Senior Citizen Health Insurance

Senior Citizen Health Insurance is a medical insurance plan that provides medical coverage to individuals in the age group of 60 to 75 years. Senior citizen mediclaim policy has many special benefits like, cashless hospital cover, day care expenses, cover for pre-existing diseases.

Under the regulation of IRDAI, every health insurance provider now provides coverage facility to individuals up to the age of 65 years. These updated guidelines allow individuals to take coverage even in the last years of their life. However, insurance companies allow policyholders to change their insurance company if they are not happy with their current insurance provider. Now there is no dearth of insurance providers in India providing insurance facilities for older people. However, finding the right senior citizen health insurance plan is a daunting task.

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Benefits of Senior Citizen Mediclaim Policy
Senior Citizen Mediclaim There are several types of coverage of benefits for older people. It pays for hospital admission, surgical treatment, critical illnesses, accidental injuries and pre-existing diseases, etc. If the policy is renewed at the right time, it can provide coverage till the age of 80 years along with whole life renewal benefits.

Below are some of the primary benefits of buying a senior citizen mediclaim policy in India-

Medical Coverage for Older Persons – People above 60 years of age, like a basic health plan, get health cover under the Senior Citizens Health Insurance Plan, which provides coverage till the age of 65 years.
Pre-medical screening- Most plans do not require pre-medical screening. Some plans require a pre-medical test.
Cashless Treatment- Senior citizens can avail cashless medical treatment for treatment at some of the top hospitals made available to them, if they are hospitalized for a minimum period of 24 hours.
Medical treatment expenses covered – Pre-hospital expenses, post-hospital expenses and expenses during hospital stay are covered in this policy.
No Claim Bonus – This is a discount that insurance companies offer for all claim free years, it can range between 20 to 100 percent.
Tax Benefits – Another important benefit is that the Senior Citizen Health Insurance Scheme offers some tax exemption under Section 80D of the Income Tax Act. Under this exemption, the amount of premium which is deposited every year, no tax will have to be paid on that amount in every financial year.


Best Mediclaim Policy for Senior Citizens
health plan name

health insurance company

entry age

Deposit (in Rs.)

pre-existing diseases included

medical checkup

Active Care Senior Citizen Health Insurance

Aditya Birla Health Insurance

55-80 years

Standard – Up to 10 lakhs

Classic – Up to 10 lakhs

Premier – up to 25 lakhs

starting from second year


Silver Health Scheme for Senior Citizens

Bajaj Alliance Health Insurance

46-70 years

50,000 – up to 5 lakhs

from the second year

after the age of 46

Bharti AXA Senior Citizen Health Scheme

Bharti AXA Health Insurance

18 -65 years

5 lakh – 1 crore

from the second year

care health free health plan

CARE Health Insurance (earlier known as Religare Health Insurance.

46 or more

3 lakh -10 lakh

from far away

different for each case

Personalized Healthline Scheme

Kolamandalam Health Insurance

up to 65 years

2 lakh- 25 lakh

Not needed till age 55

Digit Health Insurance

Digit Health Insurance

Not available

Not available

Not available

Not available

health insurance platinum plan

edilvasis health insurance

any age

15 lakh – 1 crore


Health Protection Individual Plan

Future Jainirali Health Insurance

With lifetime renewal up to 70 years

up to 5 -10 lakhs

from the second year

46 years or above

Individual Madshield Scheme

IFFCO Tokio Health Insurance

3 months – up to 80 years

50,000 – 5 lakh

from the third year

over 60 years

Kotak Mahindra Family Health Plan

Kotak Mahindra Health Insurance Scheme

up to the age of 65

2 lakh – 100 lakh

from the second year

Liberty Health Insurance

Liberty Health Insurance

With Lifetime Renewal up to 65 Years

2 lakh – 15 lakh

from the second year

55 years old

heartbeat plan

Max Bupa Health Insurance

Entry age up to 65 years

2 lakh – 50 lakh

from the second year

As per the age of the insurer

Lifestyle Protection Accident Care

Manipal Keegana Health Insurance

Entry age up to 65 years

50000 – 10 crore

Varishtha Mediclaim Policy for Senior Citizens

National Insurance Health Insurance

60-80 years (renewable till 90 years of age)

Mediclaim – 1 lakh

Critical illness – 2 lakh

from the second year


New India Assurance Senior Citizen Mediclaim Policy

New India Assurance Health Insurance

60-80 years (renewable till 90 years of age)

