The best way to secure the health of your elderly parents is through the senior citizen health insurance plan. This can provide them the much-needed financial support against all medical expenses.
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Written by:
Akhil Pillai
Akhil Pillai
Insurance Expert at Care Health Insurance
Akhil is an experienced Senior Content Manager with Care Health Insurance. With extensive experience in the BFSI sector, Akhil can adapt to any niche with his expertise in simplifying complex information. He believes in focusing on areas for growth rather than dwelling on his achievements.
While not busy working, Akhil enjoys watching his favorite football team, Arsenal, and hopes to one day meet his idol, Michael Jordan.
Sundeep plays a major role behind creating Care's most comprehensive insurance products. With over 9 years of total experience and multiple degrees specific to the insurance sector, Sundeep is yet another mastermind who ensures that you read well researched blogs and articles on our website.
A senior citizen health insurance plan is specifically designed to address the healthcare needs of individuals aged 60 and above. Care Health Insurance's senior citizen health insurance provides extensive coverage, encompassing coronavirus treatment, IPD, Day Care procedures, pre- and post-hospitalisation expenses, annual health check-ups, AYUSH coverage, Domiciliary hospitalisation, ambulance services, and various other medical costs.
Benefits of Buying Health Insurance for Senior Citizens
As people age, healthcare needs grow, and so do the expenses. This is where senior citizen health insurance plays a crucial role. Here are six incredible advantages that make this plan essential for elderly individuals:
Increased health risks brought on by age and changing healthcare needs undeniably highlight the importance of having a senior citizen health insurance scheme.
Covers Pre-existing Illnesses
Various health plan for senior citizens offer reduced waiting periods, enabling quicker coverage for conditions like diabetes, hypertension, and cardiac issues.
Cashless Hospitalisation Across a Wide Network
Get hassle-free admission and treatment at a vast network of hospitals across India, without upfront payments.
Comprehensive In-patient and Daycare Coverage
Whether it’s a major surgery or a small daycare procedure, a comprehensive health insurance plan can cover medical expenses such as room rent, ICU charges, and doctor fees.
Domiciliary Treatment and AYUSH Coverage
Senior citizens can receive treatment from the comfort of their home when hospital transfer isn’t possible, or choose alternate therapy methods like Ayurveda and Homeopathy under AYUSH benefits.
Annual Health Check-ups
Stay up to date with your health with free preventive check-ups every year, a valuable feature for disease management and early detection.
Why Senior Citizen Health Insurance Makes Sense– 4 Key Reasons
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 a medical insurance for senior citezens:
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 considers conditions like arthritis, cataract, and joint replacement, with specific limits and rapid approvals.
Customisable Sum Insured Based on Medical History: Senior citizens can tailor coverage to suit health profile. Care Health Insurance offers specialised plans for senior citizens with Sum Insured ranging from ₹ 3 lacs to ₹ 10 lacs.
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.
Who Should Buy Senior Citizen Health Insurance?
A health insurance for senior citizens is ideal for:
Anyone aged above 60, regardless of employment or income status
Retired individuals who no longer have employer-provided health coverage
Parents of salaried professionals, especially if they aren’t covered in a family floater plan
Seniors with lifestyle diseases who need regular medical attention
Anyone who wants independence from children or savings for handling medical expenses
Even if you already have a health policy, a senior citizen health insurance offers additional focused protection and peace of mind.
Top 3 Factors That Affect Your Premium for Health Insurance for Senior Citizens
Before you choose your coverage, it’s good to know what influences the premium of senior citizen health insurance India:
1. 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.
2. Sum Insured & Optional Benefits
More coverage and more features like air ambulance, pharmacy benefits, or AYUSH cover will increase the premium, but also expand the scope of your protection.
3. 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 Calculate Premium for Senior Citizen Mediclaim Policy
You can now calculate the premium using a simple health insurance premium calculator designed especially for medical insurance policies. Here are the detailed steps on how to calculate your premium:
Visit Website
Go to the Care Health Insurance homepage and navigate to products.
