Senior Citizen Health Insurance

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Senior citizen health insurance covers medical expenses and healthcare needs of individuals who are 60 years and above.

The right health insurance plan for seniors can help them get quality healthcare and ease their financial burden by covering various medical costs like hospital stays, doctor visits, tests, and medicines.

Highlights of Health Insurance
for Senior Citizens

Cashless treatment and daily allowance
Tax benefit under Section 80D
Domiciliary hospitalisation benefits
Wide network of hospitals
Plans based on medical needs

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If you have any questions related to how to choose the best insurance company, you can connect with our IRDAI certified insurance advisors.

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Health Insurance for Senior Citizens

Everything You Want to Know

Benefits of Health Insurance for Senior Citizens

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Extensive coverage

Comprehensive coverage for various health needs, ensuring they are protected from high medical costs after retirement.

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Lifetime renewal

Plans that offer the option of lifetime renewal, providing continuous coverage even as they age.

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Hospitalisation costs

Plans that cover a significant portion of hospital bills, reducing the financial burden on seniors.

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Cashless hospitalisation

In network hospitals to ensure accessible and hassle-free treatment.

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Tax benefits

On premium paid under section 80D of the IT Act.

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No-claim bonus

Plans that offer a bonus by increasing the sum insured for each claim-free year during renewal.

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Seasonal illnesses cover

Plans that include illnesses such as dengue, malaria, and even COVID-19.

Simple Steps and Assistance for Buying an Senior Health Insurance Plan

At Paybima, buying an insurance plan is easy and you can opt for an advisor’s help anytime.

Simple and
Easy-to-follow Steps
Comparison of Top
Plans for Free
Help from Certified
Advisors Anytime
Honest Advise.
No Force Selling

Key Features of Health Insurance for Senior Citizens

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Daycare costs

Plans that cover treatments and procedures under 24 hours.

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Ambulance charges

Plans that cover patient transportation.

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Pre-existing diseases

Plans that cover previous illnesses as per the terms and conditions of the insurance plan.

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Higher-sum insured

Plans that offer higher sum insured coverage.

Health Insurance Policy for Coronavirus (COVID-19)

When you buy Senior Citizen health insurance, it may also cover the costs incurred in the treatment of Covid-19 if the insured person is diagnosed positive for the virus. The plan will cover your hospitalisation expenses if you are admitted because of coronavirus.

Health Insurance for Senior Citizens – Inclusions

What’s covered in health insurance plans for senior citizens?

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Hospitalisation expenses

Covers room charges, doctor fees, nursing fees, medicines, ICU charges, surgical appliances, operation theatre charges, optical and orthopedic implants, and diagnostic tests.

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Daycare treatments

Includes treatments like chemotherapy and dialysis that require less than 24 hours of hospitalisation.

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Pre- and post-hospitalisation expenses

Covers relevant medical expenses before and after discharge.

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COVID-19 cover

Provides coverage for COVID-19 treatment expenses up to a specified limit.

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Organ donor expenses

Covers expenses during organ transplants.

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Ambulance charges

Includes hospital transportation charges up to the specified limit.

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Pre-existing diseases

Plans that cover previous illnesses after a specific waiting period.

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AYUSH expenses

Plans that cover AYUSH treatments received at government-recognised hospitals.

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Domiciliary hospitalisation cover

Covers expenses for home treatment if recommended by a doctor under certain conditions.

Got Existing Illness?

Select the appropriate plan that covers more than 50* existing illness

*The number of illness covered values for different insurance companies.

View Plans

Health Insurance for Senior Citizens – Exclusions

What is not covered in health insurance for senior citizens

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Self-inflicted harm

Plans that do not cover expenses from self-inflicted injuries or attempted suicide.

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Substance abuse:

Treatment for drug, alcohol, or intoxicant abuse is excluded.

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Ailments within 30 days

Not covered, except accidental injuries, if diagnosed within 30 days of plan purchase.

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Cosmetic surgery

Plans that do not cover costs for cosmetic procedures.

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Dental treatments

Plans that do not cover preventive or cosmetic dental care, unless arising from an accident.

