Why Senior Citizen Health Insurance is Important
A senior citizen health plan isn’t just about covering hospital bills; it’s about future planning, financial independence, and peace of mind. Here are some reasons to consider medical insurance for senior citizens:
- Protects Your Retirement Savings: A medical emergency can wipe out years of savings. Health insurance for senior citizens ensures that the retirement fund stays intact for the life you’ve planned.
- Special Cover for Age-related Illnesses: Unlike regular health insurance plans, senior citizen health insurance covers conditions such as arthritis, cataracts, and joint replacement, with specific limits and rapid approvals.
- Customisable Sum Insured Based on Medical History: Senior citizens can tailor coverage to suit their health profile. Care Health Insurance offers specialised plans for senior citizens with a Sum Insured ranging from ₹3 lakh to ₹10 lakh.
- Tax Saving Under Section 80D: Premiums paid for health plan for senior citizens for higher tax deductions– up to ₹ 50,000 annually– helping you save more while securing your health.
What is Covered Under Care Health Insurance for Senior Citizens?
Medical expenditures are rising sharply for older people across nations. Opting for a medical policy for senior citizens is the best way to keep unaffordable medical expenses at bay. Below is what we covered in it:
In-Patient Hospitalisation
Get coverage for hospital stays of 24 hours or more. This includes room rent, ICU charges, surgery, doctor fees, and medicines.
Pre and Post-Hospitalisation
We cover medical costs 60 days before and 180 days after your hospitalisation– including tests, follow-ups, and medications.
Annual Health Check-up
Enjoy free yearly check-ups to monitor your health or your parents’ — helping catch issues early and manage chronic conditions better.
Daycare Treatments
Thanks to modern medicine, many surgeries no longer require 24-hour hospitalisation. This plan covers 541+ daycare procedures, from cataracts to dialysis.
AYUSH Coverage
Choose holistic healing if you prefer. Treatments under Ayurveda, Unani, Siddha, and Homoeopathy are fully covered under your sum insured.
Domiciliary Hospitalization
Can’t get to a hospital? No problem. If a doctor prescribes treatment at home, Care covers those expenses just like regular hospitalisation.
Ambulance Cover
Get reimbursed for ambulance charges during medical emergencies, ensuring timely transfers without out-of-pocket costs.
Pre-existing Disease Cover
Provide coverage for life-threatening medical emergencies caused by pre-existing conditions after the waiting period is over.
What’s Not Covered Under Care Senior Health Insurance?
While Care Senior Health Insurance offers extensive protection, it’s important to understand the exclusions — or what's not covered under the policy. Here’s a quick overview:
Self-Inflicted Injuries
Any medical expenses arising from self-harm, including suicide attempts or intentional injuries, are not covered.
Substance Abuse
Claims related to the consumption or abuse of alcohol, drugs, tobacco, or gutka are excluded from the policy.
Pregnancy & Maternity
Any treatment linked to pregnancy, childbirth, miscarriage, abortion, or related complications is not covered.
Infertility Treatments
Expenses related to infertility evaluations, IVF, or any assisted reproduction techniques are excluded.
Permanent Exclusions
No coverage is provided for conditions resulting from war, riots, nuclear attacks, or civil unrest.
Dental & Cosmetic Procedures
The policy doesn’t cover dental treatments or cosmetic surgeries unless they are required as result of an accident.
Note: Always check the detailed policy brochure and terms & conditions to understand specific exclusions and limitations before buying.
Eligibility Requirements for Mediclaim Policy for Senior Citizens
At Care, availing of a mediclaim policy for senior citizens above 60 years comes with easy terms and eligibility conditions as mentioned below:
| Parameters |
Details |
| Minimum Entry Age |
Child: 91 days to 24 years
Adult: 1 adult must be 60 (the second adult’s age can be below 60 years). |
| Exit Age |
Lifelong / Child: 25 years |
| Cover Type |
Individual: Maximum of 6 persons
Family Floater: Maximum up to 2 Adults, 2 Children |
| Tenure Options |
1/2/3 Years |
| Waiting Period |
Initial Waiting Period: 30 days (coverage starts from the 31st day)
Named Ailment Waiting Period: 24 months
Waiting Period due to pre-existing diseases: 36 months |
| Relationship Covered |
Self, spouse/live-in partner/same sex partner, son, daughter, father, mother, mother-in-law, father-in-law, grandfather, grandmother. |
Documents Required for Senior Citizen Mediclaim Policy Claims
To initiate your claim settlement, please submit the following original documents:
- Completed claim form
- Original health insurance policy documents
- Pre-authorization form (for cashless claims)
- ID proofs (Aadhaar card and/or PAN card)
- Doctor’s prescription recommending IPD admission
- All bills related to pre-hospitalisation, hospitalisation, and post-hospitalisation
- Diagnosis certificate
- Surgeon’s certificate (detailing diagnosis, bills, receipts)
- Medical history and discharge summary/certificate
- For Domiciliary hospitalisation: A medical certificate stating the circumstances necessitating home treatment, in addition to the above documents.
- Any other documents requested by the Company/TPA.
