All Singapore Citizens and Permanent Residents born in 1979 or earlier who join CareShield Life will pay a base premium that takes into account the premiums existing ElderShield 400 insureds in their cohort have already paid for ElderShield. Existing ElderShield 300 insureds as well as those not insured under ElderShield pay an additional catch-up component.

The catch-up component is not subsidised to ensure parity in premium subsidies across different groups within those born in 1979 or earlier.

Nonetheless, for those who are unable to pay for their CareShield Life premiums even after premium subsidies, the Government will provide Additional Premium Support, so that no Singaporean who joins CareShield Life loses coverage due to financial difficulties.