Prudential vs AIA vs Great Eastern vs Income Insurance vs Manulife. We compare Singapore's top insurers on their Integrated Shield Plans, life products, premiums and claims, all re-checked against each insurer's own site in September 2026. Includes what changed when MOH's new Integrated Shield Plan rider rules took effect on 1 April 2026.
Five insurers, four Integrated Shield Plans, and one 1 April 2026 rule change that moved money in both directions.
> Quick view: Great Eastern is strongest on paper (AA- from S&P, AA from Fitch). Income is the cheapest route into a private-hospital plan, and 15% off to 31 March 2027. Manulife sells no Shield plan at all. The catch: the new S$6,000 co-payment cap only holds on your insurer's panel.
Integrated Shield Plans compared at a glance
Four of the five insurers here sell an Integrated Shield Plan (IP). Manulife does not, so if hospitalisation cover is what you came for, it is not in the running.
| Insurer | Integrated Shield Plan | Top tier | Cover | Policy-year limit |
|---|
| Prudential | PRUShield | Premier | Private hospitals + all public hospitals | Up to S$2,000,000 |
| AIA | AIA HealthShield Gold Max | Plan A | Private hospitals | S$2,000,000 |
| Income | Enhanced IncomeShield | Preferred | Private hospitals | S$1,500,000 |
| Great Eastern | GREAT SupremeHealth | P Plus | Private hospitals + Class A wards | S$1,500,000 |
Mid and entry tiers step down to Class A and Class B1 wards with correspondingly lower limits: AIA's Plan B (Class A) at S$1,000,000 and Plan B Lite (B1) at S$300,000; Income's Advantage (Class A) at S$500,000 and Basic (B1) at S$250,000; Prudential's Plus (A ward and below) and Standard (B1 and below).
Great Eastern is the one worth reading twice, because most roundups list four GREAT SupremeHealth tiers and its own product page now shows five. Between A Plus and P Plus sits P Prime, a cheaper private-hospital tier that only pays in full at a Partnering Medical Institution (Mount Alvernia, Raffles Hospital and Thomson Medical Centre among them). If you want private cover but not the full-freedom premium, that is the tier nobody tells you about. Maximum entry age across GREAT SupremeHealth P Plus, P Prime, A Plus and B Plus, and the GREAT TotalCare 2 riders, is 75 next birthday.
Headline limits are the least useful number to shop on, though. Almost nobody reaches a seven-figure ceiling. What you actually pay in a normal year is set by the deductible, the co-payment and your rider.
What the 1 April 2026 rider rules actually cost you
Do the arithmetic before you pick. Say you hold a private-hospital IP with a S$3,500 deductible and take a S$40,000 hospital bill:
- The deductible comes first. Under a rider bought on or after 1 April 2026, that S$3,500 is yours to pay, because riders may no longer absorb it. Under a rider bought before 27 November 2025, it could be covered.
- Then the 5% co-payment applies to the remaining S$36,500, roughly S$1,825.
- The cap protects the bad years, but only on the panel. New riders cap co-payments (excluding the deductible) at S$6,000 a year, up from S$3,000. Read the condition attached to it: Income applies the cap only when treatment is provided by its panel or extended panel, and Great Eastern only at a restructured hospital or by a Panel Provider. Choose your own specialist outside that network and the cap does not apply at all, which is the opposite of how "S$6,000 maximum" reads in an advert.
- Both can be paid from MediSave, subject to withdrawal limits, so the cash hit is usually smaller than the headline.
How big is the deductible? It depends on ward class *and* your age, and the two published sources differ because they describe different things. Prudential quotes S$1,500 to S$3,500 for the PRUShield base plan depending on age and ward class. Great Eastern publishes the schedule that a new MOH-compliant rider must leave you to pay: S$3,500 in a private hospital or Class A ward, S$2,500 in B1/B2/B2+, S$2,000 in Class C, S$2,500 for non-subsidised and S$2,000 for subsidised day surgery and short-stay wards, plus a higher figure again for some plan types and older policyholders. Treat S$2,000 as the realistic floor for the slice you now carry yourself, not S$1,500.
Against that, rider premiums fell hard. Income puts its Optima Care and Essential Care riders at 32% cheaper on average than the ones they replace, Prudential says its new PRUExtra Care suite came in at least 30% cheaper across all age groups and plan types, and AIA repriced its Max VitalHealth Pro riders too.
One thing no insurer leads with: the base plan did not get cheaper. Prudential raised premium rates on PRUShield Premier, PRUShield Plus and several PRUExtra plans from 1 April 2026 for new policies and on renewal, citing healthcare cost and claims inflation. The rider line fell; the plan underneath it rose. Compare the total, not the rider.
How to choose between them
- Cheapest solid cover: Income, whose Enhanced IncomeShield premiums sit at or near the bottom of the market across most age bands, and the 15% Welcome Discount runs to 31 March 2027.
- Financial strength above all: Great Eastern, rated AA- by S&P Global Ratings (affirmed 1 February 2026) and AA by Fitch Ratings (affirmed 20 April 2026), with over S$117 billion in assets.
- You will actually use a wellness app: AIA, where Vitality turns steps and health screenings into 5% off your first-year premium, plus a further 5% first-year promotional discount.
- One insurer for everything, with an agent: Prudential, spanning PRUShield, PRUActive protection and PRUVantage savings.
- HDB mortgage cover without an agent appointment: Manulife's ManuProtect Decreasing (II), currently 8% off for the life of the policy, with another 5% for a joint-lives application.
Whatever you pick, get quotes from at least three insurers. Premiums for identical cover routinely differ by hundreds of dollars a year, and switching an IP later can mean re-underwriting if your health has changed in the meantime.
How we checked this
Every price, discount, plan tier and end date on this page was read off the insurer's own website in September 2026: product pages and promotion terms and conditions, not aggregator roundups. Where an insurer publishes nothing (AIA does not put a dated cash discount on its promotions page; Manulife does not publish premium tables), we say so rather than quote a figure from elsewhere. Ratings are taken from Great Eastern's own investor-relations page, which lists the last affirmation date for each agency.
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