Understanding Singapore's long-term care insurance schemes is essential for comprehensive financial planning. Learn how these government schemes work and what supplementary coverage options are available for expats.
Understanding the Basics
CareShield Life is Singapore's national long-term care insurance scheme that provides basic financial support if you become severely disabled and cannot perform at least 3 of the 6 Activities of Daily Living (ADLs): washing, dressing, feeding, toileting, walking, and transferring.
It replaced ElderShield in 2020 and is mandatory for Singapore Citizens and Permanent Residents born in 1980 or later. The scheme provides lifetime payouts that increase over time, funded by premiums that can be paid using Medisave.
Effective 2026, the annual payout growth rate will double from 2% to 4%. This means monthly payouts will increase faster. For example, a policyholder claiming in 2030 will receive $806/month (up from the previously projected $731). To support this enhancement, the government is providing over $570 million in subsidies to help mitigate premium increases.
CareShield Life is only available to Singapore Citizens and Permanent Residents. As a foreigner on a work pass, you're not eligible for this scheme. However, there are private long-term care insurance options that can provide similar protection.
| Monthly Payout | From SGD 600/month |
| Payout Duration | Lifetime |
| Payout Increase | 4% per year (from 2026) |
| Premium Period | Until age 67 |
| Eligibility | Citizens & PRs only |
Comparison
| Feature | ElderShield (Old Scheme) |
CareShield Life (New Scheme) |
|---|---|---|
| Monthly Payout | SGD 300-400 (fixed) | From SGD 600 (increasing) |
| Payout Period | 5-6 years max | Lifetime |
| Payout Adjustment | ✗ Fixed | ✓ Increases 2%/year (before 2026) ✓ Increases 4%/year (from 2026) |
| Coverage Start | Age 40 | Age 30 |
| Mandatory? | Optional (closed) | Yes (for 1980 onwards) |
Understanding Payouts
To receive CareShield Life payouts, you must be assessed as severely disabled, meaning you cannot perform at least 3 out of 6 Activities of Daily Living (ADLs):
Disability assessments are conducted by MOH-appointed assessors. Once approved, you'll receive lifetime monthly payouts as long as you remain severely disabled. Payouts continue even if you recover partially. They only stop upon full recovery or death.
Base payout when you first become eligible
Payouts increase yearly until age 67 (enhanced from 2%)
Projected payout with 4% annual growth
Continues for life while severely disabled
Base government scheme without any supplement
⚠️ May not be sufficient for quality nursing home care (avg. $2,500-$4,000/month)
CareShield Life + $2,400/month supplement
$600 (CSHL) + $2,400 (Supplement)
✅ Sufficient coverage for quality care + peace of mind for family
Entry Age 30
~$800-$1,200/year
for $2,400/month benefit
Entry Age 40
~$1,200-$1,800/year
for $2,400/month benefit
Entry Age 50
~$2,000-$3,000/year
for $2,400/month benefit
* Up to $600/year can be paid via Medisave. The earlier you start, the lower your premiums.
Enhance Your Coverage
While CareShield Life provides basic coverage, the $600/month payout may not be sufficient for quality long-term care. CareShield Life Supplements (CSLS) allow you to top up your coverage with additional monthly payouts. Only 3 insurers are approved to offer CSLS:
| COMPARISON OF CARESHIELD LIFE SUPPLEMENTS | |||
|---|---|---|---|
| SINGLIFE Recommended |
GREAT EASTERN LIFE | INCOME | |
| Singlife CareShield Standard/ Singlife CareShield Plus |
Great CareShield Supreme | Care Secure | |
| Monthly Benefit | $200-$5,000, in increments of $100 (on top of CSHL payouts) Option for level or escalating at 2%/3% p.a. |
$300-$5,000, in increments of $100 (on top of CSHL payouts) |
$1,200-$5,000, in increments of $100 (including CSHL payouts in event of ≥3 ADLs) |
| Maximum Benefit Period | Lifetime | Lifetime | Lifetime |
| Initial Lump Sum Benefit | 3x first monthly benefit (≥3 ADLs) [≥2 ADLs for Plus] |
3x monthly benefit (≥1 ADL) |
3x monthly (≥2 ADLs) 6x monthly (≥3 ADLs) |
| Death Benefit During Claims | 3x last monthly benefit | ✗ | 3x monthly benefit |
| Dependant Benefit | 20% of monthly for up to 36 months (child ≤22 at claim) |
30% of monthly for up to 48 months (child <22 at claim) |
25% of monthly for up to 36 months (child <21) |
| Caregiver Relief Benefit | 60% of monthly for up to 12 months | 60% of monthly for up to 12 months | ✗ |
| Other Benefits | Rehabilitation benefit (Standard only) Guaranteed Issuance Option at key life events |
✗ | ✗ |
| Paid-up Benefits | Yes | Yes | Yes |
| Premium Waiver | ≥1 ADL | ≥1 ADL | ≥2 ADLs |
| Claims Eligibility (for monthly benefit) |
