A Complete Guide to the Chronic Disease Management Programme (CDMP) in Singapore

What is a chronic disease? 

According to the Center of Disease Control and Prevention (CDC), chronic disease can be described as “conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both”. These progressive diseases are significant causes of illness and death, can last for extended periods of time, and require long-term treatment. 

Based on a report from the World Health Organisation (WHO), chronic disease accounted for 83% of all deaths in Singapore back in 2002. On top of that, there is also a large percentage of Singaporeans who are suffering from more than one chronic illness all at once. With such an alarming figure, this has prompted the Ministry of Health to launch the Chronic Disease Management Programme (CDMP) in October 2006.

What is the Chronic Disease Management Programme (CDMP) in Singapore? 

The Chronic Disease Management Programme, or CDMP, was established with the intention of improving the level of care for chronic disease patients and alleviating medical costs by making treatment more accessible and affordable for Singaporeans. Besides chronic physical illnesses, the CDMP also covers several mental illnesses as well. 

The 20 chronic diseases that are covered in this programme are: 

• Anxiety
• Asthma
• Benign prostatic hyperplasia
• Bipolar disorder
• Chronic obstructive pulmonary disease (COPD)
• Dementia
• Diabetes mellitus
• Epilepsy
• Hyperlipidemia (lipid disorders)
• Hypertension (high blood pressure)
• Ischaemic heart disease
• Major depression
• Nephrosis/nephritis
• Osteoarthritis
• Osteoporosis
• Parkinson’s disease
• Psoriasis
• Rheumatoid arthritis
• Schizophrenia
• Stroke

Major Risk Factors for Chronic Diseases

These are some of the most common risk factors in relation to chronic illnesses:

Ingrained Risk Factors (Non-Modifiable)

Background risk factors are non-modifiable, which means they cannot be changed in any way. 

Age

Ageing often leads to a decline in one’s health. As we get older, sometimes age-related chronic diseases are inevitable. Examples of these conditions include Alzheimer’s disease and Parkinson’s disease. 

Sex

Even one’s sex can be a risk factor for chronic diseases. There are some conditions that are more prominent with one sex, or perhaps illnesses that only one sex can acquire. 

Genetic Composition

A person’s hereditary background can also increase the risk of acquiring a chronic disease. If your family has a history of a particular chronic disease, there’s a chance that you may have it as well. Common examples of multifactorial genetic inheritance disorders include heart disease, high blood pressure, arthritis, diabetes, and cancer. 

Behavioural Risk Factors (Modifiable)

Behavioural risk factors refer to behaviours or lifestyle habits that can be changed and can affect your risk of developing a chronic disease. 

Poor Nutrition

A healthy and balanced diet is essential for us to function well on a daily basis from the nutrients found in our food. For children, a healthy diet helps them to develop and grow properly. As for adults, it allows them to live longer and reduce the risk of chronic disease altogether. Some conditions that are related to poor diets include cardiovascular disease, high blood pressure, some cancers, and poor bone health.

Lack of Physical Activity

The lack of exercise or physical activity increases the risk of many major adverse health conditions such as coronary heart disease, stroke, high blood pressure, and even obesity. Regular physical activity allows your body to function properly. A lack of exercise may cause detrimental effects and deteriorate your health significantly. 

Tobacco Use

For many years, the use of tobacco has been highly linked to several health problems and chronic illnesses. In fact, it is still the leading cause of premature illness and death in high-income countries. Smoking can cause deadly diseases like cancer, stroke, lung disease, heart disease and other chronic health conditions, and may also impact others’ health through secondhand smoke. 

Excessive Alcohol Consumption 

Drinking alcohol in moderate amounts does not pose a health risk, but excessive alcohol consumption can increase your risk of developing a range of chronic diseases like cardiovascular disease, chronic kidney disease and type 2 diabetes. Be sure to drink in moderation to prevent these risks.

In a report from the World Health Organisation on the impact of chronic disease in Singapore, 80% of premature stroke, heart disease and type 2 diabetes, as well as 40% of cancer could be prevented through a healthy diet, regular exercise or physical activity, and refraining from tobacco products. With that, altering your lifestyle to eliminate behavioural risk factors is also a form of prevention. 