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Treatment of AIDS

Plans that do not cover treatment costs for HIV/AIDS.

How to Select the Best Health Insurance for Senior Citizens

Selecting the right health insurance for seniors in India is extremely crucial. It not only helps them manage rising medical costs but also offers peace of mind for future health needs. Consider these factors when choosing the best plan for seniors aged 60 and above.

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Comprehensive coverage

Look for a specific senior citizen policy that covers various medical conditions and does not have added costs.

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Budget-friendly

Select a plan within your budget; add-ons can be chosen later.

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Lifetime renewability

Opt for policies with lifetime renewability for continuous benefits.

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Cashless hospital network

Ensure your plan includes a wide network of hospitals for cashless treatment.

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Coverage amount

Verify the sum insured to cover medical expenses adequately.

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Pre-existing conditions waiting period

Check waiting periods for immediate treatment needs.

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Add-on benefits

Confirm availability of add-ons before choosing a plan.

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Sub-limits

Be aware of disease-specific or room-rent sub-limits.

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Medical examination

Pre-screening is usually optional, but some insurers may require a test.

Choose the Health Cover As Per Your Need

Factors Affecting the Premium of Health Insurance for Senior Citizens

When an insurance provider calculates their premium, many factors are taken into consideration, including age, pre-existing diseases, the profession of the insured, and more. Here are some key points to be kept in mind.

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Age

Starting early lowers premiums due to lower disease risks.

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Health history

Healthy individuals pay less than those with health issues.

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Policy duration

Long-term policies have lower premiums.

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Payment frequency

Annual payments often get discounts as compared to monthly payments.

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Base plan choice

Opt for a plan that meets your needs without extra riders.

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Avoid harmful habits

Smoking, drinking, and chewing tobacco can raise premiums.

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Location

Premiums vary based on the geographic location – metro, tier 1 or 2 or climate, and other medical and healthcare facilities.

How to Buy a Health Insurance for Senior Citizens at Mahindra Paybima

Buying a health insurance policy online is very simple. You can follow these steps to buy a health insurance policy online at Mahindra Paybima.

1
Share personal details

Provide personal and health information to begin the policy procedure.

2
Browse plans

Analyse the plans, compare quotes, features, network hospitals, waiting period and other details.

3
Compare shortlisted policies

After shortlisting 2-3 policies as per your requirements, review them together by clicking the ‘compare product’ box.

4
Add riders

Select the appropriate riders or add-ons for extra cover.

5
Complete proposal form

Enter required details for e-KYC.

6
Make payment

Pay online using credit/debit cards, UPI, wallets, or net banking.

7
Document upload

Upload the required documents.

8
Get the policy

Post insurer’s approval, the policy is sent on the registered email id.

How to Compare Health Insurance for Senior Citizens

Here are some of the factors you should consider while comparing health insurance policies.

Benefits of Comparing Health Insurance for Senior Citizens

It is important to compare the best health insurance for senior citizens in India, and here are some of the reasons why:

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Get the best rate as per your requirements

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Clearly understand the policy features and benefits

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Maximize coverage amount

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Avail wellness and discount opportunities

Guaranteed Claim Support

When you buy an Senior Citizen health plan from us, we guide at every step till your claim is settled.

Start your claim process with us to get our support

Do You Have any Insurance Related Concerns?

Our IRDAI Certified insurance advisor is a click away.

Get in Touch with an Advisor

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Buy health insurance not only for parents but for in-laws is possible. Just be aware of their pre-existing conditions, if any, for the policy proposal purpose.

There are many health insurance companies that offer medical insurance policies with entry age between 60 to 65 with no upper age limit. As there is no upper age limit, any individual above the age of 61 can purchase such health insurance policies.

Health treatment costs are increasing day by day. As we age, so are our costs of health care. Thus, it is important for everyone, especially senior citizens to have health insurance coverage so that they can cover the expenses of their medical costs without having to pay from their hard-earned savings.

