Frequently Asked Questions
Healthier SG Screening
Covers questions about the programme, subsidies, and
eligibility.
Healthier SG Screening
Covers questions about the programme, subsidies, and
eligibility.
Healthier SG Screening is
the national screening programme by the Health Promotion Board (HPB) that
encourages Singapore Citizens and Permanent Residents to go for regular health
screening and follow-ups.
If you are a Singapore
Citizen, you can access subsidised screening for cardiovascular disease,
cervical cancer, and colorectal cancer at $5^ or lower 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 Community Health Assist Scheme (CHAS) General Practitioner
(GP) clinics.
This subsidised 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.
Breast cancer screening is also offered at subsidised rates at selected
polyclinics. The rates are $25 for PG cardholders, $37.50 for MG cardholders
and $50 for Singapore Citizens. For information on breast cancer screening,
please refer to the
‘Screening
Journey’ section.
For Permanent Residents, please check with
your preferred CHAS GP clinic on the screening test rates offered under
Healthier SG Screening. Prevailing rates for doctor's consultation will be
charged by the respective CHAS GP clinics.
For eligible Singapore
Citizens who are enrolled with Healthier SG, you will enjoy special subsidies
for Healthier SG Screening at your enrolled Healthier SG clinic. You can check
with your enrolled Healthier SG clinic when your recommended screening is due.
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 subsidies aim to
encourage more Singapore Citizens to go for the recommended screening and
receive the necessary follow-up. Treatment is more effective when conditions
are detected and treated early. Going for regular screening 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.
Your eligibility depends on:
-
Your age and sex as below
- breast cancer screening - for women aged 50 years and above
- cardiovascular risk screening - for men and women aged 40 years
and above
- cervical cancer screening - for women aged 25 years and above
- colorectal cancer screening - for men and women aged 50 years and
above
-
The date of your last screening
- breast cancer screening - every two years since last mammogram
- 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
- Whether you have been diagnosed with chronic diseases or selected
cancers (cervical or colorectal)
You are strongly encouraged 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.
*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 developing diabetes
after taking the Diabetes Risk Assessment, you are eligible for the Healthier
SG Screening subsidy for cardiovascular risk screening. Please refer to the
Diabetes Risk Assessment section.
If you are a woman aged 25 or above,
you can enjoy the subsidy for cervical cancer screening (Pap test for those
aged 25 to 29 years old, HPV test for those aged 30 years and above).
Where to go for screening
Covers questions about where to go for subsidised
screening under Healthier SG Screening.
Where to go for screening
Covers questions about where to go for subsidised screening
under Healthier SG Screening.
Subsidised screening is
available at all CHAS GP clinics island wide.
You can easily schedule your health screening appointment through the
Health Appointment System where you can select your preferred clinic, date,
and time.
Simply book an appointment for the
recommended subsidised screening tests you are due for.
For a smoother process, we
strongly recommend to schedule a health
screening appointment
as you may need to prepare for your screening test.
For example, some tests require you to fast overnight (no food or drinks other
than plain water for at least eight to ten 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.
The subsidised rates of $5
or below (for chronic disease, cervical and colorectal cancer screenings) are
only available at CHAS GP clinics. If you prefer to attend screening 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 Healthier SG Screening.
Diabetes Risk Assessment
Covers questions about its purpose and eligibility
criteria.
Diabetes Risk Assessment
Covers questions about its purpose and eligibility criteria.
The outcome of the Diabetes Risk Assessment does not predict your lifetime
risk of developing diabetes. It only identifies your current risk of
developing diabetes at the point of assessment.
If your outcome
is:
At Lower Risk
Continue practising a healthy lifestyle. You are also recommended to re-take
the Diabetes Risk Assessment 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 in to HealthHub using your Singpass to record your Diabetes Risk
Assessment results. You should receive an invitation to go for health
screening via email. You may redeem the health screening package at a CHAS GP
clinic of your choice, and you are highly encouraged to make an appointment
for screening. The e-invitation and subsidised screening rates are only
applicable for individuals found to be "at higher risk" after completing the
Diabetes Risk Assessment*.
*subject to
eligibility
The outcome of the Diabetes Risk Assessment does not predict your lifetime
risk of developing diabetes. Your risk of developing Type 2 diabetes will
change over time. Results only identify your current risk at the point of
assessment. 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 or
above to complete the Diabetes Risk Assessment. If you are worried about
your/your child's risk of developing Type 2 diabetes, please consult your
doctor.