Other chronic disease risk factors include hypertension (raised blood pressure), raised cholesterol, raised blood glucose, and obesity.

Where can I gain access to CDMP in Singapore? 

To make this programme as accessible as possible to all Singaporeans, the CDMP is available at more than 1,100 General Practice (GP) clinics, at all polyclinics, public hospitals, Specialist Outpatient Clinics (SOCs) and at participating private specialists clinics. The sheer amount of clinics and hospitals providing this programme ensures that all chronic disease patients can have access to treatment and systematic, evidence-based chronic disease management under the CDMP at virtually any place. 

To check for participating CDMP General Practice (GP) clinics near you, click here.

Healthier SG: Paying for chronic disease treatments and medications with MediSave

Thankfully, individuals can use their MediSave to pay for their treatment to lessen the out-of-pocket cash payments for outpatient chronic disease bills. The main purpose of Medisave is to help Singaporeans afford the costly hospitalisation bills. 

The Ministry of Health has announced that from early 2024, Singapore Residents under the Chronic Disease Management Programme (CDMP) can now use MediSave to pay for treatments fully. This means that you no longer have to make cash co-payments out of your own pocket!

Enrolment into the Healthier SG programme begins on 5 July 2023, and you will qualify for the programme if you are a Singapore resident who is 60 years old and above. You will receive an SMS invitation to enrol with a Healthier SG clinic or polyclinic.

Invitations will also be sent out progressively to those aged 40 to 59 years old.

Here is how you can enrol into the Healthier SG programme:

Source: Healthier SG

MediSave is claimable for services such as:

• Allied health services including nursing, physiotherapy, occupational therapy, speech therapy, dietician and podiatry services that are referred by your doctor for your chronic conditions
• Medical consultations if you have been diagnosed with any of the identified chronic diseases under the CDMP and/or its complications
• Medication to manage the identified conditions and/or their complications
• Relevant investigations (including laboratory and radiological procedures such as X-rays) for the evaluation of the identified chronic conditions and/or their complications

Examples of non-claimable support services include cooking courses, exercise support, gym classes, health coaching, nutritional counselling, sleep management and stress management. 

If you wish to track the amount of MediSave used under the CDMP, you can log onto the CPF website with your SingPass. Alternatively, you may also ask your clinic to check your MediSave balances under the CDMP on your behalf.

How can I participate in the CDMP? 

The process of participating in this scheme is relatively simple—all you have to do is visit a participating clinic or medical institution to make MediSave claims. During the first visit, you may present the symptoms of your chronic disease and the medical personnel will perform a clinical assessment. If you have already been diagnosed with a chronic condition, you may bring along any necessary documents or past clinical records for your doctor’s reference.

Why is there a need for Chronic Disease Management Programmes? 

Chronic illnesses have a serious impact on individuals and society in the long run. If not treated as soon as possible, it may cause their physical body to deteriorate, gravely affecting the quality of life of chronic disease patients over time. Since these conditions are also long-term and progressive, they can also be costly on the patients’ end and put a strain on their finances.

Through programmes like these, managing chronic disease(s) and related medical costs have been made easier. A large part of the financial load is taken off the patients and their families. This also promotes self-management among patients and allows them to feel a sense of empowerment despite the challenges. 

Singapore’s Chronic Disease Management Programme is just one of the many options that chronic disease patients can tap into to receive treatment. There are various financial schemes and subsidies available to support with the cost of healthcare services in Singapore.

How can Homage help you and your loved one?

Elderly patients with chronic diseases who have limited mobility or additional medical conditions such as arthritis may experience difficulty travelling from one place to another, let alone physically visiting a hospital or clinic. However, these individuals require and deserve appropriate medical care and attention for their chronic disease too. With home care service providers like Homage, elderly patients may receive medical treatment and assistance in their own homes. Since everyone has different needs, each patient will be taken care of in accordance with their preferences and care requirements through holistic home care services. 

Learn more about how home care services can impact the life of your elderly loved one here. Reach out to our Care Advisors by filling in the form below.