All Pioneer Generation seniors receive special Pioneer Generation Subsidies of 40% to 60%, regardless of income or Annual Value of property. PGs also receive lifetime annual MediSave top-ups of $300 - $1,200 a year, which can be used to pay premiums. With this, PGs born in 1934 and earlier have premiums fully covered by the government, while younger PGs will have about two-thirds of premiums covered. Older PGs (born in 1939 and earlier) who have serious pre-existing conditions also receive an additional one-off annual MediSave top-up of $50-$200, from 2021 to 2025.

PGs who are unable to pay their remaining share of premiums even after the Pioneer Generation Subsidies and MediSave use, and have limited family support may be invited to apply for Additional Premium Support, which will cover all outstanding premiums and their premiums for the next two policy years. No one will lose their MediShield Life and CareShield Life (if applicable) coverage because of an inability to pay premiums.