top of page
Writer's pictureMyRupaya

Health Insurance Policy For Senior Citizens


For the past decade or so, medical inflation has been on the increase, and it shows no indications of slowing down. As a result, the condition of middle-class Indians has worsened when it comes to managing health-care costs, whether for medical emergencies that necessitate hospitalisation or for minor procedures. Health insurance demand has also grown, while it is still insufficient.


This raises the question of how it impacts high-cost health insurance policies, such as senior citizen coverage. As one's parents get older, they become more prone to illnesses, which raises the likelihood of hospitalizations and medical interventions. In any case, it would be foolish to rely only on your funds to cover these costs.


A robust health insurance policy - albeit with higher premiums - can help you avoid exhausting your life savings in this case as well.


As a result of the epidemic, new health concerns for the elderly have emerged, necessitating more coverage. Investing in comprehensive health insurance can ensure that you are protected in the event of a medical emergency and that the quality of your treatments is not compromised. If you haven't yet purchased health insurance for your parents and are intending to do so, there are a few things to consider.


In-Depth Understanding of Policy Inclusions and Exclusions


Because of the additional health risks that an elderly person faces, senior citizen health insurance comes with a variety of conditions and exclusions. This is why it's critical to read the coverage specifics thoroughly before deciding whether or not to buy it. Make sure you've read the policy paperwork thoroughly, especially if your parents have a specific ailment that needs to be covered. Many procedures have set waiting periods, so make sure you are aware of these facts if you have something planned.

Many procedures have set waiting periods, so make sure you are aware of these facts if you have something planned.

Sublimits and Coverage Cappings Should Be Recognized


Understanding the sub-limits is one of the most important considerations to make when purchasing health insurance. A monetary cap in the form of a claim amount limit for particular medical treatments or charges is known as a sub-limit. Sub-limits can help you save money on your premiums, but they can also influence the amount of your claim. Most health insurance policies, for example, include a room rent cap of 1-2 percent of the Sum Insured. All of this will come in helpful when submitting a claim, allowing you to divide your expenditures between what you'll have to pay out of cash and what your insurance would cover.


Recognize the Various Waiting Periods


Depending on the plan and health circumstances, every insurance plan includes a waiting time. This waiting time might be anything from one month to four or five years.


Aside from the first cooling-off period, which is normally between 30 and 90 days, there is a separate waiting time of 1 to 4 years for pre-existing conditions. There are also varying waiting times for scheduled operations, such as cataract surgery, knee replacement surgery, and so on. There are other zero-waiting-period policies available these days, however the premiums are fairly hefty. However, because to the health risks connected with the elderly, it is preferable to get a day one policy.

Recognize the importance of a mix of individual and top-up plans.

Recognize the importance of a mix of individual and top-up plans.

Each insurance provider has its own set of plans. With medical costs rising all the time, obtaining an insurance with a large amount of coverage (say, above 20-25 lakh) is essential. This is especially true for your parents, who are at a higher risk of serious hospitalisation. We understand that you would already be paying a lot more due of your age, so adding extra coverage would just make things worse for you. To address this, consider a combination of policies with varying sums insured, as well as top-up plans, to ensure that you are covered for everything.


Understand How Pre-Existing Diseases Are Covered


Pre-existing or chronic diseases are typically not covered by family floaters or individual health insurance. Pre-existing conditions insurance is a type of health insurance that solely covers the insured person (the one with a pre-existing condition). Premiums are substantially higher for these insurance, as are waiting periods, which can range from one to four years. Even yet, due to the double health risks connected with the chronic disease combined with the age, the insurer may decline to grant coverage.

Even yet, due to the double health risks connected with the chronic disease combined with the age, the insurer may decline to grant coverage.

If your parents do not have any chronic illnesses, it is critical that you cover them right away. If they are diagnosed with one of the chronic diseases, such as diabetes, they can simply be covered under the existing coverage.

Recognize the need of health-record transparency.


Your parents' chances of being admitted to the hospital grow as they become older. As a result, you must ensure that you supply the insurance provider with as much information about your parents' health as possible. When it comes time to make a claim, this will prevent any misunderstanding and denial.


Before purchasing health insurance for your parents, make an informed selection. Today's insuretech platforms provide personalised health plans depending on your healthcare demands as well as your financial situation. They also provide personalised assistance and have significantly enhanced the consumer experience.

In today's world, a standard health insurance coverage may not be sufficient to cover all of your medical costs. It is critical to have health insurance that covers hospitalisation, as well as primary and recuperative treatment. You must ensure that you are protected throughout the whole of your healthcare journey, not just for key occasions.


Health insurance protects you and your loved ones from harm. They're like a beacon of light that you may turn to when you need help right away. So, if you haven't already, get one now.

Comments


bottom of page