≥3 ADLs [≥2 ADLs for Plus] |
≥1 ADL (50% at 1 ADL, 100% at 2+) |
≥2 ADLs |
| Waiting Period | None ✓ | 90 days | 90 days |
| Deferment Period | 90 days | 90 days | 90 days |
| Est. Premium (Age 30, $600 benefit, Male) |
$266-$394/year (depending on plan) |
$287-$425/year (depending on plan) |
~$400-$500/year (for $1,200 benefit) |
| Medisave Payment | Max $600/year via Medisave Rest payable in cash |
Max $600/year via Medisave Rest payable in cash |
Max $600/year via Medisave Rest payable in cash |
| Premium Period | Up to age 97; or Up to age 67 (or 20 years) |
Up to age 67 or 95; or Up to 95 (or 20 years) |
Up to age 67; or Up to age 84 |
| Entry Age | 30 - 64 | 30 - 64 | 30 - 64 |
Source: MOH CareShield Life Supplements Comparison (Oct 2023)
Singlife CareShield offers great value with no waiting period, flexible premium options, and unique benefits like rehabilitation and guaranteed issuance options at key life events.
Get Personalized AdviceFor PRs & Future Citizens
As a PR or expat planning to become Singaporean, CareShield Life will become part of your financial safety net. Here's what to expect and why securing a supplement early is one of the smartest decisions you can make.
Once you become a Permanent Resident (PR), you will automatically receive this official document from the CPF Board, enrolling you in CareShield Life.
While CareShield Life provides basic protection, the $600/month payout may not be enough for quality long-term care. Here's why upgrading with a supplement makes sense:
Pro Tip: The earlier you secure your CareShield Life supplement, the lower your premiums and the longer your coverage grows. Don't wait until it's too late. Lock in your rates while you're young and healthy.
For Expatriates
Pro Tip: Since CareShield Life is not available to foreigners, consider these private insurance options that can provide similar long-term care protection.
Quick online application via Singlife Direct
Standalone plans that pay a monthly benefit if you cannot perform ADLs. Available from various insurers in Singapore and can be customized to your needs.
Some critical illness plans include long-term care benefits as an add-on, providing comprehensive protection against both critical illnesses and disability.
Some international health insurance plans include long-term care benefits or can be enhanced with nursing care coverage for global protection.
Expert Advice
Where will you retire? If you plan to stay in Singapore or move to a country with high healthcare costs, long-term care insurance becomes essential. If returning to a country with strong social safety nets, your needs may differ.
Long-term care costs increase with inflation. Choose plans that offer increasing payouts or consider the stability of SGD versus your home currency for wealth preservation purposes.
Long-term care premiums increase significantly with age. Health conditions developed later in life may result in exclusions or declined applications. Starting early locks in better rates and coverage.
If you're planning to convert to PR status, you'll become eligible for CareShield Life. However, you can also supplement with CareShield Life Supplements for enhanced coverage. Planning ahead ensures a smooth transition.
Common Questions
No, CareShield Life is exclusively for Singapore Citizens and Permanent Residents. Foreigners on work passes cannot participate in this national scheme. However, there are private long-term care insurance options available from commercial insurers that provide similar or better protection.
The 6 Activities of Daily Living (ADLs) are: Washing, Dressing, Feeding, Toileting, Walking, and Transferring (moving between bed and chair). For CareShield Life and most LTC policies, you must be unable to perform at least 3 of these 6 activities to qualify for payouts. This represents severe disability requiring ongoing care.
Nursing home care in Singapore ranges from SGD 1,500 to SGD 5,000+ per month depending on the level of care and facility type. Home care services can cost SGD 1,000 to SGD 3,000+ per month. With average life expectancy and potential years of care needed, the total cost can easily exceed SGD 200,000 to SGD 500,000 or more.
When you become a Singapore Permanent Resident, you'll be automatically enrolled in CareShield Life if you're born in 1980 or later. You can then choose to supplement it with private CareShield Life Supplements (CSLS) for enhanced coverage. Any private LTC insurance you purchased as a foreigner can be maintained alongside CareShield Life for additional protection.
Don't leave your future to chance. Our advisors can help you understand your options and find the right long-term care solution for your situation.