Compare & Buy the best senior citizen health insurance in India. Live a healthy & peaceful life In your sunset years

Exclusions In Senior Citizen’s Health Insurance

Some common exclusions in medical insurance for senior citizens are:

• Any claim arising within 30 days of purchase of senior citizen health insurance plans unless they occur due to injury or accident.
• Joint replacements are covered only after a specified time period.
• Some policies cover pre-existing conditions such as diabetes, asthma, but only when the policy has been in force continuously for a specified period.
• Cosmetic surgery/dental treatments except in case of accidents, burns or cancer.
• Drug addiction/AIDS/HIV/Sexually transmitted diseases/self-injury/suicide attempt.

Senior Citizen Health Insurance Policies offered by various companies

The above-mentioned are the best senior citizen health insurance policies. You can pick any policy based on your coverage needs from the list of plans offered. The features and benefits of these health insurance plans for senior citizens are as follows –

HDFC Ergo Health Optima Senior

This is a senior citizen mediclaim policy which is offered on an individual basis. The plan has the following salient features –

• The plan allows free e-opinion in case you suffer from a critical illness during the policy tenure
• There is no limit on the maximum entry age. Individuals aged 61 years and above can buy this policy
• There is a discount of 5% in the renewal premium if you do not make any claims in a policy year
• There is no premium loading depending on your claim experience
• Up to 140 day care procedures are covered under the policy
• Co-payment of 15% or 30% would apply on each claim depending on the medical costs incurred and the nature of the claim
• If you buy a two year policy you can earn a premium discount of 7.5%
• There is another premium discount of 5% if you cover your spouse under the policy too on an individual sum insured basis

Bajaj Allianz Silver Health

Bajaj Allianz’s Silver Health is also a senior citizen mediclaim policy which is offered on an individual sum insured basis. The plan comes with a term of one year and can be renewed lifelong. Here are the salient features of the plan –

• The company allows in-house claim settlements which help you get a speedy settlement of your health insurance claims
• You can choose to cover your spouse too under an individual sum insured basis
• Pre and post hospitalisation expenses are covered for up to 3% of the sum insured
• Pre-existing illnesses are covered from the second policy year itself
• 130 day care treatments are covered under the plan
• The sum insured increases by 10% every year if no claim is made. This increase is allowed on a cumulative basis up to a maximum increase of 50% of the sum insured
• Free health check-ups are allowed after 4 claim free policy years
• You can avail a premium discount of 5% if two or more family members are covered under the policy

Care Freedom

This senior citizen mediclaim policy is offered without the need of any pre-entrance health check-ups and covers individuals aged 46 years and above. Some of the notable features of the policy are as follows –

• Free annual health check-ups are allowed under the plan so that you can keep a track of your health regularly
• The plan covers more than 170 day care procedures up to the limit of the sum insured
• If your hospitalisation exceeds 10 days, a lump sum amount of INR 10, 000 or INR 15, 000 is paid depending on the plan variant selected
• In case of hospitalisation for 24 hours or more, you get a daily consumable allowance for meeting the ancillary costs of hospitalisation
• Coverage for dialysis is also allowed for INR 1000 per sitting
• Sum insured restoration feature is available under the plan which restores the sum insured if it is exhausted in a policy year on previous claims
• You can choose a coverage tenure of up to 3 years and enjoy a premium discount
• A range of add-ons are also allowed which can be added to the base policy for enhanced coverage. 

