claims-based-pricing

Rewarding you for staying healthy

We know the benefits of a healthy lifestyle. Your efforts in healthy living will be rewarded, not just with good health, but also with savings on your premiums through a claims-based premium pricing approach.

What is claims-based premium pricing?

Claims-based premium pricing is a fairer pricing approach for our policyholders to save on premiums without compromising on medical care.

It is applicable for PRUExtra Premier Care customers only.

How does it work?

With claims-based premium pricing, you will start off at the Standard Level Premium, the lowest premium level of your age band. You also enjoy the PRUWell Reward, a percentage discount on your Standard Level Premium when your policy is incepted with no special terms and conditions. Each year, your premium level will be determined by any previous claims you made during the review period. As long as you stay healthy, with no claims made on your supplementary plan, you will continue to enjoy the PRUWell Reward on your Standard Level Premium at your next policy renewal.

Claims-based premium pricing for PRUExtra Premier Care

Our unique claims-based premium pricing mechanism rewards our customers for staying healthy and modest usage of healthcare services

Enjoy Premium Discounts with PRUWell Reward

When you’re in a pink of health and did not make any claims on your PRUExtra Premier Care supplementary plan, you’ll enjoy 20% off your Standard Level premiums at your next renewal.
Seek treatment at Restructured Hospitals

And your premiums will either remain at Standard Level Premiums, or move down 1 level if you are at a level higher than the Standard Level Premiums
Save with PRUPanel Connect

By choosing specialists empanelled at private hospitals under PRUPanel Connect, you can maintain your premium level^* without an increase of 1 or 2 levels.
Claim from Other Insurance Plans

After your PRUShield claim is paid, if you manage to recover a minimum of S$1,000 by claiming for the medical treatment from other policies, such as your corporate insurance plan, your premiums will either remain at Standard Level Premiums or move down 1 level if you are at a level higher than the Standard Level Premiums. This is an alternative to keep your personal insurance premiums affordable.

^* The claim-based premium level of PRUExtra Premier Care will remain on the same level provided it is a successful panel claim by a specialist on the PRUPanel Connect programme who provides inpatient or day surgery treatment at a Panel Healthcare Institution where the respective specialist is empanelled.

What is claims-based pricing?

PRUExtra Premier Care

Source of claim	Claim payment from PRUExtra Premier Care during the Review Period	Movement on premium levels (at the next policy renewal)
Panel Providers (except Singapore restructured hospitals or treatment centres) EP specialists (Panel HI)	Any amount	Remains on the same level
Non-Panel Providers (excluding EP specialists (Panel HI)) EP specialists (Non-Panel HI)	$500 and below	Remains on the same level
	Above $500 to $3,500	↑1 level
	Above $3,500	↑2 levels (limit at level 3)
Only Singapore restructured hospitals or treatment centres	Any amount	↓1 Level (limit at Standard)
No claim	Nil	↓1 Level (limit at Standard)

Note:

All private hospital claims paid during the same review period will be added together to calculate the total claim payment amount under your PRUExtra Premier Care plan. If there is a claim from a private hospital or private medical institution that is not under our panel providers or is under EP specialists (not at our Panel HI), and it is paid within the same review period as a panel provider or an EP specialist (Panel HI) claim, the claim-based premium level will be based on the private hospital or private medical institution that is not under our panel providers’ or is under EP specialists’ (not at our Panel HI) premium level (see table above). Any restructured hospital claim paid during the same review period will not be added together to calculate the premium level.

Panel Providers

Our Panel Providers consist of participating specialists on the PRUPanel Connect programme who provide inpatient or day surgery treatment at Panel Healthcare Institutions.

Panel Healthcare Institutions (Panel HI) refer to:

all restructured hospitals and treatment centres
participating private hospitals; and
participating private treatment centres,

that appear on PRUPanel Connect on our website

Participating specialists refer to registered medical practitioners and Specialists that appear on PRUPanel Connect on our website.

Non-panel Provider

Non-panel providers refer to:

specialists in non-panel Healthcare Institutions (Non-panel HI), which are private hospitals and private treatment centres listed under non-panel on our website; and
non-participating private specialists who provide inpatient or day surgery treatment in private hospitals and private treatment centres listed under Panel HI on our website

We may change this panel or non-panel list from time to time. For the updated list of participating panel providers, please visit PRUPanel Connect on our website.

Extended Panel (EP) Specialist⁴

An Extended Panel specialist is a registered medical practitioner who

is on another Integrated Shield Plan Insurer’s approved panel list,
has obtained pre-authorisation approval from us,
adhered to the pre-approved amount, and
meets pre-authorisation terms and conditions

EP specialist (Panel HI) refers to an EP specialist where hospitalisation, surgery and/or treatments are carried out at our Panel HI.

EP specialist (Non-panel HI) refers to an EP specialist where hospitalisation, surgery and/or treatments are carried out at our Non-panel HI.

EP specialist (No Access HI) refers to an EP specialist where hospitalisation, surgery and/or treatments are carried out at our No Access HI.

Note: Eligibility for EP benefits – If there is no PRUextra attached to the main claim, stop loss will not be applicable.

Learn more about the Extended Panel.

For customers who currently have any of the following PRUExtra supplementary plans, please click here for detailed information on the claims-based premium pricing for your respective plan.

PRUExtra Premier CoPay¹
PRUExtra Preferred CoPay¹
PRUExtra Premier²
PRUExtra Plus²

¹PRUExtra Premier CoPay and PRUExtra Preferred CoPay are no longer available for new business, mid-term adjustment³, upgrades and downgrades (where applicable) with effect from 1 April 2026.

²PRUExtra Premier and PRUExtra Plus are no longer available for new business, mid-term add and upgrades with effect from 1 April 2019. PRUExtra Plus is no longer available for downgrades with effect from 1 April 2026.

³A change to an insurance policy before the end of the policy period.

⁴Pre-authorisation is mandatory for all Extended Panel claims. Failure to do so will result in Non-Panel claims

Find out more

Please refer here for the revised premiums based on your age band.

For more information contact your Financial Representative or call our PRUCustomer Line on 1800 333 0333 (Monday – Friday, 8.30am – 5.30pm).

Note: Terms and conditions apply. PRUExtra premiums cannot be paid using MediSave. You are recommended to read the product summary and seek advice from a qualified Prudential Financial Representative for a financial analysis before purchasing a policy suitable to meet your needs. Buying health insurance products that are not suitable for you may impact your ability to finance your future healthcare needs. Premiums are not guaranteed and may be adjusted based on future claims experience. Prudential reserves the right to vary premiums at any time by giving 30 days’ written notice to the policyowner before doing so. The information on this website is for reference only and is not a contract of insurance. Please refer to the exact terms and conditions, specific details and exclusions applicable to these insurance products in the policy documents that can be obtained from your Prudential Financial Representative. The information contained on this website is intended to be valid in Singapore only and shall not be construed as an offer to sell or solicitation to buy or provision of any insurance product outside Singapore.

In the event that the policy is not suitable, the client may cancel the policy by making a written request to Prudential within the 21-day free look period. Prudential will refund any premiums paid, less medical fees, other expenses incurred and any outstanding amounts owed in connection with the policy.

Information is correct as at 1 April 2026.