ImageSenior Citizen Health Insurance – Mediclaim Policy for Senior Citizen
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Advantages of Senior Citizen Health Insurance

Lifelong Renewability

Senior citizen health insurance can be renewed for life allowing you to get insured for life. This is an added advantage which allows you to enjoy the lifelong coverage at a cost-effective premium.

Cashless Treatment

This policy offers the benefit of cashless hospitalisation where your medical expenses are directly settled by the insurer. The insurers offer 5000+ network hospitals where you can avail this facility.

No-Claim Bonus

Senior citizen health policy awards bonus for every claim-free year if the policy is renewed without break. In such a case, either sum insured increases or premium decreases by a certain percentage or both.


Pre-existing Diseases Cover

Health insurance for senior citizen will cover all the pre-existing diseases insured may be suffering from, such as high cholesterol and diabetes after 12 to 24 months from the date of commencement of the policy.

Benefits of Senior Citizen Health Insurance

Pre and Post-hospitalisation Covered

  • Post hospitalisation expenses such as a regular visit to doctors, medication expenses, and follow-up examinations to be made is covered under the policy. These expenses are covered up to 60 days.
  • The medical expense incurred before hospitalisation is also covered up to 30 days.
  • Senior citizen health insurance also covers OPD expenses such as doctor fees, diagnostic tests, and medical bills.

Medical Expense Cover

  • Health insurance for senior citizen will pay for room rent, nursing and boarding cost, surgeon, anaesthetist, medical practitioner, consultants, and specialist fees. Cost of medicine is also covered up to the specified limits.
  • Medical expenses arising from sudden illness, surgeries and accident are covered by the policy.
  • This policy also offers free health check-up facility at the end of every year.

Day-Care Treatment Cover

  • More than 140 daycare procedures are covered under the senior citizen policy. These are the medical treatment which does not require hospitalisation for more than 24 hours.
  • All important procedures or operation of ears, eyes, tonsils, mouth and nose are covered by the policy.
  • Treatment of urinary system, respiratory systems and heart procedures like angiography and angioplasty are also covered.

Frequently Asked Questions

The pre-existing disease is the disease or ailment which existed before the inception of senior citizen health policy. This is important to know because there is a specific waiting period for such diseases, which will be compensated by the insurer only after completion of the waiting period. Generally, this waiting period ranges from 24 to 48 months.
Cashless hospitalisation means when you get admitted in the hospital, you need not have to pay any expenses to the hospital. These medical expenses are paid to the hospital by the insurer directly once you make claim against the policy. To avail this facility you should avail treatment in any of the network hospitals of your insurance company.
Co-payment is a certain proportion of the claim amount which you have to pay from your pocket while insurer will pay the remaining amount. Most senior citizen health insurance policies in India has co-pay clause which may vary from insurer to insurer. It is advised to buy the insurance policy which are having lower co-payment rates.
There are many additional benefits available under the mediclaim policy for a senior citizen like daily hospital cash, accidental coverage, international treatment cover and coverage for domiciliary treatment which allow for treatment at home if a senior citizen is unable to go to the hospital.
Any self-inflicted injury, suicide, injury due to drug use or alcohol overdose are generally excluded from the policy. Treatment related to pregnancy, miscarriage, and abortion is also excluded. Medical expenses incurred for the treatment of AIDS and congenital disease are generally not covered under senior citizen health insurance plan.

Insuropedia

What should you consider while buying health insurance for senior citizens?

People who are looking for health insurance for their senior citizen parents, or senior citizens who want to buy health insurance for themselves, should consider the following points which will help them to buy the right policy:

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How does portability work in case of Senior Citizen Health Insurance?

In case you are not satisfied with the services and coverage of your senior citizen health insurance, you can think of porting the policy. The portability also results into waiving off waiting period for pre-existing ailments with the new insurer if you have served the same number of years in the current insurance policy. Also, portability happens....
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What happens when you cancel a senior citizen health policy midway through the policy year?

If you have a senior citizen health insurance policy, it is feasible to cancel the policy midway through the policy year.

Here it is important to note that a health insurance company can also cancel the insurance policy by sending 30 days’ notice at the insured’s last registered address. In such a case, the insurer shall refund the premium to the policyholder....

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