1 lakh – 1.5 lakh

after 18 months


Senior Citizens Hope Health Insurance Policy

Oriental Health Insurance

60 years or later

1 lakh – 5 lakh

from the second year

Required from special diagnostic center

Raheja QUBE Health Insurance Policy

Raheja Health Insurance

up to 65 years

1 lakh – 50 lakh

Lifeline Elite Plan

Royal Sundaram Health Insurance

no age limit

25 lakhs – 1.5 crores

from the second year

health care

no insurance plan

Reliance Health Insurance

Entry up to 65 years

3 lakh – 18 lakh

from the third year

by age

Senior Citizen Red Corporate Health Insurance Scheme

star health insurance

60 Years – 75 Years

1 lakh – 10 lakh

from the second year

No Pre Accept Medical Test Required

Arogya Top Up Policy

SBI health insurance plan

Entry up to 65 years

1 lakh – 5 lakh

1 lakh – 10 lakh (with deductibles)

from the fourth year

from the age of 55

Medicinior Health Insurance

Tata OIG Health

61 years or older

2 lakh – 5 lakh

from the fourth year

Required and only 50 percent refund

United India – Senior Citizen Mediclaim Policy

United India Health Insurance

61 Years – 80 Years

1 lakh – 3 lakh

from the fourth year

Required and only 50 percent refund

Senior Citizen Health Scheme

Universal Sompo Health Insurance

60 years or above

1 lakh – 5 lakh

24 months


Disclaimer – Policybazaar does not endorse, rate or suggest any one insurance company or insurance product offered by the insurance company.

Why do we need health insurance for senior citizens?
Senior citizens need health insurance cover as health issues can arise at any time. Hospitalization is stressful both emotionally and financially for them and their families. Some other important reasons why senior citizens need health insurance cover are-

To meet the rising health expenses – It is very important to have adequate health insurance to meet the health related expenses of the senior citizens and their entire family. With rising medical expenses and hospitalization expenses, it becomes imperative to have a senior citizen health insurance plan to help older people so that they can be provided with the best healthcare facilities.
Covered in Critical Illnesses – Over time, the chances of getting serious diseases like heart diseases, kidney problems, cancer etc. increase greatly. With a senior citizen health insurance policy, you can cover critical illnesses for people who are above 60 years of age.
Yearly Health Check-up Facility- Under the policy, senior citizens can avail health check-up on an annual basis, such that they should undergo periodic medical screening. Hence, the annual health checkup facility helps in reducing the expenses.
Mental peace – Paying for hospital expenses can be a stressful task for the elderly, that too when the cost of treatment of common and serious diseases is increasing day by day. In such a situation, a health insurance plan can provide peace of mind to older citizens and their families.


Coverage of Senior Citizen Health Insurance Plans
The Senior Citizen Health Insurance plan covers a wide range of medical coverage benefits ranging from home treatment to hospitalization expenses. Following are some general details of Senior Citizen Mediclaim Policy-

Hospital Expenses Covered- Hospital Expenses like Room Rent, Doctor’s Fee, Nurse Fee, Medicines & Drugs Cost, ICU Expense, Medical Practitioner’s Fee, Surgeon, Consultant, Anesthetic, Medicines, Operation Expenses etc. .
Other Medical Expenses – What is covered in the future depends on the policy taken by you such as cost of radiotherapy, chemotherapy, dialysis, cost of prosthesis, orthopedic implants and other joint devices such as pacemakers, vascular Stents etc. Diagnostic tests, X-rays, blood tests and similar procedures are required during the hospital stay.
Deck and Treatment – ​​One day special treatment, which takes less than 24 hours, including a few hours in the hospital or expenses related to procedures like chemotherapy, dialysis etc. are also covered in most plans.
Pre and post hospital cover – The Senior Citizen Mediclaim Policy covers pre and post Medicare cost.
COVID-19 Cover- The policy also covers the cost of treatment of corona to the insured person up to a specific limit.
Organ Donation Expenses – Most senior citizen mediclaims cover the cost of organ donation.
Ambulance Charges – Ambulance charges are refunded up to a certain limit.
Pre-Acquired Diseases- Pre-held diseases are also covered as per the term and condition of the policy.
Ayush Treatment Expenses – Under some senior citizens Mediclaim policy, treatment is done under the Ayushman scheme in hospitals recognized by the government.
Hospital expenses at residence – If the doctor offers home treatment, the policy also covers the cost of home treatment.
What is out of senior citizen health insurance?
Although health insurance policies cover almost all identifiable dangerous diseases, in some cases senior citizens may be denied Mediclaim. Below is a list of diseases that are out of policy under the Senior Citizen Health Insurance Scheme-

It does not cover pre-acquired diseases or injuries.
It does not cover the cost of self-inflicted treatment.
Drug use and related treatment costs
If one or more medical ailments are diagnosed within 30 days of purchase of the policy.
Treatments not associated with allopathy.
Treatment of injuries sustained by foreign forces or in civil war.
Does not involve cosmetic surgery

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