Health: pregnancy, STIs and care — Singapore

Pregnancy. Sixteen weeks of government-paid maternity leave, and a MediSave package covering most of the delivery cost. Sex therapy. No statutory registration for psychologists or counsellors, let alone sex therapists; public hospitals offer subsidised specialist care, and therapy is otherwise private.

Illustration: Health: pregnancy, STIs and care
Location map — Singapore
Singapore. Simplified location map — Natural Earth data, public domain.

Pregnancy

Citizens are entitled to sixteen weeks of paid maternity leave, with the government funding part or all depending on the child's order of birth. Delivery costs in subsidised public wards are largely met through the national medical savings scheme, which can be drawn on for both antenatal care and delivery. Paternity leave and shared parental leave are also provided.

Singapore gives sixteen weeks of maternity leave — the employer pays part and the government reimburses the rest, with the whole amount government-paid for later children — plus shared parental leave and a lengthening paternity entitlement. Delivery costs in public hospitals are largely met from MediSave, the compulsory medical savings account, which means most citizens pay little in cash.

Key points

Maternity leaveSixteen weeks for eligible citizens, partly government-funded
Paternity leaveGovernment-paid, with shared parental leave available
MediSaveCan be used for antenatal care and delivery, within withdrawal limits
Subsidised wardsPublic hospital classes with substantial subsidy for citizens
Baby BonusCash gift and matched savings account for eligible children
EligibilityEntitlements depend on the child's citizenship and the parents' marital status
Private careWidely used, with significantly higher costs

In practice

  • Check the MediSave withdrawal limits before choosing a hospital class: the gap can be substantial.
  • Entitlements depend on the child's citizenship — confirm your position early if either parent is a foreigner.
  • Apply for the Baby Bonus before the birth where possible.
  • Polyclinics provide subsidised antenatal care at much lower cost than hospital clinics.

Cost and coverage

Subsidised public care plus MediSave covers most of the cost for citizens; private care is considerably more expensive.

Recent changes

Shared parental leave has been introduced and paternity leave doubled, with the government funding the additional weeks, as part of a package aimed at encouraging fathers to take time off.

Where to go

  • Polyclinics for subsidised antenatal care.
  • Public hospital maternity departments.
  • Baby Bonus and government-paid leave schemes.

Worth knowing

Several entitlements depend on the child's citizenship rather than the mother's residence. In mixed-nationality families that distinction can change the amounts substantially.

Frequently asked questions

How is maternity leave funded in Singapore?

For the first two children the employer pays the first eight weeks and the government reimburses the last eight; for the third and subsequent children the government funds all sixteen. Eligibility depends on the child being a citizen and on a service period with the employer.

What does a delivery cost?

In a public hospital, most of it can be paid from MediSave up to set withdrawal limits, leaving a modest cash balance. Private hospitals cost considerably more. Foreigners without subsidy pay unsubsidised rates, which are several times the citizen figure.

The general article: Pregnancy · Compare with another country

Sex therapy

Singapore regulates doctors through the Singapore Medical Council but has no statutory registration for psychologists, counsellors or psychotherapists: the Singapore Psychological Society and the Singapore Association for Counselling keep voluntary registers. “Sex therapist” and “sexologist” are unregulated terms. Accountability therefore rests on the doctor's licence or on voluntary registration.

Qualified sexual-health care is concentrated in the public hospitals: urology and men's-health clinics, gynaecology, endocrinology and psychiatry, reached by polyclinic referral with subsidised fees for citizens and permanent residents. The Department of STI Control clinic handles infections. A few hospital psychologists and psychiatrists offer sex therapy; the private sector has a small number of psychologists and counsellors with overseas sex-therapy training, often AASECT-certified or trained in Australia.

Costs are cushioned by subsidies in the public system, less by insurance. MediSave can be used for outpatient psychiatric treatment of listed chronic conditions, such as depression and anxiety, but sexual dysfunction is not on the list; MediShield Life and integrated shield plans cover hospitalisation rather than outpatient therapy. A private session with a psychologist or sex therapist costs roughly 150 to 300 dollars, a private specialist consultation similar or more.

Employers' group insurance sometimes includes a mental-health outpatient benefit; check the policy.

