KEY HIGHLIGHTS
- Singapore continues nationwide Advance Care Planning (ACP) rollout in 2026 under Healthier SG and MyLegacy integration.
- Subsidised ACP facilitation available from S$0 to S$80 at public institutions; private clinics may charge up to S$300.
- Adults aged 21 and above are encouraged to complete ACP early to avoid family disputes and unwanted medical care.
Advance Care Planning (ACP) has become a core part of healthcare and legacy planning in Singapore. With an ageing population and higher medical costs, early planning helps ensure your healthcare wishes are respected.
Advance Care Planning Singapore 2026
| Item | Details |
|---|---|
| Minimum age | 21 years old |
| Legal status | Not legally binding |
| Where it is stored | National Electronic Health Record (NEHR) |
| Typical cost (public sector) | S$0 – S$80 (subsidised) |
| Review frequency | Every 2–3 years or after major life events |
What Is Advance Care Planning (ACP)?
Advance Care Planning is a voluntary discussion and documentation process. It records your healthcare preferences if you become unable to make or communicate decisions.
In Singapore, ACP focuses on personal dignity, family clarity, and medical appropriateness — not only end-of-life decisions.
Why ACP Matters More in 2026
Healthcare decisions are increasingly complex and costly. Without clear guidance, families may face emotional stress and unexpected medical bills in SGD.
With the national push for Ageing in Place, ACP supports smoother transitions between hospital care, home care, and palliative services.
ACP vs LPA vs AMD: Key Differences
Advance Care Planning (ACP)
- Purpose: Records healthcare values and preferences
- Scope: Treatment choices, place of care, personal values
- Status: Advisory, not legally binding
Lasting Power of Attorney (LPA)
- Purpose: Appoints a decision-maker (Donee)
- Scope: Personal welfare and/or financial matters
- Status: Legally binding
Advance Medical Directive (AMD)
- Purpose: Refuses extraordinary life-sustaining treatment in terminal illness
- Scope: Life-support decisions only
- Status: Legally binding
Types of ACP in Singapore
General ACP
For healthy adults or those with stable chronic conditions. Focuses on values and appointing a Nominated Healthcare Spokesperson (NHS).
Disease-Specific ACP
For individuals with progressive medical conditions. Covers likely medical complications and treatment boundaries.
Preferred Plan of Care (PPC)
For advanced illness or frailty. Usually developed with palliative care teams.
How to Start ACP in 2026
Step 1: Reflect on Your Values
Consider what quality of life means to you and your comfort with medical interventions and costs.
Step 2: Appoint a Nominated Healthcare Spokesperson
Choose someone you trust to speak on your behalf under pressure.
Step 3: Attend an ACP Facilitation Session
Most Healthier SG clinics, polyclinics, and hospitals offer trained facilitators.
Step 4: Digital Documentation
Your ACP is uploaded to NEHR and viewable via MyLegacy or HealthHub.
Cost of ACP in Singapore (2026)
- Public hospitals & polyclinics: S$0 – S$80 (after subsidy)
- Private GP clinics: S$100 – S$300
- Pro-bono options: Available for Pioneer and Merdeka Generation seniors
Always verify current rates before booking.
MyLegacy Portal Integration
In 2026, MyLegacy allows Singaporeans to:
- View ACP records
- Check LPA status
- Store Will location
- Manage CPF nominations
This ensures doctors can access your preferences quickly during emergencies.
Why This Matters
ACP reduces family conflict, prevents unwanted medical treatment, and supports financially responsible care. It also gives families confidence that decisions align with your wishes, not assumptions.
Early planning avoids rushed decisions during crises — a common concern among Singapore households.
Key Healthcare Planning Considerations
Palliative Care
ACP often includes comfort-focused care preferences. MediShield Life and Integrated Shield Plans cover certain palliative services.
Family Impact
Clear documentation reduces guilt and disagreement among loved ones.
Regular Reviews
Review your ACP every 2–3 years or after major health or family changes.
Frequently Asked Questions
Is ACP legally binding in Singapore?
No. It guides doctors but is not legally binding. AMD is legally enforceable.
Can I change my ACP later?
Yes. Updates can be made anytime through an ACP facilitator.
What if I do not have an ACP?
Doctors consult next-of-kin, which may lead to delays or disputes.
Is ACP only for seniors?
No. Any adult aged 21 and above can and should consider ACP.
Is ACP the same as a Will?
No. A Will manages assets after death; ACP manages healthcare decisions while alive.
Sources (Official Singapore Government Resources)
- Agency for Integrated Care (AIC): https://www.aic.sg
- MyLegacy by LifeSG: https://mylegacy.life.gov.sg