A senior citizen health insurance plan can help pay for medical costs at a low cost. Costs depend on your age, the amount of coverage you need, and the features of your insurance. Here are some essential facts about prices: 

  1. Most premiums are between INR 5,000 and INR 20,000 a year. It depends on the person's health and the rewards they need. 

  1. Policies may improve as you age, and some plans offer more coverage for a slightly higher cost. 

  1. The price can change even more if you add more people, higher coverage or top-up choices. 

The cost of a senior citizen health insurance plan can generally be within the range offered, and choosing the right plan relies on individual needs. Compare prices and policy features for the best coverage with the senior citizen health insurance plan. Get help from the experts at Paybima to understand your real need before opting for the plan. 

Elderly individuals can purchase a senior citizen health insurance plan. These plans cover care needs related to getting older. There is a senior citizen health insurance plan for those over 60 years old. 

  1. Retirees, seniors, and people with a history of medical problems who meet the underwriting requirements are all eligible sellers. 

  1. If the primary beneficiary cannot obtain the plan on their own, family members may be able to help. 

To find the best senior citizen health insurance plan for full coverage and safety, research different providers and compare their features. Get qualified assistance before making a decision. 

Senior citizen health insurance is a specialised insurance plan created to address the particular medical requirements of the old. This insurance aims to cover hospital stays, illnesses that were there before, and diseases that come with getting older. It ensures people have money when they need it most during serious health events. It has many perks, including treatment without cash, services at your door, and personalised care. 

  • Coverage for hospital bills and treatments is one of the most essential parts. 
  • Extra perks, such as fitness programs and free health checks. 
  • Coverage of OPD benefits as senior citizens could have higher doctor visits 
  • Coverage for regular tests and diagnostics. 
  • Pre-existing disease coverage, etc. 

By getting senior citizen health insurance, people can get a safety net that helps pay for good medical care and lowers out-of-pocket costs. This complete strategy helps adults effectively handle their healthcare costs. Make sure to read the policy carefully to make sure everyone understands it and stays safe. 

  1. Senior citizen health insurance not only provides medical coverage but also offers tax benefits under Section 80D of the Income Tax Act, 1961. Policyholders can claim deductions on the premiums paid for themselves, their spouses, or dependent parents. 

  1. Tax Deduction Limit: Senior citizens (60 years and above) can claim a deduction of up to ₹50,000 per financial year on their health insurance premiums. If an individual pays for their senior citizen parents’ health insurance, they can claim an additional ₹50,000, taking the total deduction to ₹1,00,000. 

  1. Preventive Health Check-up: A maximum of ₹5,000 spent on preventive health check-ups is included within the overall 80D limit. 

  1. Medical Expenses for Uninsured Seniors: If a senior citizen doesn’t have health insurance, medical expenses incurred for their treatment can be claimed as a deduction, within the same ₹50,000 limit. 

These tax benefits significantly reduce taxable income while ensuring financial security in case of medical emergencies. To maximize savings, it is advisable to check policy terms and consult a tax expert regarding applicable deductions and recent tax law updates of Senior citizen health insurance plans. 

A senior citizen health insurance plan is designed to cover medical expenses for individuals aged 60 and above. It provides financial security and access to quality healthcare without burdening savings. 

Key Benefits: 

  • Higher Sum Insured – These plans offer a higher coverage amount to meet rising medical costs, ensuring adequate financial support during emergencies. 
  • Coverage for Pre-existing Diseases – Most plans cover pre-existing illnesses after a waiting period, making them ideal for seniors with chronic conditions like diabetes or heart disease. 
  • Cashless Hospitalization – Seniors can avail of cashless treatment at network hospitals, reducing out-of-pocket expenses. 
  • Daycare Procedures – Covers minor surgeries and treatments that don’t require prolonged hospitalization. 
  • Domiciliary Treatment – Some policies cover home treatment expenses if hospitalization is not possible. 
  • Tax Benefits – Premiums paid for senior citizen health insurance qualify for tax deductions under Section 80D (up to ₹50,000 per year). 
  • Annual Health Check-ups – Many plans offer free preventive check-ups to monitor health conditions. 

