Healthier SG Pre-Enrolment Exercise

The Healthier SG Pre-Enrolment Exercise is open exclusively to GPs who sign the Healthier SG letter of agreement by 1^st June 2023. GPs can pre-enrol their regular chronic patients on-site via the assisted enrolment function in Primary Care Digital Services (PCDS).

When will this take place?

Pre-enrolment will take place from 1^st May to 4^th July 2023 for the 1^st batch of Healthier SG clinics and 1^st June to 4^th July 2023 for the 2^nd batch of Healthier SG clinics, who will begin enrolment from 1^st June 2023 onwards. You can take the opportunity to engage your regular chronic patients and pre-enrol them on-site within these eligible periods.

Who is eligible?

You can pre-enrol your regular chronic patients aged 40 years old and above, and who have had two or more chronic visits within the past calendar year. This can be the list of patients submitted in your Chronic Disease Registry, or patients who have made CHAS Chronic claims.

How do I pre-enrol eligible patients?

You can use the assisted enrolment module in the PCDS.

When will my pre-enrolled patients be eligible for Healthier SG benefits?

Healthier SG benefits such as the first Health Plan consult, free screenings and vaccinations will only commence with the launch of the main exercise. You are encouraged to schedule the 1^st Heathier SG Health Plan consult for your patients after the launch of the main exercise from 5^th July 2023 onwards.

If you have any further queries or clarifications, please do not hesitate to contact your AIC Account Manager.

Key Tasks & Responsibilities of GPs for the Healthier SG Pre-Enrolment Exercise

S/N	Key Tasks	Responsibilities
*Pre-Enrolment Preparations (Till 1^st May 2023 for the 1^st batch of GPs and from now till 1^st June 2023 for the 2^nd batch of GPs)*
1	Submit last year’s Chronic Disease Registry (CDR) nominal rolls to MOH through AIC.	For clinics which have joined a Primary Care Network (PCN) in 2023, please submit the clinic’s list of regular chronic patients to your respective PCN HQs by 14^th April 2023 and 15^th May 2023 (for those clinics coming onboard 1^st July 2023). Please seek assistance from your PCN HQ if you have any questions.
2	Attend Healthier SG pre-enrolment briefings conducted by AIC.	Complete structured sessions to prepare for the pre-enrolment. Topics to be covered will include: Short recap on Healthier SG benefits and milestones Patient eligibility Admin processes and workflows PCDS technical training (screenshots) Please refer here for the materials covered during the training.
During Pre-Enrolment (1^st May 2023 - 4^th July 2023)
3	Verify patients’ eligibility	Verify that patients meet the eligibility criteria for pre-enrolment.
4	Obtain patient’s consent	Go through the short version of the Healthier SG enrolment terms with the patients. Ensure patients are aware of the enrolment terms before enrolling.
5	Pre-enrol Patients	Go to the “assisted enrolment” function in PCDS. Click on “+ Enrol new patient.” Enter Patient’s NRIC. Patient’s information will be retrieved. Proceed to update the patient’s contact, email and address if necessary. Click on “Save” and followed by “confirm” after clicking on the checkbox for patient consent and acknowledgement. For patients with a mobile phone number, they will receive an acknowledgement SMS to confirm that they have been pre-enrolled.
6	Book patient’s 1^st Healthier SG appointment.	Ensure patient's 1^st Healthier SG appointment has been booked from 5^th July onwards using your own clinic appointment system or the Health Appointment System (HAS). For patients who need time to decide on their appointment date, and have no mobile phone number, you can advise them to seek assistance for the appointment booking at either: Your clinic or Community Clubs or Joint Testing & Vaccination Centres (JTVC) (from 5^th July 2023 onwards) For patients who have a mobile phone number, a reminder SMS will be sent to them in July 2023 to remind them of the appointment booking if your clinics use HAS. Otherwise, they can schedule their appointments through your clinic. You may use an appointment card for appointments made through your clinics for patients without mobile phones. *Please note that Healthier SG benefits will only commence from 5^th July 2023 onwards.
7	Remind patients to book their 1^st appointment if it was not booked during the pre-enrolment onsite visit.	Contact your patients to have their 1^st appointment scheduled either via your clinic’s own appointment system or HAS.
8	Changes in patient’s 1^st appointment (for appointment booked during onsite visit)	Patient can change their appointment for first Health Plan consult through: The GP clinic Appointment booked via HAS The link provided in the confirmation SMS; or From 5^th July 2023, patients will be able to change their appointments via HealthHub. If the appointment was not made via HAS, patients will need to change their appointments through the GP clinic

Frequently Asked Questions

What is pre-enrolment?

