Nt Design
Foreign Domestic Workers (FDWs) play a vital role in many Singaporean households, assisting with daily chores, childcare, and elderly care. To ensure both their well-being and public health, the Singaporean government mandates regular medical check-ups for all FDWs. These health screenings are essential for preventing the spread of infectious diseases and ensuring that FDWs are fit for employment.
In this article, we will explore the different types of FDW medical check up in Singapore, their importance, legal requirements, costs, and what to do if an FDW fails the examination.
Why FDW Medical CheckUp is Necessary
Medical check-ups for FDWs serve multiple purposes, including:
- Ensuring Public Health & Safety: FDWs live and work closely with employers and their families. Regular screenings help detect and prevent the spread of contagious diseases.
- Protecting Employers & Households: Ensuring an FDW is in good health helps prevent unexpected health-related issues that could impact the employer’s household.
- Compliance with Singapore’s Employment Regulations: The Ministry of Manpower (MOM) requires all FDWs to undergo medical examinations to maintain their work permit status.
Types of FDW Medical Check Ups
FDWs must undergo different types of medical check-ups throughout their employment period in Singapore. These include:
- Pre-Employment Medical Check-Up – Conducted before an FDW starts work.
- Six-Monthly Medical Examination (6ME) – A recurring check-up every six months.
- Renewal Medical Examination – Required for work pass renewal.
Each of these check-ups serves a unique purpose and ensures that FDWs remain fit for employment.
Pre-Employment Medical Check-Up
What Is Included in the Check-Up?
Before an FDW starts working in Singapore, she must pass a pre-employment medical examination that includes tests for:
- Tuberculosis (TB)
- HIV/AIDS
- Syphilis
- Hepatitis B
- Pregnancy
Health Conditions That May Lead to Employment Rejection
If an FDW is found to have certain health conditions such as active TB, HIV, or is pregnant at the time of screening, she may be denied a work permit.
Where to Get the Medical Check-Up Done?
The check-up must be conducted at an MOM-approved clinic. Employers can book an appointment at any of these clinics to complete the necessary screening before applying for an FDW’s work pass.
Six-Monthly Medical Examination (6ME)
The Six-Monthly Medical Examination (6ME) is a mandatory health check-up that FDWs must undergo every six months.
Purpose of the 6ME
- Ensures that FDWs remain free from infectious diseases.
- Detects pregnancy, as FDWs are not allowed to work while pregnant under MOM regulations.
- Helps employers stay compliant with Singapore’s employment laws.
Tests Included in the Examination
The 6ME typically includes tests for:
- Tuberculosis
- HIV/AIDS
- Pregnancy
- Syphilis
- Other health concerns based on MOM guidelines
Consequences of Failing the Test
If an FDW is found to have a medical condition that prevents her from continuing work, the employer may need to terminate her employment and arrange for her repatriation. MOM may also revoke the work permit based on medical findings.
FDW Renewal Medical Examination
When Is It Required?
The renewal medical examination is necessary when an employer wants to renew an FDW’s work permit. This check-up ensures that the worker is still fit for employment and meets the Ministry of Manpower (MOM) health requirements.
Tests Conducted for Work Pass Renewal
The renewal medical check-up includes:
- Screening for infectious diseases like tuberculosis (TB), HIV/AIDS, and syphilis.
- A pregnancy test to confirm compliance with MOM regulations.
- Additional medical tests if required by the employer or doctor.
Difference Between 6ME and Renewal Medical Check-Up
- The 6ME is conducted every six months and focuses on common health concerns.
- The renewal medical examination is conducted before extending the work permit and is more thorough in assessing overall fitness for work.
If the FDW fails the renewal medical check-up, her work permit cannot be renewed, and she may have to return to her home country.
Cost of FDW Medical Check-Ups in Singapore
Average Price Range for Different Medical Check-Ups
The cost of FDW medical check-ups varies depending on the type of examination and the clinic. Below is an estimated price range:
| Type of Medical Check-Up | Estimated Cost (SGD) |
| Pre-Employment Medical Check-Up | $40 – $80 |
| Six-Monthly Medical Examination (6ME) | $30 – $60 |
| Renewal Medical Examination | $40 – $100 |
Factors Affecting the Cost
- Clinic Choice: Private clinics may charge more than polyclinics.
- Additional Tests: If further medical assessments are required, the cost will increase.
- Health Insurance Coverage: Some employer-provided insurance policies may cover medical check-ups.
Who Bears the Medical Check-Up Expenses?
Under MOM regulations, employers must bear the full cost of medical check-ups for their FDWs. Deducting the cost from an FDW’s salary is strictly prohibited.
