A senior citizen health insurance plan gives coverage to people over 60+ years of age towards medical emergencies and planned hospitalisations. A senior citizen medical insurance plan is devised to provide comprehensive and specific coverage for senior citizens catering to their medical needs and necessities. With age, the chances of falling sick or ill due to low immunity could increase. Given the high cost of medical procedures and treatment, dealing with them can be financially burdensome.
HDFC ERGO provides health insurance policies designed for senior citizens, covering pre-existing medical conditions, hospitalisation costs, critical illnesses, and much more. Additionally, with an extensive 12,000+ cashless network across India, HDFC ERGO aims to ensure senior citizens have a worry-free and tranquil retirement without fussing about where to turn during a medical emergency.
While you may think the savings accumulated over the entire career may be enough to take care of your medical needs. The corpus may run out earlier than you think. Health insurance for senior citizens is a crucial tool to safeguard your life savings. It will help you take care of your health needs even in an era of rising medical costs.
Having a senior citizen mediclaim policy helps aged and elderly people to manage their expenses better in case of a medical emergency or hospitalisation. As one ages, the chances of suffering from an ailment or a medical emergency increases. So, having the backing of a senior citizen mediclaim policy always helps. Here are some benefits of the same:
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Don’t fret over rising hospitalisation costs. Get seamless coverage for all hospitalisation-related expenses like ICU charges, nursing fees, etc. Seek the best medical facilities without worrying about coverage.
Reasons for mental stress and fatigue can be numerous. Mental healthcare expenses, however, should not be one. We cover hospitalisation expenses for treating mental illness.
Multiple checkups and consultations follow and precede hospitalisation. HDFC ERGO health insurance covers all expenses 60 days prior to hospitalisation and 180 days post-discharge.
Enjoy the benefits of advancement in medical technology and opt for daycare procedures, if suitable. The policy covers medical procedures that take less than 24 hours.
Get treated in the comfort of your home on the recommendation of a doctor and we will cover all the treatment expenses.
In case the existing health cover gets exhausted, the policy magically recharges the sum insured up to the base cover so that you do not have to worry about future diseases.
Serious illnesses may require an organ transplant. Getting a suitable organ donor can be a bit difficult but rest assured of the expenses as the plan covers organ donor expenses.
Has your doctor advised hospitalisation of more than 10 days? In case of a lengthy hospitalization (over 10 days), we pay a lump sum amount to help you take care of household expenses.
We believe you should not leave any stone unturned when it comes to your health. The HDFC ERGO my:health Suraksha Insurance - Silver Smart Plan offers coverage for alternative therapies like Ayurveda, Unani, Siddha and Homeopathy.
Get a free health check-up within 60 days of renewing your policy with us.
Get insured and forget as the policy continues for the entire life on break free renewals.
If there is no claim in the first year, in the next policy year, the sum insured will grow by 50%. It means, instead of ₹ 5 Lakh, your sum insured would now stand at ₹ 7.5 Lakh for the second year.
The above mentioned coverage may not be available in some of our Health plans. Please read the policy wordings, brochure and prospectus to know more about our health insurance plans.
Adventure sports like bungee jumping and paragliding can be extremely enjoyable, but they also expose you to untold risks. We do not cover injuries sustained due to adventure sports.
People may harm themselves under the influence of alcohol or hallucinogenic substances, however, we do not cover self-inflicted injuries.
A war can be ruinous and devastating. The policy does not cover claims caused due to wars.
Any injury caused while participating in defence operation is not covered by the policy.
Venereal and sexually transmitted diseases can be devastating for the mind and the body. We do not offer cover for venereal and sexually transmitted diseases.
Many people opt for obesity reduction procedures and cosmetic surgery to improve their appearance. The policy does not cover obesity treatment and cosmetic surgery.
A list of the documents required while purchasing senior citizen health insurance plans:
Since most insurance companies set an entry age, it is an important document required at the time of buying health insurance. You can give a copy of any of the following documents:
• PAN Card
• Voter ID Card
• Aadhaar Card
• Passport
• Driving License
• Birth Certificate
For communication purposes, the health insurance provider would need to know the postal address of the policyholder. The following documents can be submitted by the policyholder:
• Driving License
• Ration Card
• PAN Card
• Aadhar Card
• Utility Bills such as telephone bill, electricity bills, etc.
• Rental Agreement in case applicable
Identity proofs help the insurance company to distinguish the sort of inclusion proposed to the policyholder. The following documents can be submitted by the policyholder:
• Passport
• Voter ID Card
• Driving License
• Aadhar Card
• Medical Reports (in case asked by the insurance company)
• Passport Size Photo
• Duly filled and signed proposal form
The sole purpose of buying a health insurance plan is to get financial support at the time of medical emergency. Hence, it is important to read the below steps to know how Health Insurance claims process works differently for cashless claims and reimbursement claim requests.
