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If you are a foreigner married to a Singapore Permanent Resident (PR), your primary residency option is the Long-Term Visit Pass (LTVP). Unlike spouses of Singapore citizens, spouses of PRs typically do not qualify for the LTVP+ or its healthcare subsidies initially. However, you are eligible for a Pre-approved Letter of Consent (PLOC), which grants you the right to work for any employer without foreign worker quotas.
Your long-term strategy must focus on bridging this gap by maintaining comprehensive private insurance while preparing a robust Singapore PR application. Securing permanent residency is the only way to eventually access subsidised housing and healthcare, making the timing of your application critical to your family’s financial stability.
The most important distinction in Singapore’s immigration framework for married couples is between spouses of Singapore Citizens (SC) and spouses of Permanent Residents (PR). This distinction dictates your rights, validity period, and costs.
Strategic Implication: You cannot rely on state safety nets. Your financial planning must account for “private” rates in all public hospitals until you successfully obtain PR Singapore status.
While the Long-Term Visit Pass (LTVP) lacks medical benefits, it offers powerful employment flexibility through the Pre-approved Letter of Consent (PLOC).
If you are the spouse of a PR holding an LTVP, you can apply for a PLOC. which allows you to work in Singapore with significant advantages over standard work passes:
Note: The PLOC allows for corporate employment but does not automatically authorize you to run a business as a sole proprietor.
Healthcare represents the single largest financial risk for PR-Foreigner households. Because an LTVP holder does not have MediShield Life coverage, you are exposed to private-rate medical bills.
You must purchase a private Integrated Shield Plan (IP) designed for foreigners. Premiums for these plans are significantly higher than what a PR Singapore holder pays.
| Age Band | PR/Citizen Premium (Cash Outlay*) | Foreigner (LTVP) Premium | Cost Multiplier |
| 31 – 40 | ~S$450 – S$600 | ~S$1,300 – S$1,600 | 3x |
| 41 – 50 | ~S$700 – S$1,100 | ~S$1,900 – S$2,800 | 3x |
| 51 – 60 | ~S$1,200 – S$1,600 | ~S$3,000 – S$4,500 | 3.5x |
Data estimates based on 2024/2025 insurer premiums. PR premiums assume MediSave usage; Foreigner premiums are largely cash-based.
If you are not yet married, the Pre-Marriage LTVP Assessment (PMLA) is a vital risk-management tool.
Failure to utilize the PMLA can result in the foreign spouse being unable to reside or work in Singapore for half a year while the application processes.

Your housing options are more limited than those of a full citizen household.
The LTVP is a transitional state. To secure long-term rights, you must eventually succeed in your PR application in Singapore.
Successful conversion depends on minimizing “dependency risk” and maximizing “contribution.”
Navigating the LTVP process, PMLA timelines, and the eventual transition to Permanent Residence requires precise documentation and strategic planning. Don’t leave your residency status to chance.
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