Almost all senior plans health plans offer in-hospitalization expenses, which include Room rent, ICU charges, Doctor’s fees, Ambulance charges, Pre & Post Hospitalisation Expenses, Daycare expenses etc. There are many add ons like Critical Illness, PA Cover etc that once could opt for. There are waiting periods applicable for Pre Existing conditions and other ailments as is the case in Individual plans.
One needs to carry the following documents - Pre-policy medical check-up documents, Duly-filled proposal form, Supporting documents for any pre-existing condition, Age & Address proof.
This health policy entitles the proposer to avail tax exemption under section 80D of the Income Tax Act, 1961. You are eligible for an income tax rebate of ₹30,000 if you hold a mediclaim policy for senior citizens for your elderly parents. You can also avail am additional rebate of Rs. ₹5,000 for preventive health check-ups annually. As a senior citizen who is the proposer, this rebate is as high as ₹50,000 per year.
As a person advances in age, the frequency and severity of illness (propensity of falling ill) increases as well. Most individuals in this age group have no regular source of income apart from the pension/investment income/savings. That is the reason, getting a health insurance at this point of time becomes all the more critical.
Health insurance for senior citizens comes with medical check-ups, limited coverage and additional exclusions and co payment on claims. One should evaluate the coverage benefits, co payment, sub limits, exclusions on the plan before deciding on the optimum plan.
Yes, the proposer will need to go through medical test before buying a senior citizen health plan depending on their age, existing medical history, pre-existing conditions etc.. Hence, most of the insurance companies need the applicant to go through medical screening.
As per the normal procedure, the applicant bears the cost of medical test held prior of taking policy. All insurance companies arrange the appointment with their empanelled hospitals/medical labs for these tests and some of them refund a part of the medical expenses incurred by the applicant, if the tests are positive and the application is approved.
Claims should be submitted to the TPA of the respective insurance company except in cases where there is no TPA and the insurance company is doing in-house claim settlement. The toll free numbers/email ids will be available on the policy kit, e-health card, or on the insurance company website. You may also check out the same on eindiainsurance .
There are some insurance plans which offer this benefit to their policyholders (in terms of plan opted) once in a block of 2/3/4 claim-free years. Some insurance companies offer a health check up every year, irrespective of whether a claim is filed or not.
Insurance Company + Plan Name | Eligibility Criteria / Age | Sum Insured Options | Key Features | Waiting Period for Pre-existing Diseases | Medical Check-up |
---|---|---|---|---|---|
Apollo Munich Health Insurance - Optima Senior |
Any person whose age is 61 years and above. No Maximum Entry Age. Lifelong Renewal |
2, 3, 5 lacs |
|
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. |
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 |
|
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 |
HDFC Ergo – Silver / Gold Plan |
Any person whose age is 61 years and above. No Maximum Entry Age. Lifelong Renewal |
3, 4, 5, 7.5, 10, 15 lacs |
|
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. |
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 |
|
12 months | Pre Policy Medical Check up required for this plan |
Tata AIG - MediSenior Health Insurance |
Insureds of the age 61 and above No Maximum Entry Age. Lifelong Renewal |
1, 3, 5 lacs |
|
24 / 48 months | PPC Required and to be done at Tata AIG Authorised centres. 50% reimbursement of cost after proposal acceptance. |
New India - Senior Citizen Mediclaim Policy |
60 - 80 years (renewable up to 90 years of age Lifelong Renewal |
Two Options of 1, 1.50 lacs |
|
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. |
Care(formerly Religare) Health – Care Senior |
Individual: 61 years and above
Floater: 2 Adult (Self, Spouse, Father, Mother) Entry Age Maximum : Lifelong Lifelong Renewal |
3, 5, 7, 10 lacs |
|
24 / 48 months depending on the ailments | No Pre Policy Medical Check up |
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