Recently I’ve been feeling quite tired, so I went to an ENT specialist to have it checked. I’ve done the sleep study but am currently awaiting for the appointment with the ENT specialist again for her to explain the report.

      Assuming I still have the same condition/worsened a bit, combined with periodic insomnia(about 1/3 of the time when I try to sleep), along with moderate allergy to dustmites/cockroaches, would I be able to be downgraded to PES C? If not, what excuses will I probably be able to get?

      This lack of restful sleep thing is killing me slowly, so some advise would be appreciated. Thanks in advance for the replies!

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
  • Kazirus's Avatar
    5 posts since Oct '12
    • Ah I see. However, the thing is that this is quite conflicting as if I do not get excuse stay-in, I'll suffer from very little restful rest while in camp(my camp has a lot of dust by nature, so its quite impossible to make the bunk a lot less dustier). However, if I do get excuse stay-in, I will need to travel quite far everyday (about 1.5 hours) to camp, and waking up at 5:15am everyday is not sustainable as well. Do you think that there would be any workaround for this? Thanks in advance once again...

      But I need to add on that every Mon, Wed and Fri there's HLS, so I'm already very exhausted waking up, but I still have to do them as my PES status is still B at the moment. I'm not sure how long I could last before my body really breaks...

      Edited by eac 09 May `15, 5:26PM
    • Please submit the hospital specialist memo to the camp doctor to assess and process.

      As usual, please refer to this guideline:
      http://sgforums.com/forums/1390/topics/392446

      Edited by eac 09 May `15, 5:26PM
    • Please submit the hospital specialist memo to the camp doctor to assess and process.

      As usual, please refer to this guideline:
      http://sgforums.com/forums/1390/topics/392446

      Edited by eac 09 May `15, 5:26PM
  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
    • You can buy and hand-carry the portable CPAP ventilator machine to camp and sleep with it.

      Please submit the hospital specialist memo to the camp doctor to assess and process.

      As usual, please refer to this guideline:
      http://sgforums.com/forums/1390/topics/392446

      Edited by eac 09 May `15, 10:31PM
    • Source: http://iprep.ns.sg/medical-and-dental.html

      As an NSF, you will get free medical & dental treatment at your unit’s Medical/ Dental Centre. In addition, you are also entitled to the following benefits:

       

      Outpatient Care

      Government hospitals
      Full Subsidy (excluding non-subsidised items*).

      Government/ Restructured Clinics
      Full Subsidy (excluding non-subsidised items*).

      Specialist Outpatient Clinics at Government/Restructured Hospitals

      Full subsidy, if referred by government/restructured polyclinic or SAF Medical Officer without specifying any consultant.

      Private Clinics
      Subsidised up to $20 per visit and subject to $350 per calendar year.

       

       

       

       

      In-patient Care

      Ward and Meal Fees
      Subsidy of 80% for NSFs & 50% for his dependant(s), based on the rates at his eligible ward.

      Treatment Fees
      Full subsidy for his eligible ward.

      Voluntary Ward Upgrading
      Required to pay the full medical expenses first. Reimbursement of medical expenses at upgraded ward will be based on co-payment rates.

       

       

      Government Dental Clinics / National Dental Centre (NDC) / Private Dental Clinics
      Required to pay the full medical expenses first.
      85% reimbursement of dental treatment expenses per visit, subject to a maximum of $120 per calendar year.

       

       

       

       

      Medisave-cum-Subsidised Outpatient (MSO) scheme – Subsidy limit of $500 per calendar year

      First $350 has to be fully utilised before reimbursement can be sought from the additional $150.
      Any unutilised portion of the additional $150 will not be transferred into the personnel’s Medisave account.

       

       

       

      Source: http://iprep.ns.sg/medical-and-dental.html


      * ITEMS THAT ARE NON-SUBSIDISABLE UNDER THE SAF MEDICAL BENEFITS SCHEMES

      The following items are not subsidised under the SAF Medical Benefit Schemes. Personnel who incur expenses for these items at approved medical institutions are required to pay upfront for the incurred expenses. Reimbursement will not be allowed.

