Senior Citizen Health Insurance

Senior citizen health insurance plans are specially designed to cover people aged over 60 years. Available on an individual or family floater basis, these plans offer utmost protection to elderly people in their old age. One can also avail of tax benefits on the premium paid for these plans.

Rs. 5 Lakh cover for senior citizen starting at Rs. 276/month* only
  • Tax Benefit
    Up to 75000**
  • Claim Support
    Everyday 10AM-7PM
  • 14 Lac+
    Happy Customers

*Standard Terms and Conditions Apply.

**Tax benefits are subject to changes in Income Tax Act.

A Senior Citizen Health Insurance policy is a type of health insurance plan that covers individuals above the age of 60 years. The plan is designed to reduce the financial and physical stress of senior citizens in the event of illness and hospitalization. This type of plan offers financial aid for medical treatments to elderly persons and can be bought on an individual or family floater basis.

Best Senior Citizen Health Insurance Plans in India for November 2021

There are many senior citizen insurance plans in the market because of which it may be difficult for you to shortlist the most suitable one.

To help you with the same, we have shortlisted 5 senior citizen health insurance plans that offer you several benefits.

Health Insurance Company

Health Insurance Plans

Plan Benefits

HDFC Ergo General Insurance

My Health Suraksha

  • In-patient hospitalisation expenses
  • Pre-hospitalisation and post-hospitalisation expenses
  • Organ donor expenses
  • Organ donor expenses
  • Availability of sum insured rebound

Care Health Insurance

Care Senior

  • In-patient hospitaliation expenses
  • Pre-hospitalisation and post-hospitalisation expenses
  • Ambulance expenses
  • Domiciliary expenses
  • Organ donor expenses

Star Health & Allied Insurance

Red Carpet

  • In-patient hospitalisation expenses
  • Pre-hospitalisation and post-hospitalisation expenses
  • Daycare expenses
  • Ambulance expenses
  • Health check-up

Future Generali Health Insurance

Varishta Bima

  • In-patient hospitalisation expenses
  • Pre-hospitalisation and post-hospitalisation expenses
  • Road ambulance expenses
  • Daycare treatments

HDFC Ergo General Insurance

Optima Restore

  • In-patient hospitalisation expenses
  • Pre -hospitalisation and post-hospitalisation expenses
  • Daycare expenses
  • Road ambulance expenses
  • Domiciliary hospitalisation expenses

Features of Senior Citizen Health insurance Plans

Listed below are some features of senior citizen health insurance plans:

  • Senior citizen health insurance plans come with higher sum insured options to offer adequate health insurance coverage to the senior citizens during the golden years of their lives.
  • There are many senior citizen health insurance plans in the market that offer lifetime renewability benefits. This means that the policy can be renewed as many times as the insured individual wants, provided he/she timely pays the required premium.
  • Senior citizen health insurance plans offer wide coverage benefits. These include cover for an emergency ambulance, cover for specific illnesses, etc.
  • Cover for pre-existing diseases is provided after a specific waiting period. Note that the waiting period may differ from one insurance company to another.
  • Under a senior citizen health insurance policy, the insured can avail cashless treatment or reimbursement treatment as per their convenience in case of hospitalisation.
  • There are some senior citizen health insurance plans that offer cover to senior citizens as well as their spouse under the single policy. This keeps the insured individuals at ease.
  • Generally, there is an option of co-payment under senior citizen health insurance policies. If you opt for co-payment, then you can enjoy paying lesser health insurance premium.

Benefits of Senior Citizen Health Insurance Plans

Health insurance is designed in a way that offers several benefits to the insured senior citizen. Some of them include:

  • Pre-Medical Screening: Under most health insurance policies, it is not mandatory to undergo pre-medical screening.
  • Cover for Domiciliary Treatment Expenses: Most senior citizen health insurance plans offer coverage for domiciliary treatment expenses. This is when the treatment is taken at home which otherwise would have required hospitalisation.
  • Choice of Second Opinion: Typically, people look for a second opinion in case of an illness. Senior citizen health insurance policies offer a second opinion (usually one) in a year.
  • No Claim Bonus: No Claim Bonus is an amount that the insured gets as a reward for not making a claim during a year. In most senior citizen health insurance plans, you can avail No Claim Bonus ranging between 20%-100%.
  • Cover for Hospitalisation Expenses: Senior citizen health insurance plans not only cover you for in-patient hospitalisation expenses, but also for pre-hospitalisation and post-hospitalisation expenses for a specific number of days. This may vary from plan to plan.
  • Tax Benefits: Premiums paid for senior citizen health insurance policies are eligible for tax benefits under Section 80D of the Income Tax Act, 1961.

