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Senior Health Insurance

Health Insurance for Senior Citizens

Health insurance for senior citizens is a type of coverage that is specially designed to provide financial aid during a medical emergency. As people age, they might become prone to age-related ailments like low immunity, frequent fractures, etc.
While one can potentially avoid these issues by taking preventive measures, with health insurance, one can create a financial safety net so that in case of a medical emergency, arranging money would not be a concern and would be taken care of by their insurance company.

What is Senior Citizen Health Insurance?

Why should senior citizens buy a health insurance policy?

Life can be quite unpredictable. Even if you have taken good care of your health over the years, during your golden years a minute injury or a seasonal cough and cold could take a turn for the worse and lead to hospitalization or necessitate the need for long-term care.
Your entire savings can drain out in a blink of an eye. Health insurance for senior citizens can safeguard your life savings and take care of your medical needs even in an era of rising medical costs.

Covers Medical Expenses

The best health insurance for senior citizens takes care of the medical expenses during an event of hospitalisation or illness, ensuring that your savings remain safe.

Quality Medical Attention

With the backing of a senior citizen’s insurance, you can look for quality medical attention without worrying about the piling bills and can heal in peace.

Preventive Health Check-up

Senior citizen insurance plans also provide reimbursement for preventive health check-ups after the completion of a year. These check-ups can help you understand your health status and take the necessary steps needed to keep yourself in the pink of health and avoid hospitalisation in the near future.

Beats Inflation

A good senior citizen insurance plan helps one stay protected and covered in the face of rising medical costs without compromising on quality medical attention.

Peace Of Mind

Knowing that your finances are protected and you won’t be paying from your pocket during an event of hospitalisation or an emergency, gives you peace of mind and power to spend your days anxiety-free.

Save Tax

The senior citizen health insurance premium is eligible for tax exemption benefits under section 80D of the Income Tax Act. Save as much as Rs.50,000 tax benefits on health insurance premiums paid for yourself. However, this may change as per the applicable tax limits.

Top Things to Consider When Buying a Medical Policy for Senior Citizens

Coverage

You need to have a policy with a wider coverage. For example, medical expenses, including hospitalisation, surgeries, and critical illnesses.

Pre-Existing Conditions & Waiting Period

  • Be aware of waiting periods for specific illnesses, as they can vary.
  • Look for health insurance for senior citizens without waiting period.
  • Check if the policy covers pre-existing health conditions,
    as many seniors may have them.

Sub limits & Co-payments

  • While choosing a senior citizen medical insurance plan pay close attention to the sub-limits on specific expenses and check if you can include those in your plan by paying a suitable premium.
  • Check for the co-payment clause in your plan, which will need you to pay a part of your expenses during a claim.
  • Check if these terms & conditions align with your financial capabilities.

Network Hospitals

Ensure the policy includes hospitals near your senior’sresidence for easy access to healthcare.

Claim Process

Look for a policy with a straightforward and hassle-freeclaims process.

Renewal Age

Check the maximum renewal age to ensure long-term coverage.

No Claim Bonus

  • Most health insurance plans have this feature but look intently for this if you are investing in health insurance for senior citizens.
  • If you don’t place a claim in a claim year you might get an increase in your sum insured for the next year with the same premium. The cumulative sum acts as a great financial backup for seniors and ensures smooth treatment without compromising on quality care.

Additional Benefits

Explore add-ons like maternity coverage or ambulance services, if needed.

Premium Cost

Compare premiums from different insurers to find an affordable option.

Top Things to Consider When Buying a Medical Policy for Senior Citizens

Coverage

You need to have a policy with a wider coverage. For example, medical expenses, including hospitalisation, surgeries, and critical illnesses.

Pre-Existing Conditions & Waiting Period

Be aware of waiting periods for specific illnesses, as they can vary. Look for health insurance for senior citizens without waiting period.

Check if the policy covers pre-existing health conditions,
as many seniors may have them.

Sub limits & Co-payments

While choosing a senior citizen medical insurance plan pay close attention to the sub-limits on specific expenses and check if you can include those in your plan by paying a suitable premium.
Check for the co-payment clause in your plan, which will need you to pay a part of your expenses during a claim.
Check if these terms & conditions align with your financial capabilities.

Network Hospitals

Ensure the policy includes hospitals near your senior’s
residence for easy access to healthcare.

Claim Process

Look for a policy with a straightforward and hassle-free claims process. 

Renewal Age

Check the maximum renewal age to ensure long-term
coverage.

No Claim Bonus

Most health insurance plans have this feature but look intently for this if you are investing in health insurance for senior citizens. If you don’t place a claim in a claim year you might get an increase in your sum insured for the next year with the same premium. The cumulative sum acts as a great financial backup for seniors and ensures smooth treatment without compromising on quality care.

Additional Benefits

Explore add-ons like maternity coverage or ambulance
services, if needed.

Premium Cost

Compare premiums from different insurers to find an
affordable option.

What are the inclusions and exclusions of Health Insurance Plans for Senior Citizens?

What is covered?

What is not covered?

What is Covered

It helps pay for expenses like room rent, doctor's fees,
and medicines during hospital stays.

It covers medical expenses a little before and after hospitalization, like tests or follow-up treatments.

Some plans cover treatments that don't require overnight
hospitalization.

It pays for ambulance services during emergencies.

If a senior citizen can't go to the hospital, it covers treatment at home.

After a waiting period, it may cover existing health issues.

Some plans cover specific severe illnesses when you buy
the critical illness add-on.

You don't have to pay upfront; the insurance company
settles the bill directly with the hospital.

Exclusions/What is not covered?

Some plans may have limits on particular treatments
or room rents.

Some alternative or experimental treatments may not

Many plans exclude dental and vision care unless required
as a result of an accident.

Regular check-ups or preventive care might not be covered.

Expensive or non-generic medicines may not be
fully covered.

Costs like transportation or non-medical amenities may
not be covered.

Adventure sports like bungee jumping and paragliding can be extremely enjoyable, but they also expose you to untold risks. We do not cover injuries sustained due
to adventure sports.

People may harm themselves under the influence of alcohol or hallucinogenic substances,
however, we do not cover self-inflicted injuries.

A war can be ruinous and devastating. The policy does not cover
claims caused due to wars.

Any injury caused while participating in defence operation
is not covered by the policy.

Venereal and sexually transmitted diseases can be devastating for the mind and the body.
We do not offer cover for venereal and sexually transmitted diseases.

Many people opt for obesity reduction procedures and cosmetic surgery to improve
their appearance. The policy does not cover obesity treatment and cosmetic surgery.

Note:

The policy coverage, features, and benefits may vary across plans and insurance providers. Please check the same before buying health insurance plans.

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