Screen for Life (SFL) is the national screening programme by the Health Promotion Board (HPB) that encourages Singaporeans and Permanent Residents to go for regular health screening and follow-up. You can find out more about this programme and your recommended screening tests on the Screen for Life website or call our hotline at 1800 223 1313.

If you are a Singaporean, you can access subsidised screening for cardiovascular disease, cervical cancer, and colorectal cancer at a low, fixed fee, as long as you are eligible (please see Question 5 for eligibility criteria). This fixed fee also covers one follow-up consultation (if needed). These screening services are only available at CHAS GP clinics.

The subsidy is free for Pioneers. CHAS Blue, CHAS Orange and Merdeka Generation (MG) cardholders will need to pay a fixed fee of $2. All other Singaporeans, including CHAS Green cardholders, only need to pay $5.

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.

While Permanent Residents are not eligible for SFL subsidies, they can enjoy 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.

^*Please check with your preferred CHAS GP clinics for the rates.

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.

The SFL subsidies aim to encourage more Singaporeans to go for the recommended screenings and receive the necessary follow-up. Treatment is more effective when conditions are detected and treated early. 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, so that your GP is able to better manage your condition(s) in the long term.

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 – Three years since your last screening
   • Cervical cancer screening – Three years since your last Pap test or five years since your last HPV test
   • Colorectal cancer screening – One year since your last screening with FIT
3. Whether you have been diagnosed with chronic diseases or selected cancers (cervical or colorectal).

You are strongly encourage you to make an appointment with your preferred CHAS GP clinic. On the appointment date, please present the relevant documents, your NRIC, and CHAS/MG/PG/PA* card, to qualify for the subsidised rate.

If you would like to check your eligibility for the Screen for Life subsidies, 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.

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 can enjoy the SFL subsidy for cervical cancer screening (Pap test for those aged 25 to 29 years old, HPV test for those aged 30 years and above).

You can find out more about the Screen for Life (SFL) subsidy at www.screenforlife.sg or call our hotline 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. Please check with your preferred polyclinic for more information.

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 use the clinic locator 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.

For a smoother process, we strongly recommend calling your preferred clinic in advance to make an appointment for screening, as you may 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). Non-fasting test options are also available for diabetes and lipid disorders. However, as there are some medical conditions which might affect the accuracy of non-fasting tests, please check with the doctor if fasting tests are more suitable for you instead.

You may use the clinic locator 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 preferred CHAS GP clinic to find out if they provide cervical cancer screening test (Pap or HPV 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

There are now non-fasting tests available for blood cholesterol and diabetes screening. However, if your GP has advised you to fast, you will need to fast for 8-10 hours before screening (no food and drinks other than plain water). Please speak to your GP to find out more.

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.