How Many Members Can Be Covered Under the Senior Citizen Insurance Plan?

The number of members covered under a senior citizen health insurance plan varies as per the type of the plan as well as from health insurance company to company.

Some health insurers may offer cover to Self and Spouse on an individual basis, whereas some may also include other family members (Self, Spouse, Father, Mother) on a family floater basis. The premium in the latter is based on the age of the eldest member of the family.

Why is it Important to Purchase Health Insurance for Senior Citizens?

It is important to have a health insurance plan for senior citizens as health-related issues are unforeseen. The huge hospitalisation expenses can prove to be financially and emotionally distressing for them as well as their loved ones. Here are some of the reasons why it is important for a senior citizen to purchase a health insurance plan:

  • Meeting the Increasing Healthcare Expenses: A suitable health insurance is necessary to meet the hospitalisation expenses of senior citizens. Due to the ever-increasing healthcare expenses, owing to medical inflation, purchasing a senior citizen Mediclaim plan becomes vital for elderly individuals in order to assist them in availing the top healthcare facilities.
  • Facility for Medical Check-Up: Medical Check-ups can be availed by senior citizens on a yearly basis, as they require to go through medical screening frequently. Henceforth, yearly health check-up facilities can help in minimizing the cost incurred on the same.
  • Critical Illness Insurance: With the increase in age, the chances of getting diagnosed with a critical illness such as kidney problems, cancer, heart ailments, etc gets higher. To protect yourself against the expensive treatment cost, you should consider buying a senior citizen health insurance policy as you can easily avail of critical illness add-on cover for individuals aged 60 years and above.
  • Peace of Mind: Meeting the expensive hospitalisation cost can cause a strain on the pockets of the senior citizens, especially with the increase in treatment expenses for both major as well as minor diseases. Therefore, getting yourself insured under a senior citizen health insurance policy can give you the much-needed peace of mind in the situation of emergency.

What is Covered Under a Senior Citizen Health Insurance Plan?

Highlighted below are some of the common exclusions under a senior citizen health insurance plan:

  • Hospitalisation Expenses: The insurance company compensates the policyholder with hospitalisation expenses including ICU charge, doctor’s fee, room rent charges, medicine cost, nursing fee, operation theatre charges, amongst others.
  • Daycare Treatment: Some of the specific daycare treatments requiring 24 hours of hospitalisation or other treatments such as chemotherapy, dialysis etc are also offered coverage under most of the senior citizen health plans.
  • Other Healthcare Expenses: Senior citizen health insurance plan includes radiotherapy cost, dialysis, chemotherapy, orthopedic implants, artificial limbs expenses, and expenses of other prosthetic devices like vascular stents, pacemaker, etc. Other expenses are also taken care off such as blood test, x-ray etc based upon the kind of policy bought.
  • Pre and Post-Hospitalisation Expenses: These are the expenses incurred before and after hospitalisation of at least 24 hours. Different senior citizen health insurance plans may come with different duration for coverage of pre-hospitalisation and post-hospitalisation expenses. Some may cover them for 60 days and 90 days respectively, while others may cover them for 90 days and 180 days respectively. These expenses may include doctor’s consultation, expenses related to x-rays, tests, etc.
  • COVID-19 Expenses: Under the senior citizen health insurance policy, an individual gets compensation for expenses incurred due to Covid-19 treatment up to a specific limit.
  • Organ Donor Expenses: The majority of senior citizen health insurance plans offer coverage for organ donor expenses.
  • AYUSH Treatment Expenses: Treatment taken under AYUSH Health Insurance system of medicine at any government recognized hospital or center are also included under Senior citizen health insurance plan.
  • Pre-Existing Illness: Coverage for any pre-existing illness is also given under senior citizen health insurance policy subject to the terms and conditions mentioned under the policy.