GPs who sign the LOA by 14^th April 2023 can start to pre-enrol their regular chronic patients from 1^st May 2023.
GPs who sign the LOA by 15^th May 2023 can start to pre-enrol their regular chronic patients from 1^stJune 2023.
Patients that pre-enrol can start receiving enrolment benefits after the launch of the main exercise.
Regular chronic patients are defined as:

Regular chronic patients aged 40 years old and above, who had two or more chronic visits with you within the past calendar year. This can be the list of patients submitted in your Chronic Disease Registry, or patient who have made CHAS Chronic claims.
Regular chronic patients aged below 40 years old, as defined as patients for whom GPs are receiving PCN Care Plus Fee.

When will pre-enrolment start?

Pre-enrolment will start from 1^st May 2023 onwards, and end on 4^th July.
There will be no SMS invitation to patients for pre-enrolment, patients will need to be at the clinic physically to pre-enrol.

How will my patients know that my clinic has signed up for Healthier SG and is allowed to pre-enrol?

Residents have the flexibility to choose any Healthier SG clinic they wish to be enrolled in. There is no restriction or boundaries that residents need to adhere to. However, during pre-enrolment, residents can only pre-enrol to their regular GP clinic.
AIC will provide a notice indicating that your clinic is a Healthier SG clinic, which you can display at your clinic.

How should the clinic reach out to the eligible residents/ patients for Healthier SG pre-enrolment?

Clinics can reach out to their regular chronic patients during their regular follow-up visits for their chronic conditions or acute visits. Pre-enrolment should be conducted onsite via the assisted enrolment function at the clinic.

Can I pre-enrol my regular chronic patients remotely over the telephone? Over email?

No. Pre-enrolment of your regular chronic patients can only be done at the clinic. The clinic assistant should highlight the key points per the abridged enrolment terms and refer the enrolee to the detailed enrolment terms if the enrolee wishes to find out more.

Will the residents/patients be notified of their pre-enrolment status after clinic has enrolled them?

For a resident with a mobile phone, an acknowledgement SMS will be sent to the resident to notify that pre-enrolment has been successfully completed.
For those with no mobile contact numbers, no confirmation SMS can be sent. As such, the clinic will have to remind residents of the appointment made.

Can patients change their mind and de-enrol from their Healthier SG clinic?

Yes, patients can change their provider via HealthHub (after the launch of the main exercise) or by calling the MOH call centre (6325 9220).
To change the Healthier SG clinic via HealthHub, this can be done by clicking the “3 dots” located at the top right corner of the section in the Heathier SG ‘Enrolled Clinic’ tab.
If the first Health Plan discussion has not taken place, there is no limit to the number of times residents can change their Primary Care Provider via HealthHub.
Upon completion of the first Health Plan visit, the resident can change Primary Care Providers up to 4 times up till end 2024. Thereafter, he or she is allowed to change Primary Care Provider only once per calendar year.
For GPs: Patients who have changed their primary care provider from your clinic to another clinic will be indicated under the “De-enrolled from Clinic” tab on PCDS.

Can patients withdraw consent from the Healthier SG exercise?

Yes, patients can withdraw consent from the Healthier SG exercise by calling the MOH call centre (6325 9220). This means that the patient has withdrawn from the Healthier SG enrolment exercise and is no longer entitled to Healthier SG benefits.

De-enrolment cannot be performed by the GP clinic. Patients will need to provide the following details to the MOH hotline for de-enrolment:

- Patient's Full Name
- NRIC
- Date of Birth
- Reason for de-enrolment

For GPs who have questions relating to de-enrolment from Healthier SG, please contact AIC's GP Hotline at 6632 1199.

Will pre-enrolment affect the clinic’s capacity?

As pre-enrolment is for regular chronic patients, pre-enrolment of these patients will not count towards your clinic’s capacity limit.

Will patients continue to receive the SMS invitation to enrol after pre-enrolment has been done?

No, patients will not receive SMS invitations after pre-enrolment has been completed.
However, if the patient did not book his / her first Health Plan consultation, a reminder SMS will be sent to their mobile number in July 2023 to remind them to book their appointment.