Choose a Plan
Select your desired policy and enter your mobile number in the 'Get Quote' section.
Fill Member Details
Provide details for insured members, including age and pin code, then click on the 'View Quote' button.
Select Coverage
Customize your policy by adjusting the sum insured and add-ons.
Purchase Policy
Get your instant quote with applicable charges
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 hospitalization 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 61 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.
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.
Select From Care Senior Citizen Health Insurance Plans
At Care Health Insurance, we meet the diverse healthcare needs of people in their old age. Here are some of our top-selling plans tailor-made for senior citizens:
Look for best health plan that suits your need!
Care Supreme-Senior
Health insurance for elderly with no pre-policy checkup.
Here's a detailed overview of the coverage offered by Care’s Senior Citizen Health Insurance plans:
Plan Offering
Coverage Details
In-Patient Care
Up to SI
Day Care Treatment
All Day Care Procedures
Advance Technology Methods
Up to SI
Pre-Hospitalisation Cover
60 days before hospitalisation
Post-Hospitalisation Cover
180 days after discharge
AYUSH Treatment
180 days after discharge
AYUSH Treatment
Up to SI
Domiciliary Hospitalisation
Up to SI
Organ Donor Cover
Up to SI
Ambulance Cover
Up to Rs.10,000 per Year for SI < 15 Lacs & Up to SI for SI >= 15 Lacs
Cumulative Bonus
50% of SI per year, max up to 100% of SI
Cumulative Bonus Super
Included for Eldest Member <= 45 years & >=76 yrs; Optional for Eldest Member > 46 years
Unlimited Automatic Recharge
✅
Unlimited E-Consultations
✅
Health Care Services
✅
What is Covered Under Care Health Insurance for Senior Citizens?
Medical expenditures are shooting high for elderly people across nations. Opting for medical policy for senior citizen is best to keep unbearable medical expenses at bay. Below is what we covered in it:
Coronavirus Treatment
Stay worry-free from pandemic-related medical bills. The plan covers the full cost of COVID-19 hospitalisation and treatment, including post-infection care.
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 30 days before and 60 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 don’t need 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 Homeopathy 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 stress.
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 due to 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:
Minimum Entry Age
61 years
Maximum Entry Age
Lifelong, no bar
Renewability
Lifelong
Co-payment
Member above 61 years or above pay 20% co-payment per claim
Pre-existing Disease Waiting Period
36 months of continued coverage
Named Ailment Waiting Period
24 months of continued coverage
Why Choose Our Senior Citizen Insurance Online?
Experience a seamless and secure process when you choose to 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: Utilize our digital calculator to customize and estimate premiums for your tailored health insurance.
Secure Online Payments: Enjoy peace of mind with secure payment options and immediate policy document issuance.
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 File a Claim Under 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
or
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
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
Ive had an excellent experience with this health insurance provider. The customer service is outstanding, always quick to respond and very helpful. Claims are processed fast, and Ive had no issues getting the care I need. I feel confident knowing Im covered, and the whole process has been straightforward. Highly recommend
NA
Nabi AhmedDecember 19, 2023
Care Senior
5
Happy with service
I am very happy with the claim team especially Mr. Fahad. Claim easily approve krwa diya aur reimbursement bhi 10 din mein aagya.
KD
Kamlesh DeviDecember 18, 2023
Care Senior
5
Nice work
I rate my experience above good. The enthusiasm of the team and especially Mr. Duggal made my process quick and hasslefree. I would now recommend this plan my heart for standing beside and making my second innings life easy.
DG
Deepanjali GurjarDecember 18, 2023
Care Senior
2
Could not find network hospital.
My mother needed hospitalisation due to dengue but i could not find network hospital near me.