What is Not Covered Under Senior Citizen Health Insurance Plan?

Although, a majority of health-related diseases are covered under the health plan yet at certain times senior citizen health insurance cover gets denied. Some of the common exclusions are mentioned below:

  • Cosmetic surgery: Senior citizen health insurance plans do not cover you for treatments related to cosmetic surgery required for the enhancement of looks. But in case cosmetic surgery is required due to an accident, then the insurance company might cover you for the same.
  • Self-inflicted injuries: Injuries caused due to an act of self-harm or due to an attempt of suicide are not covered under health insurance plans.
  • Participation in adventure sports: Health insurance plans for senior citizens do not cover them for any injury caused or treatment required due to participation in adventure sports such as paragliding, etc.
  • Intoxication: Health insurance plans for senior citizens do not cover them for illnesses caused due to intoxicating substances such as alcohol, smoking, tobacco chewing, etc.
  • Weight-control treatments: Senior citizen health insurance plans do not cover you for weight control treatments including surgical procedures like bariatric surgery, treatment of obesity, etc.

Things to Consider When Buying Senior Citizen Health Insurance Plan

With a pool of senior citizen health insurance plans in the market, it can be tedious to shortlist the best one for yourself or your parents. To simplify the process, you can consider the following points before purchasing a senior citizen health insurance plan:

1. Entry Age

While shortlisting a senior citizen plan, go for the one that allows the maximum ages above 60 years.

2. Renewal Age

Check the maximum age until which the plan can be renewed. Choose a plan with maximum renewal age.

3. Coverage

Coverage is the essence of the plan. Do check if the plan covers all your requirements such as cover for pre-existing diseases, OPD treatment, critical illness cover.

4. Sum Insured Options

Public insurance companies offer a higher range of sum insured options. A plan with a higher sum insured is preferred as it offers greater coverage.

5. Premium

The premium of the plan is also one of the features to consider while buying a senior citizen's health insurance plan. Make sure the plan is worth the premium.

6. Network Hospitals

Choose a plan with the maximum number of network hospitals, preferably in your locality.

7. Co-Payment Clause

Co-payment is a clause that requires the insured to pay a share of the claim amount from their own pocket. When choosing a senior citizen health insurance policy, you must take care of two things related to this clause, these include checking if the insurance policy comes with a co-payment clause or not, and second if there is any waiting period linked to the co-payment clause under the policy. Note that if the waiting period is less, the part of co-payment will rise, and vice versa. Usually, the percentage of co-payment ranges between 10% and 30% under senior citizen health insurance plans.

How to Choose The Best Senior Citizen Health Insurance Plan?

It can be a daunting task to choose the best health insurance policy for senior citizens, from a pool of senior citizen health insurance plans in the market. It would be easier for you if you keep the following things in mind when choosing one:

  • Know the medical history: You must be aware of the medical history of your parents or senior citizens for whom you wish to get the policy. Sometimes, even they might not be aware of health conditions they may be suffering from, and hence, only relying on their knowledge of medical history may not be a good idea. So, before providing any such information to the insurance company, you must cross-check the same.
  • Compare and choose a plan: There are several existing and new senior citizen health insurance plans in India that you must compare before shortlisting anyone. When comparing different senior citizen health insurance plans, you must consider several factors such as inclusions, exclusions, riders/add-ons, premium, etc.
  • Fill proposal form: When selecting a senior citizen health insurance policy, you must fill in the accurate and relevant information. Any misinformation could lead to rejection of your application form and may even cause trouble in case of a claim in the future.
  • Do a medical check-up: You will be required to undergo a medical check-up after submitting the proposal form. The doctors would verify the information related to the policyholder’s health conditions. On the basis of that, the doctor will conduct some medical tests. Some of these tests may include sugar, urine routine, sonography, and liver and kidney function.