Top 3 Factors That Affect Your Health Insurance Premium for Senior Citizens
Before you choose your coverage, it’s good to know what influences the premium of senior citizen health insurance in India:
- Age & Pre-Existing Health Conditions:The older you are and the more complex your health history, the higher the risk for insurers, which directly affects the premium.
- Sum Insured & Optional Benefits:More coverage and more features, such as air ambulance, pharmacy benefits, or AYUSH cover, will increase the premium and also expand the scope of your protection.
- City of Residence:Treatment costs vary across metros, semi-urban, and rural regions, and so does the premium. Living in a metro? Expect slightly higher costs compared to non-metros.
How to Choose the Best Health Insurance for Senior Citizens in India?
Navigating the various senior citizen health insurance options can be challenging. To simplify your search for the ideal mediclaim policy, consider these key factors:
- Comprehensive Coverage: Look for extensive benefits with minimal exclusions.
- High Sum Insured: Ensure sufficient coverage to protect savings from rising medical costs.
- Easy Claim Settlement: Opt for insurers with a strong claim settlement record.
- Minimal Waiting Period: Choose plans with shorter waiting periods for pre-existing conditions.
- No Pre-Medical Tests: Some policies offer the convenience of no mandatory medical exams.
- Extensive Network Hospitals: Prioritize plans with a wide network for cashless treatment.
- Easy Online Purchase: Select insurers offering a simple and quick online buying process.
- Understand Sub-limits: Be aware of any limitations on specific services.
- Attractive No Claim Bonus: Seek plans that boost your Sum Insured with a No Claim Bonus.
- Cashless Healthcare: Confirm a broad network of cashless providers for convenience.
Why Choose Care Health Senior Citizen Insurance Plan Online?
Experience a seamless, secure process when you buy your senior citizen health insurance online with us.
- Instant Access: Explore, compare, and purchase your ideal senior citizen health plan anytime, anywhere, through our seamless digital platform.
- 24/7 Chat Support: Get your policy questions answered instantly with our round-the-clock chat assistance.
- Personalized Premium Calculation: Utilise our digital calculator to customise and estimate premiums for your tailored health insurance.
- Secure Online Payments: Enjoy peace of mind with secure payment options and immediate issuance of policy documents.
- Transparent Policy Details: Access clear, comprehensive information on all policy terms and conditions for complete transparency.
- Valuable Add-on Benefits: Discover extra advantages like reduced waiting periods for pre-existing diseases, No Claim Bonus Super, OPD Care, and more.
How to Buy Senior Citizen Health Insurance Online?
Purchasing a senior citizen health insurance plan with Care Health Insurance is straightforward and stress-free. Simply follow these simple steps:
- Visit our official website to explore health insurance plans tailored for seniors aged 60 and above.
- Enter your phone number and then select 'Get a Quote'.
- Please go to the next page by clicking on 'Calculate Premium'.
- Compare plans and benefits to identify the best option for your healthcare needs. Tailor your policy by choosing the sum insured, duration, and additional coverage options.
- After selecting your plan, you’ll get an immediate quote.
- Continue by entering the required details, including proposer information, insured members, and KYC details.
- Make the payment securely using net banking, credit/debit cards, or select convenient EMI options.
- Once payment is successful, your policy details, including the policy number, will be sent to your registered mobile number.
How to File a Claim Under a Health Insurance Plan for Senior Citizens
STEP 1
Emergency
Intimate within 24 hours of your hospitalization
Planned Hospitalization
Intimate us 48 hours prior to your hospitalization
STEP 2
Cashless
Request for pre-authorization
Reimbursement
Claim form submission
Complete the pre-authorization form available
at the hospitals' insurance/TPA Desk and send us through fax.
Approval
Approval letter sent by the claim management team
Query
Hospital/Insured to respond to the query raised by the claim management team
Rejected
You may initiate the treatment and file for reimbursement claim
Submission of claim form along with required
documents, as per the policy terms & conditions
Approval
Approval letter sent by the claim management team
Query
Insured to respond to the query raised by the claim management team
Rejected
We will communicate the reason in case of rejection
Debunking Common Myths About Senior Citizen Health Insurance
Investing in suitable health coverage significantly enhances an elderly person's quality of life by easing the burden of hospitalisation costs. Don't let these common myths deter you from securing a senior citizen mediclaim policy:
Myth 1: Too Old to Get Covered.
Reality: Individuals aged 60 and above are eligible for senior citizen medical coverage.
Myth 2: Pre-existing Illnesses Prevent Coverage.
Reality: Many seniors have existing medical conditions, but this does not disqualify them from purchasing a health insurance plan.
Myth 3: OPD Visits are Not Covered.
Reality: Our senior citizen health insurance in India offers optional OPD care, covering reimbursement for bills ranging from Rs. 5,000 to Rs. 50,000 as per policy terms.
Myth 4: A Family Floater Plan is Sufficient.
Reality: While parents can be included in a family floater, it's often insufficient. Given seniors' vulnerability to age-related illnesses and rising medical inflation, a shared sum insured may not provide adequate coverage.
Myth 5: Co-payment Charges are a Burden.
Reality: With Care Health Insurance, senior citizens typically have a 20% co-payment. However, we strive to reduce this cost with the added benefit of a co-payment waiver.