PM
Parwana MaqsudDecember 17, 2023
Care Senior
4
satisfied response
Had a good experience with claim team. Claim easily approve krwa diya aur reimbursement bhi 10 din mein aagya.
DP
Deerika PrasadDecember 15, 2023
Care Senior
3
Difficult Claim Process
I spent too much time on hold before being able to speak with someone. then i had to represent a lot of document for my fathers claim. so tiring
C
Chandu SinghDecember 01, 2023
Care Senior
5
Reliable partner
After 25 years of my job today I feel lucky ... I have Care senior plan to look after my health issues. Recently I raised claim for my knee replacement they initiated swiftly and settled my claim. And now i get to know I took the right decision to buy this plan.
HP
Harindra Pal December 01, 2023
Care Senior
4
Helpful team
Recently i had visited Green park branch of Care. Very systematic work culture and helping nature of claim team. Well i had some doubts in the claim process. The assistance carefully guided me on every clause and satisfied my queries. I will now recomend all my youngold buddies on buy care senior plan only.
SS
S.K ShahDecember 01, 2023
Care Senior
5
Nice experience and excellent process
I am truly satisfied with the excellent customer service experience from Care Health. Team is very very supportive and friendly.... I got no catches in getting my claim accepted. Very good.
Recently, I’ve purchased JOY Maternity insurance for
my expecting wife and my experience was excellent with the claim settlement team
who helped me deal with all the formalities smoothly. Thank you for making my
decision the right one!
Rahul Sangwan
Health Insurance
We will continue to avail of your scheme
I ported my healthcare plan last year; it is the
wisest decision I made by choosing Care Health Insurance. I recently got
admitted due to a viral infection, and all my expenses got covered under my
plan.
Samanway Barik
Health Insurance
Everything went very smooth
Thank you for helping me when I needed help the
most, being in the hospital. Buying Care’s health insurance plan is my best
decision so far.
Soubhagya K Kulkarni
Health Insurance
Really helpful explaining the process in advance
Thank you for helping me with your fastest claim
settlement process. I didn’t have to wait much for the approval. Everything was
quick and seamless.
Vaibhav Rai
Health Insurance
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The premium calculated above is based on the data provided by you in the application form.
The above information must be read in conjunction with the sales brochure and policy document.
Tax Benefits would be available as per the prevailing Income Tax laws.
The general terms and conditions of the usage of this website also apply.
For any clarification, please feel free to chat with our customer service on WhatsApp at 8860402452.
I authorize Care Health Insurance and associate partners to contact me via email or phone or SMS and record the conversation for training & Quality purpose.
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Disclaimer : Information above is just for reference. Kindly read T & C of policy thoroughly, Do refer IRDAI guidelines for tax exemption conditions.
~Tax benefit is subject to changes in tax laws. Standard T&C Apply
**Number of Claims Settled as of Dec 2024
^^Number of Cashless Healthcare Providers as of Feb 2025
*Premium calculated for an individual (Age 18) for sum insured 3 Lakhs in Zone 2 cities, 10% discount is applicable for a 3-year policy, 10% discount is applicable for a 3-year policy
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Age is no Barrier!
Secure the health of your elderly with a comprehensive health care plan.
Age is no Barrier!
Secure the health of your elderly with a comprehensive health care plan.
21700+
Insurance Claims Settled**
58 Lakh+
Cashless Healthcare Providers^^
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Terms & Conditions of Premium Quote Generation
"Care Health Insurance Ltd & associate partners may contact you to assist you with website navigation of www.careinsurance.com and assist in proposal filling."
The premium calculated above is based on the data provided by you in the application form.
The above information must be read in conjunction with the sales brochure and policy document.
Tax Benefits would be available as per the prevailing Income Tax laws.
The general terms and conditions of the usage of this website also apply.
For any clarification, please feel free to chat with our customer service on WhatsApp at 8860402452.
I authorize Care Health Insurance and associate partners to contact me via email or phone or SMS and record the conversation for training & Quality purpose.