With increasing medical inflation, a senior citizen health insurance plan ensures financial independence and access to timely medical care without stress. 

You can claim senior citizen health insurance like a regular indemnity health insurance plan through two methods: cashless claims and reimbursement claims. 

Cashless Claim Process 

  1. Choose a Network Hospital – Get treatment at a hospital tied up with your insurer. 
  2. Inform the Insurer – Notify the insurance company or TPA (Third-Party Administrator) before planned hospitalization or within 24 hours in an emergency. 
  3. Submit Pre-authorization Form – The hospital will send this to the insurer for approval. 
  4. Approval & Treatment – Once approved, treatment proceeds without upfront payment. 
  5. Insurer Pays Directly – The insurer settles the bill directly with the hospital, except for non-covered expenses. 

Reimbursement Claim Process 

  1. Get Treated at Any Hospital – Pay the hospital bills upfront. 
  2. Collect Documents – Keep all original bills, prescriptions, reports, and discharge summaries. 
  3. Submit Claim Form – Fill out the insurer’s claim form and submit it with documents within the stipulated time. 
  4. Claim Processing – The insurer verifies the documents and processes the claim. 
  5. Reimbursement – Approved claims are paid directly to your bank account. 
  6. Understanding both processes ensures a hassle-free experience when claiming senior citizen health insurance. 

Most senior citizen health insurance plans offer lifelong renewability, meaning there is no age limit for renewal as long as the policy is renewed without a break. The IRDAI has mandated a lifelong renewability clause for all plans as long as there is no lapse in the plan. However, there could be maximum age after which you might not be allowed to start the plan.  

Key Points to Consider: 

  • Lifelong Renewability: If your policy offers this, you can renew it at any age. 
  • Grace Period: Insurers usually provide a 30-day grace period for renewal. Missing this can lead to policy lapse. 
  • Medical Check-ups: Some insurers may require periodic medical tests after a certain age. 
  • Premium Hikes: As age increases, renewal premiums may rise due to higher health risks. 
  • Portability: If your insurer imposes an age cap, you can switch to another provider offering lifelong renewability. 

Always renew your policy on time to avoid a lapse and ensure continuous coverage of your senior citizen health insurance plan. 

Not renewing your senior citizen health insurance policy on time can cause coverage to end, which could cause problems when you try to get it back. You might lose some of your safety, which could be a problem in a medical emergency. These are essential things to think about: 

  • There is usually a grace time, but your benefits might not apply anymore if you exceed it. 
  • For reinstatement, you may need to provide more physical tests and paperwork. 
  • Re-evaluating pre-existing conditions can make rates go up when you renew the plan after a coverage gap. 
  • Some insurers might not let you file claims for the past if you forget to update your policy. 

To keep receiving benefits and avoid problems in the future, it is crucial to update your senior citizen health insurance policy on time. 

In India, buying a senior citizen health insurance plan online is easy and gives you a lot of choices. To have a smooth experience, follow these steps: 

  1. On Paybima's home page, go to the "Product" dropdown menu and click the "Senior Citizen Health Plans" tab. 
  2. Fill in the necessary information and ask for a callback. 
  3. A Paybima expert will help you choose the best plan for you. 
  4. You can also call us at 1800 267 67 67 between 10 AM and 7 PM. 
  5. You could also go to a Paybima store near you. 

For your healthcare needs, these steps make getting a senior citizen health insurance plan online easy and helpful. 

Your health needs and financial situation must be carefully considered when choosing the best senior citizen health insurance plan. Start by looking into different companies and comparing their perks. Think about these things: 

  1. Check the policy's benefits for things like hospital stays, serious illnesses, and conditions that were already there. 
  2. Look for treatment centres that don't take cash and an extensive network of hospitals. 
  3. Review the prices of premiums, the terms of co-payments, and the claim payout rates of different insurance companies. 
  4. You should look over other perks like fitness programs and yearly checkups. Talk to an expert or read reviews to learn about other people's actions. 

By following these steps, you can choose a senior citizen health insurance plan that offers the best safety and value for your future medical needs.