Key points

TitleUnregulated; psychologists and counsellors on voluntary registers only
Regulated profession nearbyDoctors (Singapore Medical Council)
Voluntary registersSingapore Psychological Society; Singapore Association for Counselling
Public careHospital urology, gynaecology, psychiatry via polyclinic referral, subsidised for residents
MediSaveOutpatient psychiatric care for listed chronic conditions; sexual dysfunction not listed
Private costAbout 150–300 dollars a session

In practice

  • Ask a polyclinic for a referral to a public hospital: subsidised specialist fees apply and the pathway covers urology, gynaecology and psychiatry.
  • Check the SPS or SAC register for a psychologist or counsellor, and ask about specific sex-therapy training.
  • Ask whether your employer's insurance carries an outpatient mental-health benefit.
  • For infections, the DSC Clinic is the confidential public service.

Cost and reimbursement

Public specialist with referral: subsidised fee. Private psychologist or sex therapist: 150–300 dollars, out of pocket. MediSave and shield plans rarely apply to outpatient therapy.

What has changed recently

Mental-health benefits have been widening — MediSave use for outpatient psychiatric treatment was expanded — but sexual dysfunction remains outside the listed conditions, and no registration of psychologists has been enacted.

Where to go

  • Singapore Psychological Society and Singapore Association for Counselling: voluntary registers.
  • Public hospital urology, gynaecology and psychiatry clinics via polyclinic referral.
  • DSC Clinic: sexually transmitted infections.
  • Singapore Medical Council: register of doctors.

Worth knowing

With no statutory register, a “certified sex coach” and a hospital-trained psychologist can display the same words. Ask for the underlying qualification and register.

Frequently asked questions

Are sex therapists regulated in Singapore?

No, and neither are psychologists or counsellors by statute; only doctors are licensed. Voluntary registers exist.

Can I use MediSave for sex therapy?

No. MediSave covers outpatient psychiatric care for listed chronic conditions; sexual dysfunction is not among them.

Where is the cheapest qualified care?

In the public hospitals, through a polyclinic referral, with subsidised fees for citizens and permanent residents.

Sources

The general article: Sex therapy · Compare with another country

Mental health

Subsidised care at polyclinics and the national institute, plus a well-built online triage service.

Mental health care sits within the subsidised public system: polyclinics handle common conditions and refer on, and the national psychiatric institute provides specialist and emergency care. A government-backed online platform offers self-assessment, resources and a route to text or call for support. Community intervention teams operate across the island. Subsidies and public health financing schemes keep costs moderate for citizens and permanent residents.

Singapore has built an unusually clear front door: an online triage and appointment service that directs people to the right level of care, alongside subsidised consultations at polyclinics and at the national psychiatric institute. Costs are subsidised for citizens and permanent residents and can be partly met from MediSave. Stigma, rather than availability, is the barrier most often reported.

Key points

PolyclinicsSubsidised first point of contact for common conditions
National instituteSpecialist and emergency psychiatric care
Online platformGovernment-backed self-assessment, resources and support channels
Community teamsOutreach and early intervention across the island
SubsidiesSubstantial for citizens and permanent residents
EmploymentDisclosure rules have been progressively narrowed
Involuntary treatmentGoverned by the Mental Health Care and Treatment Act

In practice

  • Start at a polyclinic: the subsidy is significant and the referral onward is straightforward.
  • The national online platform offers an anonymous first step and a text channel.
  • Community intervention teams visit at home in some circumstances.
  • Public financing schemes can be used towards approved outpatient treatment.

Cost and coverage

Substantially subsidised for citizens and permanent residents; foreigners pay unsubsidised rates.

Where to go

  • Polyclinics, for a subsidised first consultation.
  • The national psychiatric institute, for specialist and emergency care.
  • National online mental health platform and helplines.

Worth knowing

Fear of consequences at work keeps people from seeking help. Disclosure requirements have been narrowed significantly, and a past episode of treatment is not, in general, something an employer may ask about.

Frequently asked questions

Where should someone start in Singapore?

With a polyclinic, which can treat milder difficulties and refer onward, or with the national online triage service, which assesses need and books an appointment at the appropriate level. The Institute of Mental Health operates a 24-hour helpline for urgent situations.