Star Health Senior Citizens Red Carpet

Star Health offers some of the best health insurance plans in the market. Red Carpet is a plan for older individuals which has the following benefits –

• Coverage can be availed till 75 years of age
• No pre-entrance health check-ups are needed to buy the policy
• Pre-existing illnesses are covered after a short waiting period of 12 months only
• You can choose to avail the policy on an individual basis or on a family floater basis
• Coverage is allowed for medical consultations incurred on an OPD basis if availed in a network hospital
• The premium rate is constant throughout the policy tenure and does not change with a claim
• Though medical check-ups are not required under the plan, if you submit favourable medical reports you can claim a discount of 10%
• The company has in-house claim settlements without any TPAs which allow faster claim settlements

TATA AIG Medisenior

This is a senior citizen mediclaim policy which can be taken either on an individual sum insured basis or on a family floater basis. The features of the plan are as follows –

• 140 day care treatments are covered under the plan which do not require hospitalisation for 24 hours
• If you incur treatments at home, such treatments are also covered subject to certain terms and conditions
• Medical expenses incurred on organ transplant surgeries where an organ is harvested from a donor are covered under the policy
• You can opt for a two year policy tenure and enjoy a premium discount of 7.5% on the aggregate premium amount
• If you do not make claims during a policy year, you get a premium discount of 5% in the renewal premium
• If two or more family members are covered under the plan, a family discount of 5% would be allowed on the premium payable
• Co-payment would be applicable on all claims depending on the type of expenses that you incur

New India Assurance Senior Citizen Mediclaim

New India is a public sector general insurance company which offers different insurance solutions for your needs. Its senior citizen mediclaim policy has the following set of benefits available for policyholders –

• Pre and post hospitalisation expenses are covered for 30 and 60 days up to a maximum of 5% and 10% of the hospital bills respectively
• Coverage for alternative treatments like Ayurveda, Unani, Siddha and Homeopathy is available under the plan for up to 25% of the sum insured
• Organ donor treatments are covered by the policy and the expenses incurred on harvesting the organ from a donor would be covered
• If you include your spouse under the coverage of the policy, you can enjoy a premium discount of 10%
• If you choose a voluntary excess of INR 10, 000 and choose to pay INR 10, 000 of the claim amount yourself, you can earn a premium discount of 10%

Oriental Insurance HOPE

Oriental Insurance offers Health of Privileged Elders (HOPE) as a senior citizen mediclaim policy meant for covering individuals aged 60 years and above. The policy does not have a maximum entry age and the following salient features –

• If you choose a voluntary co-payment, you can enjoy a premium discount. This discount can go up to 50% of the premium depending on the percentage of the voluntary co-payment opted for
• The policy covers specific medical costs some of which include accidental injuries, knee replacement surgeries, cancer, stroke, ophthalmic diseases, etc.
• Inpatient hospitalisation costs are also reimbursed by the company 
• Coverage is available for domiciliary hospitalisation if certain terms and conditions are fulfilled
• Pre and post hospitalisation expenses are covered for a period of 30 and 60 days respectively
• There is a waiting period of 48 months for the coverage of pre-existing illnesses
• You get a cumulative discount of 5% in the renewal premium after every claim-free year. The maximum discount that you can claim is up to 20% of the premium

National Insurance Varishtha Mediclaim

National Insurance is a leading public sector insurer which is trusted by many. Its senior citizen mediclaim policy, Varishtha Mediclaim allows the following benefits to senior citizens –

• More than 140 day care treatments are covered under the plan where you do not need hospitalisation for 24 hours
• Hospitalisation and domiciliary hospitalisation expenses are covered for up to INR 1 lakh
• If you don’t make claims under the policy, you get a no claim bonus of 5% increase in the sum insured. This increase is allowed on a cumulative basis up to a maximum increase of 50% of the sum insured
• Free health check-ups are allowed once after three claim-free years. You can get check-ups worth 2% of the sum insured 
• Optional critical illness benefit is allowed under the plan for a sum insured of INR 2 lakhs. This benefit covers 8 critical illnesses and pays the sum insured in lump sum if you are diagnosed with any covered illness

Tax benefits

Premium paid for senior citizen health insurance is eligible for benefits under section 80D of Income Tax, up to a maximum of Rs 30,000 per year. There is also an additional rebate of Rs 5,000 for preventive health check-up each year.