The Diabetes Risk
Assessment is developed for individuals between 18 to 39 years old. It is not
meant to assess the risk of diabetes among individuals beyond the age range.
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 three years once
you reach the age of 40. Hence, it is not necessary for you to do the Diabetes
Risk Assessment.
5
My friend was able to do the Diabetes Risk Assessment in the past.
Why is she unable to do it now?
They were able to do the
Diabetes Risk Assessment because it was previously not restricted to those
aged between 18 to 39 years old. This change was made based on feedback HPB
has received since launching the Diabetes Risk Assessment, as well as changes
to the messages associated with the Diabetes Risk Assessment, 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.
Chronic Disease Screening
Covers questions about chronic disease screening such as
diabetes, high blood cholesterol, and high blood pressure.
Chronic Disease Screening
Covers questions about chronic disease screening such as
diabetes, high blood cholesterol, and high blood pressure.
Chronic diseases such as
high blood pressure, diabetes, and high blood cholesterol may be “silent” in
the early stages – you may have the condition but have no symptoms and still
feel completely well.
Regular screening can help you detect these conditions early, reducing the
chances of cardiovascular complications such as heart attack, stroke, and
kidney failure. This allows for earlier and therefore more effective treatment
and management. Screening can also give you peace of mind if you get a normal
result and know that you do not have the disease.
Under Healthier SG
Screening, screening for chronic diseases include
diabetes, high blood pressure, high blood cholesterol and
obesity.
To screen for diabetes and high blood cholesterol, a
fasting venous blood test (where blood is drawn from the arm vein) will be
used to check your blood sugar and cholesterol levels. There is also an
alternative non-fasting blood test available which is more convenient for
health screening. Ask your doctor about the non-fasting blood test to find out
if the test is suitable for you.
To screen for high blood pressure, a
blood pressure test is used to measure the pressure in your arteries as your
heart pumps. As part of the measuring process, the blood pressure cuff will be
wrapped around your arm.
To screen for obesity, height and weight (to calculate the Body Mass
Index, BMI), and waist circumference will be measured.
Breast Cancer Screening
Covers questions about mammogram for breast cancer.
Breast Cancer Screening
Covers questions about mammogram for breast cancer.
No. Currently there is no
evidence that regular mammogram of women under the age of 40 can detect early
breast cancer. This is because the breast tissue in pre-menopausal women is
denser, making mammograms very difficult to read.
However, if you
notice any unusual breast lumps, pain or nipple discharge, you should see your
doctor as soon as possible. If you think you have a higher risk of developing
breast cancer, you should also seek advice from your doctor.
Women above the age of 50
usually have breast tissue that is less dense, making abnormal tissue easier
to detect through a mammogram. If no abnormalities are detected, the chances
of a cancer developing in between screens (two years) will be low (though
still possible).
For women between the ages of 40 to 49, the breast
tissue is denser and a mammogram may not be able to detect abnormal tissue as
well. Therefore, women in this age range are recommended to screen more
frequently, so any changes in the breast tissue in between screens (one year)
can be better detected.
You should go for a mammogram once a year if
you are aged 40 to 49 years old and once every two years if you are aged 50
years or above. As such, you should wait till you are due before going for
your re-screen.
Yes, you can. As special
X-ray techniques will be used, your screening will be done at designated
hospitals. The same screening fees will apply.
Please continue to see your
doctor for your breast problems. Once you are no longer required to follow-up
with your doctor for the breast problems, you may call the hotline of the
screening centre to make an appointment for breast cancer screening.
It is a good practice to do
a breast self-examination every month. However, a mammogram is more sensitive
and accurate in detecting changes in breast tissue even before they can be
felt. Thus, we encourage you to continue with your regular self-examinations,
and to go for your mammogram when you are due for it.
If you notice changes in
your breasts, you are encouraged to see your doctor immediately instead of
going for a screening test.
There is no medical report
given after the mammogram. Your results will be posted to you in the form of a
letter indicating whether your mammogram is normal or abnormal. Under the
programme, you will not be given any X-ray images at the end of the screening
tests.
However, the images are stored in a secured system that is
accessible by the parties involved in the programme who can refer to them for
your next screening test. If you wish to keep a copy of the images, you may
request for it at a fee from the screening centre where you did your
mammogram.
