Senior citizen health insurance, According to recent guidelines issued by IRDAI, every insurance provider has to offer health insurance coverage to individuals with an entry age up to at least 65 years of age. This is important for the senior citizens to be able to get themselves well insured during their later years.
Coupled with this, the feature that all health insurance companies offer life time renewability, the senior individual can be assured of a health insurance cover once they have been insured, subject of course to
timely payment of renewal premium. They also have the opportunity to port their policy to another insurer if they are not satisfied with the service level of the current insurance partner.
There are some general exclusions of senior citizen health insurance plans which are not covered by the policy and are listed below, kindly however go through the policy wordings for the complete list of exclusions:
Some of the key benefits under the Senior Citizen Mediclaim insurance plan include:
|Insurance Company + Plan Name||Eligibility Criteria / Age||Sum Insured Options||Key Features||Waiting Period for Pre-existing Diseases||Medical Check-up
|Star Health – Senior Citizen Red Carpet Health Insurance Plan||Any person between 60 and 75 years of age at the time of entry can take this insurance policy.||1,2, 3, 4, 5, 7.5, 10, 15, 20, 25 lacs ||Medical Consultations as an out-patient in a Network Hospital.|
No Third Party Administrator, direct in-house claim management, so faster and hassle-free claim settlement.
No Age based Premium Revision – Premium is Sum Insured based.
|12 months ||No pre-acceptance medical test required
However if following medical records of the person proposed for insurance are submitted, a discount of 10% of is allowed. – Stress Thallium Report – BP Report – Sugar (blood & urine) (Fasting / Postprandial) – Blood urea & creatinine
|Bajaj Allianz – Silver Health Plan for Senior Citizens||This policy covers members up to from 46 to 70 years of age|
Renewal age upto 75 years
|50,000 – 5 lacs ||Avail 10% cumulative bonus up to your limit of indemnity for every claim-free year, maximum limit up to 50%.|
Avail free health check-up at our designated medical centres at the end of four continuous claim-free years.
Insured Can opt for co-payment waiver.
|12 months||Pre Policy Medical Check up required for this plan
|New India – Senior Citizen Mediclaim Policy||60 – 80 years (renewable up to 90 years of age|
|Two Options of 1, 1.50 lacs ||30 days pre-hospitalisation (max up to 5% of hospital bill) and 60 days post hospitalisation (max up to 10% of hospital bill).|
Medical Check Up Upto 1% of Sum Insured subject to a 4 claims free years.
10% Discount for opting Voluntary Excess of Rs.10000/-.
10% Discount in case of Spouse is covered
|18 months / 48 months for certain ailments ||Persons opting for a policy for the first time have to undergo prescribed Pre Health check up from an empanelled doctor.
Cost of check up has to be borne by the proposer.
|Apollo Munich Health Insurance – Optima Senior||Any person whose age is 61 years and above.|
No Maximum Entry Age.
|2, 3, 5 lacs ||No claim based loading or claim based underwriting.|
30 days pre and 60 days post hospitalisation expenses covered upto SI.
140 day care procedures are covered.
One Second E-Opinion per policy year.
|24 / 36 months depending on the treatment required||Insured will be called for a medical check-up on the basis of your age, health declaration and cover opted for. Your medical check-up will include a medical examination by a doctor, blood tests to measure your cardiac status, cholesterol levels, blood sugar levels among other things, urine analysis and cardiac tests to assess the status of your heart and kidneys.
|Tata AIG – MediSenior Health Insurance||Insureds of the age 61 and above|
No Maximum Entry Age.
|1, 3, 5 lacs ||140 day care procedures are covered under this health insurance policy.|
Organ Donor: Pays for medical expenses for an organ donor’s treatment during an organ transplant surgery.
Pre & Post Hospitalisations of 30 days and 60 days respectively.
|24 / 48 months ||PPC Required and to be done at Tata AIG Authorised centres.
50% reimbursement of cost after proposal acceptance.
|Care(formerly Religare) Health – Care Senior||Individual: 61 years and above Floater: 2 Adult (Self, Spouse, Father, Mother)|
Entry Age Maximum : Lifelong
|3, 5, 7, 10 lacs ||50% increase in Basic / Medical SI per Policy Year in case of claim-free year; Max up to 100% of SI|
Detailed health check-ups at no extra cost facilitate monitoring of the insured’s health and promote a healthy lifestyle
Pre-Hospitalization for 30 days & Post-Hospitalization for 60 days; Maximum up to SI
|24 / 48 months depending on the ailments||No Pre Policy Medical Check up
|HDFC Ergo – Silver / Gold Plan||Any person whose age is 61 years and above.|
No Maximum Entry Age.
|3, 4, 5, 7.5, 10, 15 lacs ||Get additional sum insured equivalent to the admissible claim amount upto a maximum of the basic sum insured.|
Pay out a lump sum amount of Rs.15000 as recovery benefit if hospitalization exceeds 10 continuous days.
Alternate Treatment – support the healing powers of Ayurveda, Unnani, Sidha and Homeopathy treatment.
|48 months||Persons opting for a policy for the first time have to undergo a detailed prescribed Pre Health check up from an empanelled doctor in HDFC Ergo Network.