The MOM rule
The Ministry of Manpower (MOM) requires every Singapore employer to provide medical insurance for each Work Permit and S Pass holder employed in Singapore. The current minimum is S$60,000 per worker per year for inpatient care and day surgery. The minimum applies whether the medical condition is work-related or not, and whether it pre-existed the employment or arose during it.
The S$60,000 floor was raised from the previous S$15,000 minimum in two stages. The policy must be active for the entire duration the worker is in Singapore on the work pass — including periods of medical leave or pre-repatriation.
What is covered
The MOM-mandated coverage scope is:
- Inpatient hospitalisation expenses in a Singapore hospital.
- Day surgery and same-day procedures.
- Pre-existing conditions, whether disclosed at inception or discovered later.
- Conditions unrelated to the employment.
- Medical conditions arising overseas if the worker is hospitalised outside Singapore during the policy term.
The first S$15,000 of any claim must be borne by the insurer; the employer can be made responsible for amounts above S$15,000, depending on the policy structure and whether the condition is work-related. Many insurers offer a single policy that pays the full S$60,000 with no employer co-pay layer, which is the cleanest construction.
What is excluded from the MOM cover
The mandated cover is inpatient and day-surgery only. The following are not part of the statutory minimum and are typically excluded from a basic foreign-worker medical policy:
- GP outpatient consultations and prescriptions.
- Specialist outpatient consultations.
- Dental and optical care.
- Maternity (Work Permit holders may not become pregnant under EFMA conditions of work).
- Cosmetic surgery.
- Wilful self-injury and substance abuse.
Many employers add an outpatient plan to keep workers at the polyclinic or GP rather than the hospital — both for the worker's welfare and to reduce inpatient claims.
Premium ranges and how rating works
Foreign worker medical premiums are rated against:
- Trade classification (construction and marine attract higher rates than office work).
- Worker age band — older workers attract higher inpatient claim frequency.
- Claims history of the employer's portfolio.
- Whether outpatient and pre / post-hospitalisation are added.
- Whether the policy includes a co-pay or full first-dollar cover.
Indicative annual per-worker premium for MOM-minimum inpatient cover sits in the low hundreds of dollars for office-class workers, and higher for construction and marine trades. Adding outpatient cover roughly doubles the premium for most employer profiles.
Pairing with WICA
Foreign worker medical and WICA are different schemes covering different things. For every Work Permit and S Pass holder who is a manual worker (or who earns S$2,600 or less per month), employers must hold both:
- WICA for work-related injury or occupational disease — pays statutory medical, wage and lump-sum benefits regardless of fault.
- Foreign worker medical for any cause — pays inpatient hospital bills whether the condition is work-related or not, including pre-existing conditions.
Most insurers will bundle the two on a single account with aligned renewal dates, which simplifies administration and avoids gaps when a worker transitions between roles. See our WICA insurance page for the work-injury side.