Are GPs required to collect consent from patients for pre-enrolment?

Yes, Healthier SG clinics are required to check the checkbox for patient’s consent and acknowledgement via the assisted enrolment function in PCDS. There is no need to collect consent via hardcopy acknowledgement.

Can the clinic book the first consult appointment for patients during pre-enrolment?

The first Healthier SG Health Plan consult can only take place from 5^th July 2023. Clinics should strongly encourage patients to book their appointment during pre-enrolment.
Clinics can proceed to book the appointment for first Health Plan consult via Health Appointment System (HAS) or your own appointment making system.

Can GPs complete the Health Plan discussion after they have pre-enrolled patients during the pre-enrolment period?

No, the Health Plan discussion can only be done from 5^th July 2023 (i.e. Healthier SG launch date). However, clinics can help their patients to schedule the first Health Plan consultation from 5^th July 2023 onwards.
The “Create Health Plan” functionality in PCDS for GPs/ Clinic assistants and the viewing of the Health Plan for pre-enrolees will only be made available from 5^th July 2023.
The Healthier SG Health component will only be available on HealthHub from 5^th July 2023.

Can patients change their appointment?

Patients can change their appointment for first Health Plan consult through the following ways:

Appointment booked via HAS:

Through the GP clinic
Patients will be able to change appointment using the link provided in the confirmation SMS; or
From 5^th July 2023, patients will be able to change their appointments via HealthHub

Appointment not made via HAS:

Through the GP clinic

Can I enrol all my non-chronic regular patients above the age of 40 during the pre-enrolment period?

No, you can only enrol your existing, regular chronic patients within the eligible age band of ≥ 40 years old.
Well patients within the eligible age bands will progressively be invited to enrol via Healthier SG SMS from MOH from 5^th July 2023.

Can I enrol my clinic assistants, friends and relatives during the pre-enrolment period?

Yes, but only if they are your regular chronic patients aged 40 years old and above, as this will be cross-checked with your submitted nominal rolls.
Regular chronic patients refer to those who have had two or more chronic visits at your Healthier SG clinic within the past calendar year. This can be patients in the list submitted in your Chronic Disease Registry or had made CHAS Chronic claims.

I only just recently joined a PCN and am not familiar with the process for submission of the PCN Chronic Disease Registry. How should I do so? Will I be penalised? 

For clinics which have just joined a PCN in 2023, please submit your clinic’s list of regular chronic patients to your PCN HQ via the Nominal Roll template by 15^th May 2023. Please seek assistance from your PCN HQ if you have any questions.

Will I be able to see the list of patients that I will pre-enrol via PCDS? 

Yes. The list of patients can be viewed in PCDS under the "Enrolled Residents" tab.

I am only able to onboard as a Healthier SG GP Clinic after 1^st May. Will I be eligible for pre-enrolment?

Yes. For GPs who sign the LOA by 14^th April 2023, they can start pre-enrolment from 1^st May 2023.
For GPs who signs the LOA by 15^th May 2023, they can start pre-enrolment from 1st June 2023.

What if I accidentally enrol a non-regular patient? Will my patient be asked to de-enrol? 

The patient will not be de-enrolled.
However, do note that compliance checks will be done on a regular basis during pre-enrolment. For clinics who continuously fail to comply with the pre-enrolment requirement, AIC will reach out to your clinic to clarify the situation.
For GPs who have questions related to de-enrolment from Healthier SG, please contact AIC's GP Hotline at 6632 1199.

Will my list of pre-enrolees be audited by MOH?

There will be compliance checks done on a regular basis during pre-enrolment. For clinics who continuously fail to comply with the pre-enrolment requirement, AIC will reach out to your clinic to clarify the situation.

If I have other queries on the pre-enrolment exercise, where can I find help?

Please contact your AIC account manager should you have other queries on the pre-enrolment exercise.

Can I enrol the caregiver of the regular chronic patient?

No. The caregiver will have to wait for their SMS invitation to Healthier SG to be enrolled. SMS invitations will be sent out progressively from 5^th July 2023 onwards.

Reference Materials and Resources

You may find the following resources useful for this Pre-Enrolment Exercise:

Materials from Pre-Enrolment Training conducted by AIC
Notice to be displayed in your clinic
Appointment card to record the date of the 1^st Healthier SG appointment for patients who do not use mobile phones.