No. A mammogram is an X-ray
examination of the breast. Like all X-rays, it may be harmful to the foetus,
so it is not advisable to have a mammogram done during pregnancy.
It is advisable that you
schedule your appointment at least one week after your menstrual period, when
your breast is less tender and sensitive.
You need to wait at least
six months after you stop breastfeeding before you can do your mammogram. This
is because your breasts will be compressed during mammogram and the milk ducts
in your breasts can lead to inaccurate results.
11
For FAQs on COVID-19 Vaccination and Breast Cancer Screening,
please click
here.
Cervical Cancer Screening
Covers questions about Pap and Human Papillomavirus
(HPV) tests for cervical cancer.
Cervical Cancer Screening
Covers questions about Pap and Human Papillomavirus (HPV) tests
for cervical cancer.
There are usually no signs
and symptoms in the early stages of cervical cancer.
All women who have ever had sexual activity before are at risk. The risk
increases if you:
- have a condition that leaves you with a weak immune system (e.g. lupus)
- are Human Immunodeficiency Virus (HIV) positive
Cervical cancer is a
slow-progressing condition. It usually takes up to 15 years to develop
cervical cancer. Hence, regular screening is important because it can be cured
when detected early.
Having a high-risk HPV
strain just puts you at a higher risk of developing cervical cancer. This does
not mean that you will develop cervical cancer. In some cases, your body will
clear these high-risk HPV strains on its own but sometimes it does
not.
When your body is unable to clear the high-risk HPV strains, a
persistent infection will occur and that can lead to cervical cancer. Hence,
it is important to follow-up with your gynaecologist so that he/she will be
able to monitor your situation closely.
Yes. All women who have
ever had sex sometime in their lives are at risk of cervical cancer.
Yes. This is because the
HPV vaccines can only give you a protection against 70% to 90% of the common
cancer-causing HPV strains (dependent on the type of HPV vaccine).
Colorectal Cancer Screening
Covers questions about the Faecal Immunochemical Test
(FIT) for colorectal cancer.
Colorectal Cancer Screening
Covers questions about the Faecal Immunochemical Test (FIT) for
colorectal cancer.
Colorectal cancer develops
slowly over several years and you can prevent the risk of cancer development
through regular screening.
There are usually no signs
and symptoms in the early stages of colorectal cancer.
FIT detects the presence of
small amounts of blood (that cannot be seen with the naked eye) in the stools.
If the test shows a positive result (abnormal), it means that the amount of
blood present in your stool is higher than normal. However, it does not mean
that you have cancer. Further testing is necessary to confirm if you have
colorectal cancer. This will be done during the follow-up appointment.
Healthier SG Screening
Covers questions about the programme, subsidies, and eligibility.
Healthier SG Screening
Covers questions about the programme, subsidies, and eligibility.
This subsidised 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.
Breast cancer screening is also offered at subsidised rates at selected polyclinics. The rates are $25 for PG cardholders, $37.50 for MG cardholders and $50 for Singapore Citizens. For information on breast cancer screening, please refer to the ‘Screening Journey’ section.
For Permanent Residents, please check with your preferred CHAS GP clinic on the screening test rates offered under Healthier SG Screening. Prevailing rates for doctor's consultation will be charged by the respective CHAS GP clinics.
For eligible Singapore Citizens who are enrolled with Healthier SG, you will enjoy special subsidies for Healthier SG Screening at your enrolled Healthier SG clinic. You can check with your enrolled Healthier SG clinic when your recommended screening is due.
-
Your age and sex as below
- breast cancer screening - for women aged 50 years and above
- cardiovascular risk screening - for men and women aged 40 years and above
- cervical cancer screening - for women aged 25 years and above
- colorectal cancer screening - for men and women aged 50 years and above
-
The date of your last screening
- breast cancer screening - every two years since last mammogram
- 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
- Whether you have been diagnosed with chronic diseases or selected cancers (cervical or colorectal)
*Eligible Public Assistance (PA) cardholders will receive the same subsidies as PG cardholders.
If you are a woman aged 25 or above, you can enjoy the subsidy for cervical cancer screening (Pap test for those aged 25 to 29 years old, HPV test for those aged 30 years and above).
Where to go for screening
Covers questions about where to go for subsidised screening under Healthier SG Screening.
Where to go for screening
Covers questions about where to go for subsidised screening under Healthier SG Screening.