      LIST OF NON-CLAIMABLE ITEMS

      1. Medical Investigations/Tests/Treatments e.g.
        • Accouchement and delivery fees
        • Assisted conception procedures
        • Sex reassignment
        • Ligation/sterilisation
        • Abortion
        • Cosmetic surgery
        • Circumcision
      2. Health Screening (Health screening for diagnostic purposes would be claimable) e.g.
        • Multi-phasic health screening
        • Thalassemia screening
        • Cytological cervical smear
        • Mammogram screening
        • HIV screening
        • Hepatitis screening
      3. Vaccinations e.g.
        • Hepatitis injections
        • Child immunizations
        • Personal travel-related vaccinations, e.g. malaria, dysentery, flu/fever etc.
      4. Medical Equipment/Aids e.g.
        • Wheelchairs
        • Walking aids
        • Joint braces
        • Blood pressure monitor
        • Kidney dialysis machine
        • CPAP machine
        • Glucometer
        • Crutches (Claimable if for in-patient use)
        • Hearing aids/Cochlear implants (Claimable if for in-patient use)
      5. Items Not Related to Medical Treatment e.g.
        • Child Developmental Assessments
        • Diet Counselling not arising from a medical condition
        • Non-Medical items e.g. TV rentals, telephone charges
        • Medical Reports and Hospital Admin Charges
      6. Drugs/Medications/Products
        1. The following items are strictly not claimable:
          • Retail items i.e non-formulary (drugs not in the approved drug list of hospital/institution) and off-the-shelf items
          • Branded drugs where non-branded generic drugs are available
          • Medical consumables for homecare (e.g. dressings, stoma appliances, catheters, diapers, urine bags)
          • Lifestyle drugs for non-medical conditions (e.g. weight management, smoking cessation, erectile dysfunction, family-planning, fertility, hair loss)
          • Drugs and products for cosmetic treatment
          • Feeds (e.g. milk products and food thickeners)
          • Vitamins and Health Supplements unless it is in the hospital/institution formulary (approved drug list of hospital/institution) list
        2. However some drugs can be claimable if the following conditions are met:
          1. Prescribed by the doctor as necessary for diagnosis or treatment; and
          2. Standard drug/treatment not available or suitable for diagnosis/treatment.

      *The above list is subject to changes from time to time and is not exhaustive.

       

       

       

      Welcome to Community Health Assist Scheme (CHAS)

      Blue_HA_Card_2014_NoName   Orange_HA_Card_2014_NoName   

        
      The Community Health Assist Scheme (CHAS) is a scheme by the Ministry of Health (MOH) that provides accessible and affordable medical and dental care to Singapore Citizens.

      Singapore Citizens of all ages are eligible for CHAS if they meet the following criteria: 

       

          • Household monthly income per person of $1,800 and below; OR
          • Annual Value (AV) of residence as reflected on NRIC of $21,000 and below for households with no income

       

      Family members (related by blood, marriage and/or legal adoption) living at the same address, as reflected on their NRICs, will need to apply together on one application form. All the family members’ income will contribute towards the household monthly income per person.

      Members of the public who are on Public Assistance (PA) scheme do not need to apply as they are already eligible for CHAS. 

       

      Household monthly income per person is calculated by taking the total household monthly income divided by the total number of family members living together.

       

         HMI Illustration

       

      Application

      You can pick up a CHAS application form at any Public Hospital, Polyclinic, Community Centre and Club (CC) or Community Development Council (CDC). Alternatively, you can download the application form here. Only one application form is required for each household.

      Please send the completed and signed application form to P.O. Box 680, Bukit Merah Central Post Office, Singapore 911536, with clear copies of the passports or visit passes for family members who are foreigners

      Submission of NRIC and birth certificate photocopies for Singapore Citizens and Permanent Residents are no longer required. If you have any family members who are foreigners, we would still require photocopies of their visit pass or passport for verification purpose. You can continue to use the existing form marked "Jan 2014" for your application. The new application forms marked "Apr 2014" reflecting this change in requirement will be available at a later date.

      Further details @ www.chas.sg

  • LifeIsShowtime's Avatar
    1 post since Sep '14
    • Hi, about 2.5months ago I signed the perm excuse night-duties medical board form and at the same time I was given excuse night-duties 84days by the MO for the time being due to the reason I'm on antidepressant (Epilim) for my epilepsy condition. I was told that I will be informed by my unit manpower branch after the perm excuse medical boarded but until now there is still no news from them. And furthermore, the excuse status is expiring on the June 2th. Do I need to go back to the MO to sign the medical board form again and extent my excuse to another 3months?

  • Moderator
    eac's Avatar
    4,048 posts since Dec '03
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