What is Senior Citizen Health Insurance?
Senior citizen health insurance, as the name suggests, is a type of insurance that covers the healthcare needs of people over the age of 60. We at Care Health Insurance believe that your golden years should be a period of relaxed years. While we would hope that you are hale and hearty always, old age can sometimes also mean taking extra care of yourself. For all your worries regarding your healthcare and the financial strain of treatment, we introduce— 'Care for Senior'—our best-reviewed medical insurance for senior citizens that meets old age-related healthcare and emergency needs with comprehensive coverage of hospitals, treatments, and other medical costs.
Care for Senior is our exclusive health insurance for senior citizens in India with comprehensive coverage, affordable premiums and wide-ranging sum insured options. This plan comes with specific benefits for the elderly—to sit back and enjoy peaceful golden years.
Benefits of Mediclaim for Senior Citizens
Our mediclaim for senior citizens benefits elderly people by taking care of all their old-age health worries and gifting them the joy of life. Our medical policy for senior citizens provides vast coverage across network hospitals, treatments, OPD, and COVID centers for helping elder ones lead tension-free retirement years.
Increased health risks brought on by age and changing healthcare needs undeniably highlight the importance of having a senior citizen health insurance scheme.
Affordable Premium
You can rest assured that it is easy to get health coverage for senior citizens at an affordable premium and maximum coverage.
Easy EMI for Premium
Get your health cover today without worrying about current finances through our easy EMI options.
Discounts & Offers
We understand how important our finances post-retirement is, so here we come with numerous discounts such as a multi-year policy, Smart Select, and many more.
Second Opinion
Not sure about your current treatment procedures? Worry not! We get you covered to avail a second opinion from other doctors for a specified illness.
Organ Donor Cover
We respect and encourage the noble cause of donating organs. Our senior citizen insurance covers expenses for organ harvesting operations.
Why is Senior Citizen Health Insurance Plan Important?
Healthcare cost in India is increasing at a rate of more than 14% every year. Therefore, the need for adequate health insurance for senior citizens in India has increased after retirement. Know why elderly people must have medical cover:
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Rising Medical Treatment Costs: The cost of medical treatment in India is always on the rise. Best medical insurance for senior citizens can ensure that the expenses incurred due to hospitalisation or frequent medical visits at old age do not impact your finances and help you beat medical inflation.
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Critical Medical Needs: Avail of timely treatment for your heart, kidney, and other critical diseases without worrying about borrowing funds from your savings.
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Day Care Treatments: Old age involves a lot of hospital visits caused by uninvited ailments. A senior citizen health insurance in India covers 541 Day Care treatments that require hospitalization for less than 24 hours.
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Burdening Extra Costs: Miscellaneous expenses like pharmacy bills, OPD-care, and ambulance charges, among others, amount to much more than expected. With our best senior citizen mediclaim policy, you get add-on coverage for miscellaneous costs.
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Vital Health Check-ups: While you should never avoid regular health check-ups in old age, high healthcare costs may hold you back from availing of good treatment. The Care Senior plan covers annual health check-ups for all insured members to keep regular track of health.
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Pre-Existing Diseases: You can rely on our shoulders to cover all your pre-existing diseases subject to the terms and conditions of the policy.
Having a health cover for senior citizens is imperative to ensure they get access to quality medical care without having to worry about the associated finances.
Quick Tip: Worried about health plan with Pre-existing diseases? Don’t worry. Our Care Freedom plan will protect you to stay stress-free.
What is Covered Under Senior Citizen Mediclaim Policy?
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
Senior citizens need not worry about unexpected expenses arising out of coronavirus ailment. We offer complete coverage for COVID-19 treatment costs.
In-Patient Hospitalisation
In times of hospitalization, we are right beside you. We pay for most of the hospitalization expenses, that is, for at least 24 hours.
Pre and Post-Hospitalisation
Health issues in old age increase the frequency of medical visits. Don’t worry! We also cover 30 days before and 60 days after hospitalization expenses.
Annual Health Check-up
We offer annual health check-ups at no additional cost to senior citizens. It helps to keep a better track of your or your elderly parent’s health condition.
Daycare Treatments
Thanks to medical advancement! Now elders can easily avail of over 541+ daycare procedures under our mediclaim for senior citizens.
AYUSH Coverage
Coverage of alternative treatments like AYUSH (Ayurveda, Unani, Sidha, and Homeopathy) makes Care health senior mediclaim the best option for senior citizens.
Domiciliary Hospitalization
We believe in offering the best possible services even at your home. Avail required treatment at home if the patient is unable to move to the hospital. The expenses are covered.
Ambulance Cover
You will get full reimbursement for the expenses incurred for availing of a domestic road ambulance during any medical emergency.
Please always refer to the updated policy T & C, brochure, and prospectus to know more about our health insurance plans for senior citizens cover as they may vary.
What is Not Covered Under Senior Citizen Health Insurance Scheme?
