Ah yes. This is correct. That became mandatory after I left.

MedShield Life is still quite restrictive in what it covers though. Even with half the population having additional private insurance, about a third of medical expenditure is out of pocket.

A consistent point of controversy in Singapore is how much MediShield funds the government keeps in surplus reserve.

Total medical expenditure in Singapore is also suppressed somewhat by people choosing not to have treatment.

https://www.straitstimes.com/singapore/some-kidney-patients-...