Bimasure

Senior Citizen Health Insurance Securing Senior Care, Securing Life

With age, senior citizens are likely to develop health issues and we understand the emotional and financial toll sudden hospitalisations can take on both you and your loved ones. That’s where senior citizen policies step in, offering invaluable support to ease the burden. 

Medical insurance for senior citizens is tailored to ease the financial responsibility of recurring healthcare expenses. These insurance policies are specifically crafted for individuals aged 60 and above, addressing their unique healthcare requirements. Medical Insurance for senior citizens is not just an option, it’s a necessity to ensure one can have access to the best healthcare services without worrying about the costs.

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Senior Citizen Health Insurance
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What is Senior Citizen Health Insurance?

Senior Citizen Health Insurance policies are designed to cover individuals aged 60 and above. Tailored to alleviate the financial and physical stress associated with illness or hospitalization, these plans offer financial assistance for medical treatments. They can be obtained either individually or as family floaters, providing benefits like coverage for in-patient hospitalization, no pre-screening, and pre/post-hospitalization.

Need and Importance of Senior Citizen Health Insurance

Senior Citizen Health Insurance becomes crucial for individuals aged 60 and above, offering a safety net during times of illness or hospitalization. It serves as a financial cushion, easing the burden of medical expenses. This insurance is especially valuable as it covers hospitalization costs, offers cashless treatment, and comes with lifelong renewability. Senior citizens are more susceptible to illnesses, making hospitalization emotionally and financially challenging. Here are key reasons emphasizing the need for senior citizen health insurance. Below is the importance of Super Top plans:

Coverage for Critical Illness

Critical illness coverage is of paramount importance for senior citizens. Critical illnesses such as cancer, stroke, heart disease, and kidney failure can significantly impact the financial well-being of individuals and their families as their treatment is very expensive. Senior citizen plan provides this financial security against the expensive treatment

Increasing Healthcare Needs of Senior Citizens

As individuals grow older, their healthcare needs tend to increase. The ageing process brings various health challenges and a higher likelihood of chronic conditions; hence it is very important to get a insurance plan for your future medical emergencies without any stress.

Increasing Medical Inflation

With the increase in technology, medical costs have increased too. With such skyrocketing costs in the medical field, it is good to have a health insurance policy that will help you at the time of medical emergencies.

Free Cost of Annual Health Check-up

Annual health check-ups are a benefit provided under several health insurance plans where free medical check-up is done. The medical check-up helps to evaluate current medical condition every year and check the risk of contracting a disease. It conducts complete body analysis that includes heart health, organ health, metabolism rate, etc. All the test can be done in free

Peace of Mind

As there is no fixed source of income after retirement, the income becomes limited or unstable. After the age of 60, it is important for Senior citizens or retired citizens to have a good health insurance plan so that they wouldn't need to face any financial crisis

Termination of Employer

Sponsored health insurance after retirement- Companies provide health insurance to their employees nowadays. Most people don't buy their own health insurance for the same reason. But after retirement, these policies are not renewed by your employer, so it is always best to keep at hand your own health insurance.

Eligibility Criteria to Buy a Senior Citizen Health Plan

Senior citizens health insurance is a is a plan that allows you to relax and enjoy your second inning of life. The following are the specification and requirements:

Eligibility CriteriaSpecifications
Minimum Entry Age60 years and above
Maximum Entry Age75 years/No age limit in some plans
Family Members Covered Self, Spouse
Renewability Lifelong renewability as per plan you choose

Key Benefits of Senior Citizen Health Plan

Senior citizen health insurance plan as an investment brings peace of mind to seniors and their families, ensuring comprehensive support during health challenges. Know what are exclusive benefits that can be availed.

Comprehensive Coverage Benefits

The policy ensures extensive protection for the elderly, facilitating advanced medical treatment without financial concerns.

Cashless Hospitalization

Senior citizens can avail of cashless treatment in the network hospitals of the health insurance company. simplifying the medical care process.

No Pre-Medical Screening Test

Many plans do not require a pre-medical exam for individuals over 60, eliminating a potential barrier to obtaining coverage.

Lifelong Renewability

Most plans offer lifelong renewability, ensuring continuous health coverage without age restrictions.

No Co-Payment

Co-pay in health insurance means co-payment which means cost sharing. Many health insurance companies impose a co-pay clause under their senior citizen health insurance plans. But there are many plans in which 100% expenses are taken care by the insurance company

Tax Benefits

Get Tax Benefit upto Rs 75,000 in a financial year on the Premiums paid under Section 80D, providing additional financial relief.