How to Buy a Senior Citizen Insurance Plan Online At InsuranceDekho?

You can buy senior citizen insurance plans at InsuranceDekho in two ways, i.e. online or offline modes. To buy the plans online, you are required to follow the steps given below:

  1. Visit insurancedekho.com. Then click on the ‘health’ tab.
  2. Enter personal details like gender, name, and mobile number. You will receive an OTP on the given number. Please enter that.
  3. Answer the simple question ‘When do you want to buy the policy’ from the options in the drop-down menu. Click on ‘View Quotes’.
  4. If you want to add your family members under the policy including your spouse, etc., then select them and click on the ‘Continue’ button.
  5. Enter the age of the member(s) selected.
  6. Enter your Email ID and then your City. Click on ‘Submit and View Quotes’. You will see top senior citizen health insurance plans on your screen as per your requirement. Select the most suitable one from them as per your budget and other requirements.
  7. Select the policy term for the shortlisted plan and pay the premium via a secured payment gateway.

You can also buy the plan offline by getting in touch with the customer care executives on the toll-free number 7551196989 or write to us at customersupport@insurancedekho.com in case further support is required.

Rules And Regulations of IRDAI on Government Senior Citizens Health Insurance Plans

IRDAI or the Insurance Regulatory and Development Authority of India is responsible to monitor the provisions of government health insurance plans for senior citizens, along with other responsibilities. It regulates the features and benefits offered under these plans from time to time to ensure the welfare of the senior citizens. Some regulatory activities are done by the IRDAI recently are as follows:

  • Strict limit on the maximum premium payments was implemented when the premiums were increased by the insurers in the years 2006 and 2007.
  • A committee on Health Insurance For Senior Citizens was formed so that the requirements can be implemented seamlessly. The committee made several recommendations, some of which were implemented effectively.
  • The insurance regulatory authority has issued a mandate for the insurance companies not to reject the renewal for a senior citizen health insurance policy, except on the grounds of fraud, moral hazard, or misinterpretation of information.
    Following are the features made compulsory for a government-backed senior citizen health insurance policy:
  • At least 50% of the expenses arising due to pre-insurance medical examination may be reimbursed if the insurer accepts the risk.
  • The senior citizen health insurance policyholders can opt for another Third Party Administrator (TPA) according to their preference and convenience.
  • Senior citizens can renew their senior citizen health insurance plans until 65 years of age.
  • Every rejection of a senior citizen health insurance plan shall be given in writing, along with reasons for the same.

A senior citizen health insurance policy offers you financial security in the later years of your life when most probably your income would not be high or not be any at all.

Health Insurance Coverage Calculator

Who do you want to insured ?

  • Individual
  • Couple
  • Family
  • Parents

Age of eldest insured member ?

Where do you live ?

Metro
Non-Metro
Disclaimer : Actual Coverage might vary basis your location, age and number of members

Health Insurance Calculator

Whom do you want the insurance for ?

You
Couple
Family
Father
Mother

    Select the age of all members

  • You

Where do you live ?

Choose required Coverage for yourself?

2 Lac
3 Lac
5 Lac
10 Lac
25 Lac
Disclaimer : Actual Premium might vary basis your location, age and number of members
Banner

Health Insurance Coverage Calculator

Who do you want to insured ?

  • Individual
  • Couple
  • Family
  • Parents

Age of eldest insured member ?

Where do you live ?

Metro
Non-Metro
Disclaimer : Actual Coverage might vary basis your location, age and number of members

FAQ About Senior Citizen Health Insurance

  • Does senior citizen health insurance policy cover pre-existing conditions?

    Generally, senior citizen health insurance plans cover pre-existing conditions. But to avail the benefit, the insured is required to complete a specific waiting period, which may differ from plan to plan.  

  • What is the meaning of senior citizen health insurance policy?

     A senior citizen health insurance plan is specifically designed to meet the medical needs of an elder person, who is aged 60 years and above. A policyholder can avail various benefits under the plan and it can be bought on both individual as well as family floater basis.

  • What are the benefits of senior citizen health insurance in India?