While deciding which mediclaim policies for senior citizens are ideal, you must be aware of what is not covered under your plan, as lesser the exclusions, better it is. Here's a list of exclusions under the best senior citizen health insurance-
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Self-Inflicted Injury: Expenses attributable to self-inflicted injury such as suicide, attempted suicide, etc. are not covered.
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Injuries Due to Consumption of Alcohol: Expenses arising out of or attributable to consumption of a drug or use/misuse/abuse of alcohol/tobacco/gutka or any hallucinating drug are excluded.
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Pregnancy Treatment: Treatment arising from or traceable to pregnancy and childbirth, miscarriage, abortion, and its consequences is not covered.
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Infertility Treatment: Tests and treatments related to infertility and in vitro fertilization cannot be claimed.
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Permanent Exclusions: War, riot, strike, and nuclear weapons-induced hospitalization are considered as permanent exclusions.
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Dental/ Cosmetic Surgery: Most health insurance for senior citizens does not cover the cost for treatment for any dental problems or cosmetic surgeries that are not caused due to an accident.
Eligibility 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 |
48 months of continued coverage |
| Named Ailment Waiting Period |
24 months of continued coverage |
Does Your Senior Citizen Health Insurance Cover COVID-19?
Senior citizens can buy themselves a health insurance cover combined with our coronavirus-exclusive insurance covers- COVID and OPD care. As separate, pocket-size insurance, COVID and OPD care cover COVID-19 treatment expenses, including pre and post-hospitalization, day-care treatment, quarantine expenses, and OPD reimbursement.Health care plans for senior citizens are specifically crafted to offer comprehensive coverage.
We offer COVID-19 coverage as an additional plan that can easily be bought with senior citizen medical insurance at a slightly higher premium. Below are the benefits of Care insurance two COVID-specific offerings:
COVID Care with Pre-existing Diseases & COVID Care with OPD
| COVID Care & OPD Care Coverage |
COVID Care Benefits |
OPD Care Benefits |
| Reimbursement of OPD Charges |
Not Availaible |
Expenses for doctor's consultation, diagnosis, and pharmacy under COVID-related treatment |
| In-patient Care |
Hospitalization expenses for COVID-related treatment over 24 hours or more |
Hospitalization expenses for COVID-related treatment over 24 hours or more |
| Day Care Treatment |
Hospitalization expenses for COVID-related treatment under 24 hours or less |
Hospitalization expenses for COVID-related treatment under 24 hours or less |
| Reimbursement of Quarantine |
Maximum up to 1% of sum insured for as long as 30 days |
Maximum up to 1% of sum insured for as long as 30 days |
| Pre and Post-Hospitalization |
Expense reimbursement for 30 days prior and 60 days post-hospitalization |
Expense reimbursement for 30 days prior and 60 days post-hospitalization |
How to File a Claim Under Health Insurance Policy 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
Tax Benefits under Medical Insurance for Senior Citizens
Did you know that senior citizen insurance plans in India are not just meant to safeguard your finances but also help you save tax? Here's the good news! You can save up to ₹ 1,00,000.~ on tax with Care Health Insurance Senior Health plan.
Tax benefit under section 80D applies to all those with a health insurance plan. Insurers offering this plan can help you save up to Rs 100000 on your taxable income. The more you pay as taxes, the more you save. Depending on the amount of sum insured.
~ If the proposer and the insured member are above 60 years.
How to Choose the Best Health Insurance for Senior Citizens in India?
With the multiple options available in the market, choosing the best health insurance plan for senior citizens in 2022 can be tedious. Having said that, we’ve compiled a list of important things to consider while looking for a senior citizen mediclaim policy. Here you go:
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Study the Policy’s Coverage: A plan with maximum coverage and minimum exclusion is considered to be the ideal insurance for senior citizens. We offer the perfect health plans for senior citizens offering comprehensive coverage for pre and post-hospitalization, day-care treatments, annual health check-ups, second opinions, AYUSH treatments, and many more benefits.
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Check for High Sum Insured: If medical expenses are increasing, it is only logical that you need a higher sum insured that would lower your dependence on your savings. However, make sure that the best mediclaim policy for senior citizens offers an affordable premium while providing maximum coverage.
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Look for Easy Claim Settlement: While comparing health insurance plans for senior citizens helps, you would also know how different insurance companies settle insurance claims. This will get you closer to your goal of choosing the best insurer. Opting for an insurer with a high claim settlement ratio is a logical move.
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Check the Waiting Period: Go through the policy to understand the waiting period applicable for pre-existing illnesses and specified diseases. Almost all senior citizens' health insurance plans in India come with a waiting period, but you can find the perfect plan with a minimum waiting period.
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Pre-Medical Check-Ups: Some plans do not let you go through the time-consuming process of going through pre-medical check-ups. So, compare and select health insurance for senior citizens above 60 years without medical tests, where your elderly parents need not go through complex pre-medical health check-ups.
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Know Your Network Hospitals: With the cashless treatment facility, your elderly parents can stay relaxed that will have access to timely medical care when they need it. Check the network hospitals in your vicinity and pick a plan only after comparing the list of network hospitals.