Our Preferred Plans

Best Health Insurance for Senior Citizens in India
Finding the best health insurance for senior citizens can be a very stressful for any individual as there are many health plans available in the market from various health insurance companies. To make it easier for you, we BimaSure have compiled the list of best senior citizen health insurance plans along with its key features in the table below:

Inclusion and Exclusion in Senior Citizen Health Plan

Senior Citizen Health Insurance, while offering crucial coverage, comes with certain inclusions and exclusions. Know the details as listed below.

In-patient Care

Get coverage for hospitalisation expenses arising due to any diseases and injury such as doctor fees, room charges, medicine and drugs cost, nursing fees etc up to sum insured

Pre- and Post hospitalization

Get coverage up to sum insured for medical expenses before hospitalisation and post discharge,

Daycare Treatment

Senior Citizen health insurance plans offer coverage for the treatments that can be treated in less than 24 hours of hospitalization

Automatic restoration of sum insured

Automatic Restoration of the sum insured is a benefit in which a health insurance company restores the sum insured completely or up to a certain percentage after the sum insured is completely exhausted in treatment.

Ayush Treatment

Get coverage up to sum insured, for alternative treatment taken in an government recognised Ayurvedic Hospital

Annual health check-ups

Senior citizen health plan offers free annual health check-ups to the policyholders

Emergency Ambulance

Provides coverage for Road ambulance as per the limit mentioned in the policy

Organ Donor

Medical expenses for an organ donor’s inpatient treatment for the harvesting of the organ is also covered up to sum insured.

Domiciliary Hospitalisation

Get Coverage up to sum inured for the medical treatment taken at home on account of unavailability of a hospital bed or the doctor’s advice

Pre-existing diseases

Any pre-existing diseases of the insured senior citizen are also covered after a fixed waiting period.

Self-Inflicted Injury

Injuries intentionally caused by the insured are not covered.

Dental treatment

Dental procedures and treatments are usually excluded unless specified otherwise.

Obesity Treatment

Medical interventions for weight loss or obesity may not be covered

Abuse of drugs and alcohol

Health issues resulting from substance abuse may not be included.

Adventure sports

Injuries sustained during high-risk activities may be excluded from coverage.

IVF Treatment

In vitro fertilization and other fertility treatments may not be part of standard coverage.

Cosmetic Treatment

Procedures done for cosmetic purposes rather than medical necessity are typically not covered.

Injuries arising during a war-like situation

Health issues arising from war or similar circumstances may not be covered.

Breach of law/criminal activity

Injuries or health issues resulting from illegal activities may be excluded from coverage.

Coverage After Waiting Period

The waiting period for pre-existing diseases should be considered when choosing a senior citizen health insurance plan. Opt for a plan with a minimal waiting period to ensure timely coverage for existing health conditions.

Waiting PeriodDuration
Specially designed plan that covers pre existing medical condtions
like asthama, blood bressure cholesterol, diabetes
After 30 days
Pre-existing period2-4 years
Initial waiting period30 days
Specific disease waiting period 1-2 years
Covid-19 treatment30 days
Grace period30 days
Free-look period15 days

FAQ's

Benefit from coverage after specific waiting periods:

A senior citizen health plan takes care of the healthcare needs of the elderly. As one grows older, buying a decent health insurance plan becomes difficult as one is vulnerable to several diseases. This plan provides you with financial support, but you must pay a higher premium for this policy.

Health insurance for senior citizens mostly comes with mandatory pre-policy medical check-ups, limited coverage and an extensive list of exclusions. You must check these factors carefully before buying a plan. You should also look out for factors, such as entry/exit age, maximum renewal age, co-payment, domiciliary treatment, etc. while buying the policy.

The following documents are required to buy a mediclaim policy for senior citizens:

  • Age proof
  • Identity proof
  • Address proof
  • Income proof
  • Duly filled proposal form
  • Pre-insurance medical test reports(if applicable)

Cashless treatment is available at network hospitals. Check the list of network hospitals provided by your insurer.

This benefit restores the sum insured after it’s completely exhausted, either fully or up to a certain percentage, depending on the plan.

 Pre-existing diseases usually have a waiting period. Choose a plan with a shorter waiting period for optimal coverage.

Not all plans have copayment clauses. It’s essential to check the policy terms to understand any copayment requirements.

Yes, in most cases, you must go through medical screening to buy a health insurance plan. As an older individual, insuring you is a risk for the insurance company, requiring you to go through medical tests.

If you are buying health insurance for parents, then you must look out for the entry and exit age, lifetime renewability option, copayment, and domiciliary treatment

Yes, you can transfer your senior citizen health insurance policy from one insurer to another within 45-15 days of policy expiry without losing the benefits you have accumulated during the policy’s tenure  

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