Health insurance plans for senior citizens are specially designed that offer comprehensive coverage against various age-related ailments. These plans are exclusively available for individuals aged 60 years and above. With such a policy in place, accessing numerous benefits, such as coverage for in-patient hospitalisation, pre and post hospitalisation, and domiciliary care, among others, becomes easier.
If you are looking for a health insurance plan for the elderly, here are the 10 best senior citizen health insurance plans, coverage and exclusions, benefits and how to claim. Read on!
|Plan Name||Features||Waiting Period||Claim Settlement Ratio|
|Bajaj Alliance Silver Health Plan||Maximum cover: INR 5 lakh|
Network Hospitals: 6500+
|Aditya Birla Activ Care Senior Citizen Health Insurance Plan||Maximum cover: INR 25 lakh |
Network hospitals: 6000+
|Navi Health Insurance||Maximum cover: INR 1 Crore|
Network Hospitals: 10000+
|30 days to 3 years||97%|
|Care Senior Health Insurance Plan||Maximum cover: INR 10 lakh |
Network Hospitals: 8250+
|Future Generali Varistha Bima Plan||Maximum cover: INR 10 lakhNetwrokHospitals: 5100+||30 days to 4 years||82.96%|
|Oriental HOPE Insurance Plan||Maximum cover: INR 5 Lakh|
Network Hospitals: 4300+
|National Senior Citizen Mediclaim Policy||Maximum cover: INR 10 lakh|
Network Hospitals: 6000+
|New India Assurance Senior Citizen Mediclaim Policy||Maximum cover: INR 50 lakh|
Network Hospitals: 1500+
|1.5 to 4 years||92.68%|
|Cholamandalam Individual Healthline Insurance Plan||Maximum cover: INR 25 lakh|
Network Hospitals: 8000+
|2 to 5 years||56.25%|
|Niva Bupa Senior First Health Insurance Plan||Maximum cover: INR 10 Lakh |
Network Hospitals: 4500+
|30 days to 2 years||89.46%|
Health insurance plans for senior citizens could come with numerous benefits. Some of these are highlighted below:
As one gets older, he/she becomes vulnerable to various diseases. Without the support of a comprehensive health insurance plan, it can get exceedingly difficult to meet increasing healthcare expenses, especially at a time when income sources could drastically deplete. . Therefore, it is of utmost importance to have such a plan in place, especially if you do not have any other health insurance plan covering you and your dependents.
Moreover, standard health insurance plans could come with a few limitations. These could involve age restriction on entry, longer waiting periods for pre-existing conditions, and a higher co-payment clause, depending on the terms and conditions of the policy
Contrarily, buying medical insurance for senior citizens which does not include such restrictions and additional clauses, could prove to be extremely beneficial for the elderly.
Health Insurance for senior citizens includes coverage for several eligible medical expenses, depending on the insurer and the features of the chosen policy. Some of the common inclusions could be:
On the other hand, these policies are unlikely to provide coverage under certain circumstances. Some of these are as follows:
When it comes to purchasing health insurance policies above 60, choosing a plan that best meets your requirements becomes imperative. It is, therefore, crucial to compare various plans and buy one that caters to your needs.
Keeping the following points in mind can help you make the best purchase:
These plans include a waiting period for pre-existing illnesses. This means that a policyholder can raise claims only after a specific time period for certain health conditions. In such cases, a smart move will be to compare various plans and select the one with the shortest waiting period.
It is wise to opt for an insurance company with a wide range of network hospitals, with one preferably near your vicinity. In doing so, you can easily commute to a nearby hospital and receive immediate medical assistance if required without needing to pay anything out of your pocket.
Co-pay is a sum of money that a policyholder is liable to pay when making a claim. Since most of the elderly do not have a regular income, it can be difficult for them to pay a large amount from their pocket. Therefore, it is recommended to select a plan that calls for minimal or zero co-payment.
Free medical check-ups
With old age, individuals require additional protection against health issues. So, before purchasing a plan, they should ensure that their policy comes with a facility of free check-ups.
No claim bonus
Several insurance companies offer a no-claim bonus if an insured does not lodge a claim during a policy year. Such a bonus either increases the policy’s sum insured or reduces the premium in the subsequent year.
Also read: Should you buy health insurance on EMI?
Earlier an existing ailment was enough for health insurers to reject a new policy application for customers. When it comes to senior citizens aged 60 and above, a large part of this segment suffers from ailments and this was the reason why insurers in the past were not ready to offer medical insurance to this segment. However, things have changed. Now, insurers are increasingly more ready to cater to such chronic ailments. Generally, if you have moderate health issues that are well managed the insurer will issue you an insurance policy.
Common co-morbidities like diabetes or blood pressure are covered by a good number of senior citizen-specific insurance plans. While they may have to pay loading charges or bear a waiting period for some duration to get their pre-existing diseases covered.
Insurance companies usually allow individuals to file claims in any of the two methods discussed below:
Yes, senior citizen health insurance plans come with tax benefits under Section 80D of the Income Tax Act, 1961. A policyholder can claim a tax deduction of up to Rs. 50,000 on the premium paid towards health insurance policies. Moreover, a yearly rebate of Rs. 5,000 for preventive health check-ups is also available.
This tax benefit is applicable to individuals who are availing of such a plan for themselves, as well as to those availing these plans for their parents. Note, if an individual is availing of the policy for only one of his/her parents aged above 60 years, the tax benefits applicable will be Rs. 25,000.
Follow these steps to choose the right policy from the list of best health insurance for senior citizens in India:
When it comes to buying a senior citizen health insurance policy, the most crucial point to look out for is comprehensive coverage. Since with old age, the frequency of illnesses increases, it becomes crucial to have a financial safeguard in place to tackle the ensuing costs of treatment. In this regard, look for Navi’s medical insurance for senior citizens extending comprehensive health benefits coverage. Download the Navi app on Android or iOS today.
Ans: If you are over 60, you do not need to go through medical screening before purchasing a senior citizen health insurance plan. However, many insurers may require you to go through a medical screening.
Ans: Here’s a list of documents required to buy a senior citizen health insurance plan:
Proof of income
Duly-filled insurance form
Medical screening report (if required by the insurer)
Ans: Health insurance for senior citizens could be costlier than standard plans as older individuals are more prone to illnesses.
Ans: Yes, most plans cover the hospitalisation expenses arising due to Covid-19, subject to terms and conditions.
Ans: Insurance companies usually require documents such as your age proof, ID proof, proof of residence, and income proof, among others. However, with Navi, you can enjoy a completely paperless process.
Ans: It is an arrangement where the policyholder pays a portion of the medical expenses from their pocket. Most senior citizen medical insurance plans include this clause.
Ans: Yes, it is rather sensible to buy a separate health insurance plan for the senior citizen family members. It will reduce the potential burden on your family-floater plan with their increasing medical necessities.
Ans: A person might be suffering from a medical condition for a significant period before buying health insurance. It is referred to as a pre-existing disease. You generally have to go through a certain waiting period to get coverage for pre-existing diseases.
Ans: No, income proof is not mandatory to buy a senior citizen health insurance. However, make sure to consult with your insurance provider to know about the documents that you need to provide when purchasing a policy.
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