What does treatment cost?

Subsidised consultations at polyclinics and public institutions cost a modest amount for citizens and permanent residents, with MediSave usable for some outpatient psychiatric treatment. Private psychiatry and psychology cost substantially more, commonly S$150 to S$350 a session.

The general article: Mental health · Compare with another country

Dental care

Subsidised care in polyclinics, Medisave for surgical procedures, and a high-quality private sector.

Dental care at government polyclinics is subsidised for Singapore citizens and permanent residents, with higher subsidies for Pioneer and Merdeka Generation cohorts and for CHAS cardholders. Medisave, the compulsory medical savings account, may be used for certain dental surgical procedures — wisdom tooth surgery, some implant surgery — but not for routine fillings, cleaning or cosmetic work.

The Community Health Assist Scheme gives means-tested subsidies at participating private dental clinics for common procedures, which widens access considerably.

Private fees are high by regional standards, and many residents travel to Johor Bahru in Malaysia for major work, an hour away, at a third to a half of the price.

The National Dental Centre and the National University Centre for Oral Health handle complex and specialist cases.

Whitening is offered widely in clinics; over-the-counter products are regulated by the Health Sciences Authority.

Key points

PolyclinicsSubsidised for citizens and permanent residents
CHASMeans-tested subsidies at participating private clinics
MedisaveUsable for some dental surgery, not for routine or cosmetic work
PrivateHigh fees; cross-border travel to Johor Bahru is common

In practice

  • Check your CHAS eligibility: the subsidy applies at many ordinary private clinics, not only at polyclinics.
  • Ask whether a procedure is Medisave-claimable before it is done, and by how much.
  • For complex work, the National Dental Centre offers specialist care at subsidised rates on referral.

Cost and coverage

Polyclinic examination S$20–S$40 subsidised. Private examination S$50–S$120. Crown S$900–S$1,800. Implant with crown S$3,500–S$6,000.

Recent changes

Subsidy schemes for older cohorts have continued to be extended, lowering out-of-pocket costs for routine care.

Where to go

  • Government polyclinics, dental services.
  • CHAS participating clinics.
  • National Dental Centre Singapore.
  • Singapore Dental Council register.

Worth knowing

Medisave cannot be used for cleaning, fillings or whitening. Clinics sometimes imply otherwise; ask for the procedure code and the claimable amount in writing.

Frequently asked questions

Can I use Medisave at the dentist?

Only for certain surgical procedures, not for routine or cosmetic treatment.

Is CHAS only for polyclinics?

No, it applies at participating private clinics, which is what makes it useful.

The general article: Dental care · Compare with another country

HIV and AIDS

Subsidised treatment and anonymous testing, but PrEP is largely self-funded and immigration rules are strict.

Singapore combines a well-resourced clinical service with a restrictive framework. Treatment is subsidised and, since 2020, HIV medicines are covered under the national health insurance scheme. Anonymous testing is available at designated sites. PrEP is available but generally paid for privately, and work pass holders who test positive face immigration consequences.

Singapore subsidises HIV treatment for citizens and permanent residents and allows MediSave to be used for it, and anonymous testing is available at designated sites. PrEP is available but is paid for privately, and the country has moved away from earlier restrictions on entry and residence for people living with HIV.

Key points

TreatmentSubsidised, with HIV medicines covered under national health insurance since 2020
Anonymous testingAvailable at designated sites, without providing identification
Named testingResults are notifiable to the authorities
PrEPAvailable, generally self-funded
Work pass holdersFace immigration consequences on a positive result
DisclosureThere is a legal duty to inform a sexual partner before sex
Community servicesAction for AIDS provides testing and support

In practice

  • If you want a test without your name attached, use a designated anonymous testing site — that distinction matters here.
  • Ask about the subsidy framework before starting treatment: it changed substantially in 2020.
  • Community organisations provide confidential advice on immigration implications.

Cost and coverage

Treatment is subsidised and covered by national health insurance; PrEP is usually paid for privately.

Where to go

  • Designated anonymous test sites.
  • Action for AIDS Singapore.
  • Communicable Disease Centre and hospital infectious disease services.