Fill up the pre-auth form at the network hospital for cashless approval
Once hospital intimates us, we send you the status update
Hospitalisation can be done on the basis of pre-auth approval
At the time of discharge, we settle the claim directly with hospital
You need to pay the bills initially and preserve the original invoices
Post hospital discharge send us all your invoices and treatment documents
We verify your claim related invoices and treatment documents
We send the approved claim amount to your bank account.
Due to technological advancement in medicine, a lot of medical procedures and surgeries can be done through day care treatments. But under a standard health insurance policy, a senior citizen must be hospitalized for at least 24 hours to raise a claim. Hence, it is better to buy a senior citizen plan that covers a variety of day care procedures like dialysis, chemotherapy, radiotherapy, etc.
Every health insurance company has an extensive network of hospitals where you can avail cashless hospitalization facilities. Enquire about the list of network hospitals of your insurance company before buying a plan. This will help you to know if a good hospital in your locality is on the list.
Claim settlement ratio and the time taken by an insurance company to settle claims should also be taken into consideration while purchasing a senior citizen health policy. If an insurance company’s claim settlement time is less and the claim settlement ratio is high, it means that the chances of your claim getting settled quickly are more.
A no claim bonus discount is provided by most insurance companies if no claims are lodged by the policyholder in the previous year. In such a case, either the policy premium decreases or the sum insured amount increases.
The most suitable health insurance plans for senior citizens is the one which allows the policyholders to avail medical check-up for free on an annual basis. This usually is offered after the completion of certain policy years or after every two/three claim-free years.
The best health insurance plan offers a lifetime renewability option so that you won’t have to buy another health plan in your old age. A policy that cannot be renews, especially after 60 years, is not the right plan for a senior citizen.
Most elderly people suffer from pre-existing diseases whose treatment are expensive. Hence, it is ideal to opt for a senior citizen health insurance plan that comes with a minimum waiting period for pre-existing diseases.
In case of unfortunate situations, an elderly person’s health condition may not allow him/her to get admitted to a hospital. In such a case, health plans with domiciliary hospitalization cover will take care for home treatment expenses as long as it has been advised by a qualified doctor.
A senior citizen health policy covers medical expenses as well as helps you to get tax exemption under section 80D of the Income Tax Act, 1961. You are eligible for an income tax rebate of up to Rs 50,000 if you hold a mediclaim policy for senior citizens for your elderly parents.
An additional tax rebate of Rs 5,000 can be earned on payments made towards preventive health check-ups every financial year. Additionally, you can also get a rebate of up to Rs 1 lakh if the senior citizen undertakes a critical disease treatment.
In case you are an earning senior citizen and are also paying the health insurance premium on behalf of your son or daughter, then you can avail an additional income tax rebate of Rs 25,000. This means that you can avail tax deduction of up to Rs 75,000 in a financial year under section 80D.
They are healthy, and hence they do not need health insurance
Fact – With age, elderly people’s body becomes fragile and vulnerable to various illnesses. So, one must be extremely careful about their ageing loved one’s health and take the necessary precautions to keep them healthy. Even if your senior citizen parents do not have any health issues right now, you need to be prepared for sudden changes and health emergencies, and it is vital that you buy medical insurance for them.
Family Health Insurance Policy will offer enough coverage
Fact – A family floater health insurance policy usually covers all the family members, including parents, spouse and children. It is a group insurance plan that has a fixed sum insured. So, if any claim is made for an illness by any of the family members, the sum insured is reduced, which means there will be only limited coverage for the elderly members of your family. The senior citizens may have special needs during a medical emergency. Hence, the family health insurance plan coverage may not be enough, and you may have to pay out of savings for the treatment. To skip this situation, it is advisable to buy a separate health insurance for elderly family members.
Senior citizens with pre-existing conditions cannot be covered under health insurance
Fact – One of the most common misconceptions that people have about senior citizen health insurance is that pre-existing illness would not be covered under the plan. But, the truth is that the coverage depends on the insurance company. If the insurer you choose is willing to cover the pre-existing illness, senior citizens can get a health cover. Thorough research needs to be done about the insurance companies that provide coverage for pre-existing diseases.
Purchasing health insurance online is not safe
Fact – Buying health insurance online is safe and convenient. When you buy the policy online, the premium is may be lower as compared to buying offline as there are no agents involved. Also, when you purchase a policy online, you can compare the plans and choose the one that suits your specific needs.
With the digital wave sweeping India, a number of new avenues have opened up, buying health insurance being one of them. Getting health insurance for senior citizens online offers unprecedented convenience. You do not require a long and winding explanation, just a click of the mouse and you are done!
