Screen for Life (SFL) is the national screening programme by the Health Promotion Board (HPB) offering Singaporeans and Permanent Residents health screening recommendations based on age and gender.

SFL aims to drive Singaporeans to go for regular screenings and follow-ups. It consolidates HPB's screening programmes (previously known as the Integrated Screening Programme), including BreastScreen Singapore, CervicalScreen Singapore, Community Functional Screening Programme, and National Colorectal Cancer Screening Programme.

You can find your recommended screenings on the Screen for Life website at www.screenforlife.sg

The Ministry of Health (MOH) and the Health Promotion Board (HPB) have introduced the Screen for Life (SFL) programme to encourage eligible Singaporeans to go for recommended health screenings and post-screening follow-ups. Besides Pioneer Generation (PG) and Community Health Assist Scheme (CHAS) cardholders, all other Singaporeans are also entitled to subsidised screenings and one follow-up consultation (if needed) at a low, fixed fee, as long as they have a recommendation by HPB. This is only available at CHAS GP clinics.

The fees are fixed at $5 for eligible Singaporeans, $2 for eligible CHAS (both Blue and Orange) cardholders, and free for eligible Pioneers.

This fee covers the screening test(s) done within the same visit, and the first post-screening consultation, if assessed that a consultation is required. Individuals who undergo their screening test(s) on a separate visit will be charged a separate fixed fee.

For example, an eligible CHAS cardholder will pay $2, and this will cover the cost of the screening visit, which could include screening tests for cardiovascular risk, colorectal cancer and/or cervical cancer screening, and the consultation fees for one follow-up visit, if required.

Permanent Residents (PR) due for recommended health screenings will be notified by HPB. While PRs are not eligible for SFL subsidies, they are eligible for HPB’s screening test rate(s)* at CHAS GP clinics. The prevailing doctors’ consultation rates will be charged accordingly by the respective CHAS GP clinics.

^*$10 for cardiovascular risk screening, $12.50 for Pap test, $32 for FIT, excluding GST.

¹Public Assistance cardholders will continue to receive free screening and one follow-up at CHAS GP clinics.

It covers the screening visit, including the cost of the recommended screening tests done within the same visit and the doctor's consultation fee, as well as the first follow-up consultation fee for individuals who have been assessed to require one. Individuals who undergo screening test(s) on a separate visit will be charged a separate fixed fee.

When conditions are detected and treated early, treatment is more effective. Going for regular screenings and follow-ups with your regular GP helps to develop a meaningful patient-doctor relationship, enabling your GP to better manage your condition(s) in the long term. The Screen for Life (SFL) subsidy will help more Singaporeans go for the recommended screenings and receive the necessary follow-up, if any.

Your eligibility depends on:

1. Your age and gender as below:
   • Cardiovascular risk screening - Men and women aged 40 years and above
   • Cervical cancer screening – Women aged 25 years and above
   • Colorectal cancer screening – Men and women aged 50 years and above
2. The date of your last screening:
   • Cardiovascular risk screening – 3 years since your last screening
   • Cervical cancer screening – 3 years since your last screening
   • Colorectal cancer screening – 1 year since your last screening
3. Whether you have been diagnosed with chronic diseases or selected cancers (breast, cervical and colorectal).

All eligible Singaporeans should have received a letter of invitation from HPB informing them of the scheme. Upon receiving the letter, we strongly encourage you to make an appointment with your preferred CHAS GP clinic. On the appointment date, please present the letter, your NRIC, and CHAS/PG/PA* card, to qualify for the subsidised rate.

If you have not received your letter or would like another copy of the letter to be sent to you, please contact us at 1800 223 1313 or send us an email.

^*Eligible Public Assistance (PA) cardholders will receive the same subsidies as PG cardholders i.e. no need for co-payment.

If you are between 18 to 39 years old, and are identified to be “at higher risk” of being diabetic after taking the Diabetes Risk Assessment (DRA) on HPB's HealthHub platform, you are eligible for the Screen for Life (SFL) subsidy for cardiovascular risk screening. (Please refer to the DRA section below.)

If you are a woman aged 25 or above, you may enjoy the SFL subsidy for Cervical Cancer Screening (Pap test).

You can find out more about the Screen for Life (SFL) subsidy at www.screenforlife.sg or call HealthLine at 1800 223 1313.

The subsidised rates are only available at CHAS GP clinics. If you prefer to attend screenings at polyclinics, your visit will be subsidised according to the existing polyclinic subsidies that you are eligible for.

Screening subsidies at CHAS GP clinics are applicable only for the health screening tests recommended under HPB's Screen for Life (SFL) programme.

Screening under Screen for Life (SFL) is available at all CHAS GP clinics island wide.

You may wish to log onto www.chas.sg to find out where your nearest CHAS GP clinic is located. We strongly recommend making an appointment with your CHAS GP as you will need to prepare for your screening appointment.

We strongly recommend calling your preferred clinic in advance to make an appointment for screening, as you will need to prepare for your screening appointment. For example, some tests require you to fast overnight (no food or drinks other than plain water for at least 8-10 hours before the blood test).

You may wish to log onto www.chas.sg to find out where your nearest CHAS GP clinic is located.

As mammograms require special equipment that are not available at most GP clinics, women invited to do mammogram screening can proceed to the participating screening centres. Please refer to the Screen for Life website at www.screenforlife.sg for more details.