Worth knowing

The distinction between anonymous and named testing has real consequences, particularly for people on work passes. Understand which you are having before the sample is taken.

Frequently asked questions

Is anonymous HIV testing available in Singapore?

Yes, at designated anonymous test sites, where no identifying details are recorded and results are given in person. Non-anonymous testing at clinics is notifiable. If you want a test without it entering your medical record, use a designated anonymous site.

The general article: HIV and AIDS

Hepatitis B

Universal infant vaccination since 1987, one of the earliest programmes in Asia.

Singapore introduced universal infant hepatitis B vaccination in 1987, among the first countries in the region to do so, and prevalence in younger cohorts has fallen dramatically as a result. Antenatal screening is universal, and chronic carriers are monitored through specialist services.

Singapore introduced universal infant hepatitis B vaccination in 1987, among the earliest in the world, with a birth dose for every newborn, and chronic infection among younger cohorts has fallen to very low levels. Antenatal screening is universal, and vaccination is part of the national childhood immunisation schedule, with costs payable from MediSave.

Key points

Infant vaccinationUniversal since 1987, with a birth dose
Older cohortsPeople born before the programme have markedly higher prevalence
Antenatal screeningUniversal
Babies of carriersVaccine and immunoglobulin at birth
TestingAvailable at polyclinics and private practice
TreatmentSubsidised at public institutions
MonitoringRegular surveillance for liver cancer in chronic carriers

In practice

  • If you were born before 1987, ask for testing: your cohort was not routinely vaccinated.
  • Chronic carriers need regular ultrasound surveillance, not just blood tests.

Cost and coverage

Testing and treatment are subsidised at public institutions.

Where to go

  • Polyclinics and hospital gastroenterology departments.
  • Health Promotion Board for vaccination information.
  • Specialist liver clinics for monitoring.

Worth knowing

Chronic carriers need liver cancer surveillance by ultrasound, typically twice a year. Blood tests alone are not sufficient, and this is often the part that gets dropped.

Frequently asked questions

Is vaccination compulsory in Singapore?

Hepatitis B is part of the national childhood immunisation schedule, which is strongly enforced through school entry requirements, and the birth dose is given as a matter of routine. Costs for scheduled vaccines can be met from MediSave for citizens.

The general article: Hepatitis B

HPV

A subsidised school programme for girls, and HPV testing every five years from 30.

Singapore introduced school-based HPV vaccination for girls in 2019, fully subsidised, alongside subsidised catch-up for young women. Cervical screening uses HPV testing every five years from age 30, with cytology for younger women, and is subsidised under national screening schemes.

Singapore funds HPV vaccination for girls through a school-based programme and subsidises it for eligible women, with MediSave usable for the cost. Cervical screening runs through the national programme with HPV testing from age thirty and cytology for younger women, and is heavily subsidised at polyclinics under the national screening scheme.

Key points

School programmeFor girls in secondary one, introduced in 2019
Catch-upSubsidised for young women through national schemes
BoysVaccination available privately; not part of the school programme
Screening 25-29Cytology every three years
Screening 30 and overHPV testing every five years
SubsidyScreening is heavily subsidised under national programmes
MediSaveCan be used for vaccination and screening within limits

In practice

  • Use the national screening scheme rather than a private clinic: the subsidy is substantial.
  • Ask about MediSave use for vaccination if you are outside the school programme.
  • From 30, ask for HPV testing rather than cytology.

Cost and coverage

The school programme is fully subsidised; screening is heavily subsidised under national schemes.

Where to go

  • Polyclinics and participating general practitioners.
  • Health Promotion Board screening programmes.
  • School health services for the vaccination programme.

Worth knowing

Boys are not included in the school programme. If you want your son vaccinated, that is a private decision with a private cost — worth knowing in advance.

Frequently asked questions

How much does screening cost in Singapore?

Very little at a polyclinic for eligible citizens under the national screening programme, which subsidises cervical screening heavily. Private clinics charge more. Invitations and reminders are issued, so keep your contact details current with the programme.

The general article: HPV

General sources

Page checked in October 2026. The instruments cited can change: if in doubt, confirm with the official source given.

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