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Convenience and Ease of Purchase: You or your elderly parents do not need to go anywhere and can buy a policy online with a few clicks. Read the features, benefits, coverage, claim process, and policy T & C on Care Insurance website or download the brochure to get every detail about the plan. With us, the process buying medical policy for senior citizen is quick and easy.
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COVID-19 Coverage: It is beneficial to opt for covid insurance coverage coupled with senior citizen insurance. The policy will pay the insured member for coronavirus hospitalization medical expenses up to the specified limit.
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Verify Sub-limits: It is the limit placed by the insurance company on the health insurance claim. It is usually applicable to services such as room rent, ambulance charges, and certain medical procedures.
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No Claim Bonus: Ensure that you choose the best senior citizen mediclaim policy that offers an option to get up to a 150% increase in Sum Insured with the No Claim Bonus Super option. You don’t get any deduction on the premium rather, you get an increase in the sum insured. That’s the best for senior citizen.
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Check for Cashless Healthcare Providers: With the cashless health insurance facility, your elderly parents can stay relaxed that they will have access to timely medical care when they need it. We have 24,800+ cashless healthcare providers across the country to ensure you can access good health in your location.
By taking these factors into consideration, you can choose the appropriate medical insurance for senior citizens in India, to ensure peace of mind and comprehensive coverage for your loved ones.
Why Select Senior Citizen Insurance Online with Us?
Why Should You Compare Senior Citizen Health Plans Online?
Online comparison of health insurance for senior citizens India comes with multiple benefits. Here's how online comparison of senior citizen mediclaims covers helps you:
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Simplifies Policy Evaluation: At Care Health Insurance, we channel clear communication of all the policy terms across our website. While analyzing our medical plans for a senior citizen's medical treatment, you can find a precise description of covered expenses and benefits that makes the policy terms easier to understand.
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Makes Decision-making Convenient: Digital comparison helps you choose the best senior citizen health insurance from the comfort of your place. Also, at Care Insurance, we facilitate a digital premium calculator to help you estimate the approximate cost of older people's medical cover while customizing your plan basis on members and add-on benefits.
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Helps You Choose the Perfect Cover: Another benefit of comparing health plans online is the freedom to relook at the policy details anytime, anywhere. With absolute online transparency, Care Health insurance equips you with every policy detail from issuance to claim settlement, so that you can better select the right medical cover for your senior citizen parents.
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Cost-Effectiveness:By comparing health insurance for seniors online, you will be able to find the most competitively priced plan that suits your specific needs. Most of the details of the plan are laid out in an easy-to-read format, which ensures that you do not overpay for features that you do not need.
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Access to Review and Ratings:When you research health insurance for seniors online, you get easy access to reviews and ratings by customers. These reviews can help you gauge the level of customer satisfaction and the quality of the service offered by the company.
Myths About Senior Citizen Health Insurance Scheme
The quality of an elderly member's life improves after investing in a suitable health cover that shares the hospitalization burden on time. So, here are 4 myths that you must be wary of while considering senior citizen mediclaim:
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You are Too Old to Get Covered- With Care Health Insurance, there's no maximum entry age bar to get yourself insured under senior citizen health plans. Elderly members from 61 years and anything above can get senior citizen medical coverage. So, this myth is addressed well here.
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Life is Over after 60- With a consistently dropping life expectancy rate and spread of unknown diseases, people underrate an elderly's willpower to live. Instead of surrounding older people with fears of death, gift your parents the happiness of the second inning with a senior citizen health policy.Proper coverage is therefore much required for seniors.
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Senior Citizen Health Insurance is Expensive- Another common misconception is that health plan for senior citizens are expensive. While yes, these plans do come with a cost, you need to know that this cost will be way less than any treatment costs that they may have to undergo. Proper financial planning and easy EMI options can make buying health insurance for senior citizens well within the budget.
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Co-payment Charges Increase the Burden- With Care Health Insurance, senior citizens must bear only 20% of the medical claim as co-payment. However, we try to lessen this cost with an add-on benefit of a co-payment waiver under which senior citizens will get completely rid of the co-payment clause.
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My Parents Suffer from an Illness, so They can’t Get Senior Citizen Health Insurance- A number of seniors suffer from some sort of medical issue. This does not imply that they are ineligible to buy a health insurance plan. Most health plans will offer coverage for numerous pre-existing illnesses once the waiting period is completed.
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OPD Visits are Not Covered- A complete myth! Under our senior citizen health insurance in India, you can enhance your senior citizen cover with OPD care as an optional OPD benefit. It covers reimbursement of OPD bills ranging from Rs. 5,000 to Rs. 50,000 as per the policy terms
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A Family Floater is Sufficient- While you can cover your parents or other family members under your existing family floater health insurance plan, sadly, it isn’t sufficient. In a family floater policy, the sum insured has to be shared amongst all the covered members. In case one member uses a part of the coverage or the whole of it, the remaining members might not be able to make use of the policy benefits.
By busting these myths, you can make a well informed decision and select the most suitable policy. A senior citizen health insurance scheme is designed to provide peace of mind and comprehensive coverage during the golden years.
