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Know More about Senior Citizen Health Insurance

Senior Citizen Health Insurance

A senior citizen health insurance plan is specially designed to offer financial aid for medical expenses/ treatments incurred by people for above 60 years. As people get old, they are facing many uncertainties in terms of their physical health and mental stress over finances and the ability to afford good healthcare. That is why having a health insurance policy is essential for senior citizen. For senior citizens, Health insurance plans offer various benefits including covers pre-existing diseases, cashless hospitalization, coverage against critical illness, corona virus treatment. Health insurance plans for senior citizen may be able to provide extensive coverage to facilities like a higher sum insured, cashless treatment across a network hospital and no co-pay clause/co-pay clause depending on the plans.

Benefits:-

  1. Entry Age: – Any person above 60 years, can take this insurance.
  2. Family: – Proposer and spouse are covered in floater policy depending on the plans.
  3. Premium saving: – Considerable saving in premium as the family is covered under one sum insured.
  4. Higher Sum Insured: – It comes with maximum sum insured of up to 25 Lakhs depending on the plans.
  5. Cashless Hospitalization
  6. No medical test required before availing medical insurance, based on insurance provider.
  7. Life-Long Renewal: – Get life-long renewal, regardless of your health status or previous claim made under your policy.
  8. Wider Coverage: – Include In-patient hospitalization, hospitalization expenses, day care treatment etc.
  9. Add-on Covers: – You can add addition policies to enhance your coverage like critical illness policy, accident policy etc.
  10. Annual preventive health check-up
  11. Tax Benefits: – It offers tax savings on the paid premium under section 80D of the Income Tax Act 1961.

What is Covered

  • In-Patient Hospitalization Expenses
  • Day Care Procedures
  • Pre and Post Hospitalization
  • Domiciliary Hospitalization
  • COVID 19 Treatment
  • Emergency Road Ambulance
  • Alternative Treatment
  • Organ Donor Expenses
  • Health Check up

What is Not Covered

  • Investigation & Evaluation, OPD Treatment
  • Unproven Treatments, Unrecognized Physician or hospital
  • Hazardous or Adventure Sports
  • Intentional Self-inflicted Injury or attempted suicide
  • Obesity Treatment
  • Circumcision, External Congenital Anomaly
  • Abuse of Alcohol or drugs
  • Cosmetic or Plastic Surgery
  • Dental/Oral Treatment
  • HIV AIDS
  •  Injuries or illness due to war or nuclear perils.

Waiting Periods

  1. Pre-Existing Disease: – Expenses related to the treatment of a PED shall be excluded until expiry of 12 months or 24months or 36 months or 48 months depending on the plans.
  2. Specific Disease/Procedure waiting period: – Expenses related to the treatment of a specific diseases shall be excluded until the expiry of 24 months of continuous coverage.
  3. 30-days waiting period: – Expenses related to the treatment of any illness within 30 days of commencement of the first policy shall be excluded except claims arising due to an accident
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    Note: – Refer to the policy documents for further details on sub-limits, waiting periods and exclusions