When the world is going contactless, why to rely on paying through cash or cheques. With the emergence of new technologies, online payments have become the most secure modes of translation. Pay through debit/credit card or net banking with extreme safety.
Want to change the cover or add or remove a member? Rather than waiting for someone to give lengthy explanations, opt for the online mode where all this can be done in a jiffy.
With online transactions, you do not have to wait for the policy document to arrive through the mail system. Neither do you have to worry about the safe-keeping of the document. You get the policy document in your mail as soon as you make the first payment.
Get every piece of information related to your policy and much more in a single place. To ensure that you do not have to search for policy-related documents in various folders and mailboxes, we provide all policy-related documents in the my:health services mobile application. You can also monitor your calorie intake and BMI through the app.
HDFC ERGO offers you a wide range of health insurance plans for senior citizens. You can buy the plans online as well as offline. To buy these plans online, you are required to follow the easy steps given below:
1. Visit hdfcergo.com and click on the ‘health insurance’ tab.
2. Enter personal details asked on the form.
3. Then you will be guided to the plans, choose accordingly and follow the instructions.
Senior Citizen Health Insurance is a type of health insurance policy for people over 60 years of age that covers medical expenses and the cost of hospitalisation during medical emergencies. It offers a lot of benefits-such as preventive health check-ups, cashless hospitalization, coverage for pre-existing diseases, critical illness, and pre and post-hospitalization expenses and coronavirus treatment. However, read your policy document carefully to know about all the benefits.
Most forms of employment usually have an upper age limit, after which an employee is expected to retire. At the same time, as you grow older, your body begins to demand greater medical care, necessitating more frequent trips to the hospital. With each passing year, rising medical inflation also makes medical care more expensive. This combination of reduced income and increased medical expenditure makes health insurance a necessity for senior citizens.
Ideally, you should undergo a medical screening before buying a senior citizen health insurance plan. As this will help your insurer asses your condition and work out a plan that suits your needs. This will also give the insurer a better idea about the coverage and the premium that needs to be paid. Doing all these necessities in the beginning will also reduce the chances of rejection during a claim.
If you are 60 or beyond, you are considered to be a senior citizen by age only. Of course, you are much younger at heart and we hope you stay the same. However, while considering buying a senior citizen health insurance plan, we suggest you don’t delay it too much. You can buy them at 60, 70 or even 80. But remember, as you age, the premium on your policy can increase and you might also miss out on certain benefits. So, the sooner the better.
Yes, it does. The reason being, as you age you can be prone to various diseases and illnesses. Also, with immunity, taking a dip, health emergencies could be a common occurrence. To ensure that you are adequately covered during such trying times, your insurer might charge a higher premium as you grow old.
Most often, when one switches from one insurer to another, they get to enjoy many continuity benefits and add-ons. In most cases, it is the same with senior citizens as well. However, it might be slightly difficult for senior citizens to switch policies due to advanced old age and a high probability of sickness. But if you are unhappy with the services of your current insurer, you can do research for yourself to know about the benefits you can get in other policies or get your issues resolved with your relationship manager or customer care manager.
Yes, most insurance companies offer free annual health check-ups under senior citizen health policies. You can enjoy the same benefits with HDFC ERGO’s senior citizen health insurance plans too.
Yes, critical illnesses are covered under health plans for senior citizens. However, read your policy documents carefully to understand which critical illnesses are covered and for which ones you need to get a critical illness cover.
While you can opt for a family floater plan which covers all family members and senior citizens over the age of 60, it is wise to get individual cover for senior citizens which will promise comprehensive coverage for a larger sum insured against medical emergencies.
Yes, you can buy health insurance even if you are above 65 years of age if there is no age limit at the time of entry in the policy. There is a lifelong renewability in health insurance policies. This is subject to terms and conditions of the insurance policy. It is advisable to plan for your financial independence and health expenses at an early age.
Pre-existing condition as the name suggests refers to the medical condition or a health problem that an individual had before buying the health insurance policy. There is a waiting period associated with the pre-existing condition. The waiting period is a certain length of time after buying an insurance policy for which you have to wait to be eligible to use full coverage. Subject to terms and conditions of the insurance policy.
Yes, you can choose among the options of monthly, quarterly, half-yearly, or yearly premium installments. However, this is subject to the option available in the chosen policy.
For HDFC ERGO senior citizen health insurance policy, there is no entry and exit age restriction in my:health Suraksha Insurance - Silver Smart Plan. Subject to terms and conditions of insurance policy.
The amount you pay monthly/quarterly/half-yearly/ yearly for your insurance is called the premium. You can easily compute the premium by using the premium calculator available on the website. Just fill in the basic personal details such as name, email ID, date of birth, etc. and click on calculate premium. Once done, the premium calculator will generate the premium amount.
Some of the reasons listed below highlight why you should opt for HDFC ERGO senior citizen health insurance policy.