• Call your CHAS GP clinic to find out if he/she provides Pap test services
• Schedule your appointment two weeks after the start of your period
• Avoid having sexual intercourse 48 hours before the test
• Avoid using spermicides, vaginal creams, lubricant, vaginal medications or tampons 48 hours before the test
• Wear a two-piece outfit as you will need to undress from the waist down

You will need to fast for 8-10 hours before screening (no food and drinks other than plain water).

If you have been diagnosed with diabetes/high blood pressure/high blood cholesterol, you are not eligible for chronic disease screening under Screen for Life (SFL). Screening is only applicable for people who have not previously been diagnosed with these conditions. For those already diagnosed with these chronic conditions, we highly encourage you to continue your regular consultation and routine monitoring of laboratory tests with your regular family doctor.

You do not need to prepare for the Faecal Immunochemical Test (FIT) stool test. You can collect the FIT kit from your CHAS GP clinic and do the FIT stool test at home. It is convenient and simple to do; no prior dietary restrictions are needed. Please send your 2 FIT samples (2-day sampling) using the pre-paid envelopes provided within two weeks from the date of collection of the FIT kits.

The Diabetes Risk Assessment (DRA) is an evidence-based, self-administered tool developed based on our local data. It identifies Singaporeans aged 18-39 years who may be at risk of undiagnosed Type 2 diabetes at the point of assessment, and encourages them to go for diabetes screening. This simple and quick test is available on HealthHub for the public to use, accessible via www.letsbeatdiabetes.sg/DRA

As part of the enhanced efforts to prevent and control diabetes, individuals aged 18-39 years who are identified to be “at higher risk” of diabetes through the DRA, are offered cardiovascular risk screening (i.e. Body Mass Index, blood pressure measurement, fasting blood glucose and fasting lipid profile), as part of a three-year pilot. If the DRA indicates that you are “at higher risk” of diabetes, you will receive an electronic screening invitation within 1-2 day(s) after completion of the DRA.

The Diabetes Risk Assessment (DRA) is a quick and simple online test, which takes an average of two minutes to complete. It consists of eight questions:

1. Date of birth (age)
2. Gender
3. Body Mass Index (height and weight)
4. Personal history of high blood pressure
5. History of Type 2 diabetes among parents, siblings or children
6. Gestational diabetes mellitus (history of diabetes in any of the individual’s pregnanc(ies/y) [females only]
7. Physical activity
8. Dietary habits

You are required to answer the first 5 questions (and an additional question 6 for females only) as they contribute to your risk assessment. Questions 7 and 8 are optional and will not be used to compute your current risk. Nonetheless, they refer to lifestyle habits which can put you at risk of developing diabetes over time.

The outcome of the assessment will inform if you are “at lower risk” and “at higher risk”. You are recommended to repeat the DRA when there are changes to any of the above factors.

The outcome of the Diabetes Risk Assessment (DRA) does not predict your lifetime risk for developing diabetes. It only identifies your current risk of being diabetic at the point of assessment.

If your DRA outcome is:

At Lower Risk

Continue practising a healthy lifestyle. You are also recommended to re-take the DRA every two years, or as often as there are changes in the variables (e.g. age, weight or history of high blood pressure).

At Higher Risk

You are recommended to go for a basic screening to check your status for diabetes. Log on to MyHealth via Singpass on HealthHub to receive an invitation to go for health screening via email. This health screening package can be redeemed at a CHAS GP clinic of your choice. The e-screening invitation and the subsidised screening rates are only applicable for individuals found to be "at higher risk" after completing the DRA^*.

^*subject to eligibility

The outcome of the Diabetes Risk Assessment (DRA) does not predict your lifetime risk for developing diabetes. Results only identify your current risk of being diabetic at the point of assessment. Your risk of developing Type 2 diabetes will change over time. It is recommended that you repeat the assessment once every two years, or earlier if there are changes to any of the risk factors such as:

• your weight
• high blood pressure
• diagnosis of gestational diabetes during pregnancy (for females)
• diagnosis of Type 2 diabetes in your immediate family

You must be aged 18 and above to complete the Diabetes Risk Assessment (DRA). If you are worried about your/your child's risk of developing Type 2 diabetes, please consult your doctor.

The Diabetes Risk Assessment (DRA) is developed for individuals between 18-39 years old. Individuals aged 40 and above are at higher risk of developing diabetes, as the risk increases with age. It is recommended that you go for cardiovascular risk screening (including screening for diabetes) once every 3 years once you reach the age of 40. Hence, it is not necessary for you to do the DRA. If you are a Singapore citizen, you can enjoy the Screen For Life (SFL) subsidy at CHAS GP clinics.

The Diabetes Risk Assessment (DRA) is a locally validated tool developed for use among those who are 18-39 years old. It is not meant to assess the risk of diabetes among individuals beyond the age range. In Singapore, individuals aged 40 years and older have access to health screening (including screening for diabetes) without needing to go through an assessment. You can go to a CHAS GP clinic and pay a maximum of $5 for the health screening and a follow-up visit.

Your friend was able to do the Diabetes Risk Assessment (DRA) because it was previously not restricted to those aged between 18-39 years old. This change was made based on feedback HPB has received since launching the DRA, as well as changes to the messages associated with the DRA, to encourage those aged 40 and older to go directly for screening. The risk of diabetes increases with age and in Singapore, individuals are encouraged to go for health screening once they reach the age of 40. There are over 1,000 CHAS GP clinics where you can attend health screenings and follow-ups with a doctor. CHAS cardholders only need to pay $2 to be screened, while Singaporeans who are non-CHAS cardholders pay $5. For more information, please visit www.screenforlife.sg or call HealthLine at 1800 223 1313.