You can easily schedule your health screening appointment through the Health Appointment System where you can select your preferred clinic, date, and time.
Simply book an appointment for the recommended subsidised screening tests you are due for.
Diabetes Risk Assessment
Covers questions about its purpose and eligibility criteria.
Diabetes Risk Assessment
Covers questions about its purpose and eligibility criteria.
If your outcome is:
At Lower Risk
Continue practising a healthy lifestyle. You are also recommended to re-take
the Diabetes Risk Assessment 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 in to HealthHub using your Singpass to record your Diabetes Risk
Assessment results. You should receive an invitation to go for health
screening via email. You may redeem the health screening package at a CHAS GP
clinic of your choice, and you are highly encouraged to make an appointment
for screening. The e-invitation and subsidised screening rates are only
applicable for individuals found to be "at higher risk" after completing the
Diabetes Risk Assessment*.*subject to eligibility
- your weight
- high blood pressure
- diagnosis of gestational diabetes during pregnancy (for females)
- diagnosis of Type 2 diabetes in your immediate family
5
My friend was able to do the Diabetes Risk Assessment in the past.
Why is she unable to do it now?
My friend was able to do the Diabetes Risk Assessment in the past. Why is she unable to do it now?
Chronic Disease Screening
Covers questions about chronic disease screening such as diabetes, high blood cholesterol, and high blood pressure.
Chronic Disease Screening
Covers questions about chronic disease screening such as diabetes, high blood cholesterol, and high blood pressure.
Regular screening can help you detect these conditions early, reducing the chances of cardiovascular complications such as heart attack, stroke, and kidney failure. This allows for earlier and therefore more effective treatment and management. Screening can also give you peace of mind if you get a normal result and know that you do not have the disease.
To screen for diabetes and high blood cholesterol, a fasting venous blood test (where blood is drawn from the arm vein) will be used to check your blood sugar and cholesterol levels. There is also an alternative non-fasting blood test available which is more convenient for health screening. Ask your doctor about the non-fasting blood test to find out if the test is suitable for you.
To screen for high blood pressure, a blood pressure test is used to measure the pressure in your arteries as your heart pumps. As part of the measuring process, the blood pressure cuff will be wrapped around your arm.
To screen for obesity, height and weight (to calculate the Body Mass Index, BMI), and waist circumference will be measured.
Breast Cancer Screening
Covers questions about mammogram for breast cancer.
Breast Cancer Screening
Covers questions about mammogram for breast cancer.
However, if you notice any unusual breast lumps, pain or nipple discharge, you should see your doctor as soon as possible. If you think you have a higher risk of developing breast cancer, you should also seek advice from your doctor.
For women between the ages of 40 to 49, the breast tissue is denser and a mammogram may not be able to detect abnormal tissue as well. Therefore, women in this age range are recommended to screen more frequently, so any changes in the breast tissue in between screens (one year) can be better detected.
You should go for a mammogram once a year if you are aged 40 to 49 years old and once every two years if you are aged 50 years or above. As such, you should wait till you are due before going for your re-screen.
However, the images are stored in a secured system that is accessible by the parties involved in the programme who can refer to them for your next screening test. If you wish to keep a copy of the images, you may request for it at a fee from the screening centre where you did your mammogram.
For FAQs on COVID-19 Vaccination and Breast Cancer Screening, please click here.
Cervical Cancer Screening
Covers questions about Pap and Human Papillomavirus (HPV) tests for cervical cancer.
Cervical Cancer Screening
Covers questions about Pap and Human Papillomavirus (HPV) tests for cervical cancer.
- have a condition that leaves you with a weak immune system (e.g. lupus)
- are Human Immunodeficiency Virus (HIV) positive
When your body is unable to clear the high-risk HPV strains, a persistent infection will occur and that can lead to cervical cancer. Hence, it is important to follow-up with your gynaecologist so that he/she will be able to monitor your situation closely.
Colorectal Cancer Screening
Covers questions about the Faecal Immunochemical Test (FIT) for colorectal cancer.
Colorectal Cancer Screening
Covers questions about the Faecal Immunochemical Test (FIT) for colorectal cancer.
ARE YOU ELIGIBLE FOR SUBSIDISED SCREENING?
Click to book your screening appointment and find out which screening tests you are eligible for. Your eligibility depends on your age, sex, pre-existing conditions and your last health screening date.
Book to screen now