List of Approved Clinics for FDW Medical Check-Ups
MOM-Approved Clinics and Hospitals
FDW medical check-ups must be conducted at a Ministry of Manpower-approved clinic. Employers can check MOM’s website for a list of authorised clinics.
How to Find a Nearby Clinic for FDW Check-Ups
- Search for MOM-approved clinics online.
- Use Google Maps to find a nearby medical centre.
- Contact clinics to confirm if they offer FDW medical check-ups.
Online Booking Options
Some clinics allow employers to book medical check-up appointments online for convenience. This helps avoid long waiting times and ensures a smooth process.
Medical Conditions That Can Lead to Employment Rejection
Certain medical conditions can prevent an FDW from working in Singapore. These include:
1. Infectious Diseases
- Tuberculosis (TB) – A highly contagious lung disease.
- HIV/AIDS – A life-threatening virus affecting the immune system.
- Syphilis – A sexually transmitted infection that requires treatment.
2. Pregnancy Restrictions
FDWs cannot work in Singapore if they are pregnant. The MOM requires pregnancy tests every six months to ensure compliance.
3. Chronic Illnesses
Conditions like severe diabetes, heart disease, or advanced kidney disease may impact an FDW’s ability to perform household tasks. If an FDW is diagnosed with a condition that affects her work capabilities, MOM may revoke her work permit.
What to Do If Your FDW Fails the Medical Examination?
Next Steps After a Failed Medical Test
If an FDW fails her medical examination:
- MOM will not renew her work permit if the condition is serious.
- Employers must arrange for her return to her home country.
- The employer should consult a doctor to understand the medical condition.
Appeal Process for Certain Medical Conditions
In some cases, if the medical condition is treatable, the employer may appeal the work permit cancellation. The FDW must receive proper medical treatment before reapplying.
Alternatives for Employers
If an FDW fails the medical examination and cannot continue working, employers must:
- Hire a new FDW who meets health requirements.
- Consider alternative caregiving options, such as local helpers or part-time domestic workers.
Employer’s Responsibilities Regarding FDW Medical Check-Ups
Legal Obligations Under MOM Regulations
Employers must:
✔ Send the FDW for her pre-employment, 6ME, and renewal medical examinations.
✔ Cover all medical expenses without deducting from the FDW’s salary.
✔ Ensure timely check-ups to avoid work permit issues.
Ensuring Timely Medical Examinations
If an FDW misses her scheduled medical check-up:
- MOM may cancel her work permit.
- Employers may face penalties or fines.
Providing Proper Healthcare for the FDW
Employers should:
- Ensure their FDW has access to medical care when needed.
- Purchase health insurance that covers medical treatments.
- Encourage good health practices and regular check-ups.
Common Myths About FDW Medical Check-Ups
Myth 1: FDW Medical Check-Ups Are Not Necessary
Truth: MOM makes medical check-ups mandatory to protect public health.
Myth 2: FDWs Can Continue Working Even If They Are Pregnant
Truth: FDWs cannot work if they are pregnant, and their work permits may be revoked.
Myth 3: FDWs Must Pay for Their Own Medical Check-Ups
Truth: Employers are legally required to pay for all medical check-ups.
FDW Health Insurance and Medical Check-Ups
Importance of Insurance for Medical Expenses
Employers must purchase medical insurance for their FDWs, covering:
✔ Hospitalisation
✔ Surgery
✔ Outpatient treatments
Recommended Insurance Policies for FDWs
Singapore has mandatory insurance requirements for FDWs, including a minimum medical insurance coverage of $15,000 per year.
How to Claim Medical Expenses for Check-Ups
- Employers should keep all medical receipts.
- Submit claims to the insurance provider for reimbursement.
FAQs About FDW Medical Check-Ups in Singapore
1. How often should FDWs undergo medical examinations?
FDWs must undergo:
- A pre-employment check-up before starting work.
- A six-monthly medical examination (6ME).
- A renewal medical examination before work permit renewal.
2. Can FDWs visit any clinic for medical check-ups?
No, FDWs must visit MOM-approved clinics for their medical examinations.
3. What happens if an employer does not send the FDW for check-ups?
The employer may face penalties, and the FDW’s work permit may be revoked.
4. Are there subsidies for FDW medical expenses?
No, employers must fully cover all medical expenses for their FDWs.
5. Can an FDW continue working if diagnosed with a chronic illness?
It depends on the severity of the illness. MOM may revoke the work permit if the condition affects her ability to work.
Conclusion
Regular medical check-ups for FDWs are crucial for maintaining public health and ensuring that domestic workers remain fit for employment. Employers must fulfil their legal obligations by ensuring timely check-ups and covering all medical expenses.
By prioritising the health and well-being of FDWs, employers can create a safe and supportive working environment for their household helpers.