    Senior citizen health insurance plans offer the insured several benefits. These include cashless treatment, cover for medical expenses, high sum insured range, tax benefits under Section 80D of the Income Tax Act, No Claim Bonus, cover for in-patient hospitalisation expenses, pre-hospitalisation and post-hospitalisation expenses, daycare expenses, pre-existing diseases, etc.

  • What is the eligibility criteria for senior citizen health insurance plans?

    The eligibility criteria for senior citizen health insurance plans vary from plan to plan. Generally, the minimum and maximum age limit is 60 years and 75 years respectively. 

  • Why is medical insurance coverage required for senior citizens?

    Senior citizen health insurance plans are more vulnerable to health issues and may have less or no income to avail treatment in the old age. Therefore, it is important for them to have adequate health insurance coverage that covers them at all times. 

  • Do I need to undergo medical screening prior to buying a senior citizen health insurance plan?

    Yes, it is important to go through medical screening prior to purchasing a senior citizen health insurance plan. As with increasing age, there are higher chances of getting ill and requiring treatment, making insurance plans for elderly people a riskier deal for the insurance provider. Therefore, many insurance providers prefer their policy buyers to go through medical screening before buying the plan.

  • What all documents need to be submitted to purchase a senior citizen health insurance plan?

    You need to submit following list of documents to purchase a senior citizen health insurance plan:

    • Proof of Identity  
    • Age Proof
    • Address Proof
    • A Duly filled Proposal Form
    • Proof of Income
    • Pre-Insurance Medical Test Reports
  • Who would bear the pre-insurance medical check-up expenses?

    Generally, a policy proposer needs to bear the health care test expenses before buying the insurance policy. Health insurance companies approved by Insurance Regulatory and Development Authority of India schedule the appointment for the policy proposer with their network hospitals.

Insurance Dekho Contact Details

Reach us for help anytime

Health Insurance Companies User Reviews

What users are saying
  • Wide sum insured options

    Royal Sundaram Arogya Sanjeevani Policy comes with different sum insured options which you can choose as per y...

    Read More
    A
    Royal Sundaram
    By Anchal Kataria
    On: November 25, 2021
  • Easy to understand policy

    Not only InsuranceDekho’s website is easy to use, but also my Edelweiss’ Corona Kavach Policy that...

    Read More
    M
    Edelweiss
    By Megha Chhabra
    On: November 25, 2021
  • Other benefits apart from cove...

    New India Mediclaim Policy offers me many benefits apart from basic coverage benefits. For instance, I get a f...

    Read More
    N
    New India
    By Naitik Khurana
    On: November 25, 2021
  • Premium calculator is easy to ...

    InsuranceDekho has a premium calculator tool that was very useful when I bought Oriental Corona Kavach Policy ...

    Read More
    S
    Oriental
    By Shikhar Agnihotri
    On: November 25, 2021
  • Experts helped in settling cla...

    I made a claim under my Acko Corona Kavach Policy that I purchased at InsuranceDekho. The experts helped me in...

    Read More
    P
    Acko
    By Pooja Sabharwal
    On: November 25, 2021

Health Insurance Articles

  • Latest Articles
  • Popular Articles

*Standard T&C Apply. All savings/offers are provided by the Insurers, which are subject to modification .For more details on risk factors, terms and conditions, please read the sales brochure of respective insurers carefully before concluding a sale. Tax benefits are subject to changes in applicable tax laws. Girnar Insurance Brokers Private Limited, (CIN: U66010RJ2016PTC054811, Regd .Off: Girnar 21, Govind Marg, Moti Doongari Road, Dharam Singh Circle, Jaipur, Rajasthan- 302004; Corp. Off: 11th Floor, Tower B, Emaar Digital Greens, Golf Course Extension Road, Sector-61, Gurugram-122102, Haryana. IRDAI License no 588. Direct Broker (Life & General) valid till 19th March 2023. Email - support@insurancedekho.com ; Helpline number: 7551196989.
You authorise Girnar Insurance Brokers Pvt Ltd (insurancedekho) to contact you through call, SMS, email, WhatsApp or any other mode in future. You hereby override your NDNC registration.