Best Health Insurance Plans for Senior Citizens in India

1. Aditya Birla Activ Care Senior Citizen Health Insurance

Features, Benefits, And Coverage

1. Domestic and International emergency air ambulance coverage
2. Covers expenses occurring on Homeopathy, Yoga, Naturopathy, Siddha, Unani, and Ayurveda.
3. You can enjoy the benefit of 586 days of the care process.
4. Expenses on oxygen cylinder and ventilator during post-hospitalization are covered.
5. Coverage for medical equipment, nursing at home during post-hospitalization.
6. The minimum age of getting this plan is 55 years, and the maximum is 80 years, which makes this plan the ideal plan for senior citizens.
7. The amount of cover ranges from 3 Lakh to 25 Lakh.

Limitations

1. If you have any pre-existing illness, that can only be covered after a waiting period of 24 months.
2. Co-Pay of 20% applies to Aditya Birla’s health plans for senior citizens.

2. Bajaj Allianz – Silver Health Plan For Senior Citizens

Features, Benefits, And Coverage

• In-patient hospital expenses are covered.
• Post and Pre hospitalization charges are covered.
• With a limit of Rs 1000 per claim, emergency ambulance charges are also covered.
• In-House health treatment is also covered.
• A cumulative bonus of 5% gets added to your limit of insurance each year, which goes claim-free.
• The discount of 5% for the family.

Limitations

• If treatment is taken at any non – network hospital, you need to make a 20% co-payment.
• Proposers need to need to bear pre-medical screening charges. It can get reimbursed if the proposer is accepted.
• Surgeries for joint replacement (other than accidents) will have a waiting period of 4 years.
• Diseases like hysterectomy, hypertrophy, benign prostatic, cataract, piles, and the hernia can be covered after a waiting period of a year.
• The initial waiting period of 30 days, before which no coverage is provided.
• Coverage for any pre-existing disease can be provided only after the inception of the second year.

3. Chola Individual Insurance Healthline Plan

Features, Benefits, And Coverage

• 141day care procedures are covered under this policy.
• OPD dental expenses are also covered under the insurance plan.
• 90 days of post-hospitalization and 60 days of pre-hospitalization coverage.
• Chola MS’s plan covers hospitalization costs, including organ transplantation charges, prosthetic device implantation, ICU charges, and doctor fees.

Limitations

• The initial waiting period is of 30 days, except for claims coming due to accidents.
• If you have any pre-existing disease, that can be covered only after a waiting period of 48 months.
• For senior citizens, medical checkups are required.

4. Edelweiss Health Insurance Platinum Plan

Features, Benefits, And Coverage

1. You can get benefits from a shared accommodation facility, critical illness cover, bariatric surgery cover.
2. A maximum of 8 family members can be covered in a single policy.
3. You can get coverage of ICU charges without any capping.
4. All medical expenses like Ayush treatment, organ donor cover, domiciliary hospitalization, daycare treatment ICU, post-hospitalization, pre-hospitalization, Hospital charges, etc. are also covered.

Limitations

1. This policy requires pre-policy medical checkups.

 5. Iffco Tokio Individual Medishield Plan

Features, Benefits, And Coverage

• As an add-on coverage, 10 critical illnesses are covered.
• Non- allopathic treatments like homeopathy and Ayurveda are covered.
• The policy covers expenses of the hospital (pre and post both) and organ donors’ expenses.
• If you are also insuring 2 members of your family, you can get a 5% discount, and if the members are more than 2, you can avail of a discount of 10%.

Limitations

• There is a waiting period of 30 days (excluding accidental cases).
• After a waiting period of three years, you can get cover of pre-existing disease.
• For senior citizens, pre-medical screening is mandatory.

6. National Insurance – VARISHTHA Mediclaim Policy For Senior Citizens

Features, Benefits, And Coverage

1. Health check-up reimbursement in every three years.
2. Increase in sum insured by 5% for each claim-free year.
3. Pre-existing diseases, hypertension, and diabetes are covered from the policy inception; buy with an additional premium of 10%.
4. Expenses for organ donors are covered
5. Optional cover for critical illness
6. Domiciliary hospitalization charges
7. Post and Pre hospitalization charges

Limitations

1. Medical check-up for fresh applicants.
2. If the policy is renewed at 85 to 90 years, 20% loading charges are applicable.
3. Co-payment of 10% for all claims, and if the disease is pre-existing, an additional 10% payment is also bear by the insured.
4. If you are between the ages of 76 and 80, you need to bear loading changes of 10% up to 85.
5. Pre-existing diseases can be covered after a claim-free year only.
6. The initial waiting period is 30 days, and for critical illness, the waiting period is 60 days.

7. Star Health Insurance For Senior Citizens

Features, Benefits, And Coverage

• No need to take any medical screening.
• Daycare procedures and domiciliary treatments are covered.
• Post and Pre hospitalization charges are also covered.
• Emergency ambulance charges are covered.
• In-patient hospitalization charges, including anesthetist’s fee, consultant’s fee, surgeon’s fees, nursing expense, ICU expenses, are covered.
• Any pre-existing disease can be covered from policy inception.

Limitations

• The initial waiting period is of 30 days, and no cover is given before it.
• A waiting period of 2 years for diseases like Knee replacement surgery, cataract, etc.
• One year waiting period for diseases like piles, hernia, etc.
• Co-payment of 50% for the claim amounts of pre-existing diseases.
• 30% co-payment for claim amounts of all other claims.

8. LIC Health Insurance For Senior Citizens

Features

• Optional riders are provided under the plan if you want to increase the cover.
• Every year, coverage increases by 5 years until it becomes 150% of the original amount covered.
• You can avail no claim bonus if no claims are made in any policy year. This NCB increase the coverage level by 5% after each successful claim free year.
• Whatever the claim you make, the premium will not change for the first three years.
• Avail of attractive premium discounts, which will help in lowering premium payable.
• Enjoy coverage of up to 80 years of age.
• Hospitalization is covered, and any surgical treatment, if occurred, is also covered.

Coverage And Benefits

• Hospital cash benefits
• Major surgical benefits
• Daycare procedure benefits
• Other surgical benefits
• Ambulance benefits
• Premium waiver benefits
• No claim benefit
• Modal premium rebate
• High hospital cash benefit rebate
• Quick cash benefit
• Rider benefit

Exclusions

• Treatments where the insured does not pay attention to the doctor’s advice.
• Act of criminal intent and nature.
• Non-allopathic surgeries and treatments.
• Illness due to participation in any sports activity or hazardous event.
• Nuclear threats, war, or any related perils
• Physiotherapy
• Organ donor treatments or surgeries
• Illness due to an epidemic
• Routine medical aids.
• Pre-existing medical illness.
• Experimental surgeries or treatments.