If you have 10m users and 100 have "IsPremium = 1" then an index massively speeds up anything with WHERE IsPremium = 1, compared to if the data is fairly evenly spread between IsPremium = 1 and IsPremium = 0 where an index won't be much benefit.
So low sales would increase the need for an index.
That said, I'm assuming searching for "Users WHERE IsPremium = 1" is a fairly rare thing, so an index might not make much difference either way.