SENIOR CITIZEN MEDICLAIM

A POLICY FOR MEDICAL EMERGENCIES: Old age makes one prone to illnesses therefore at such a stage of one’s life what a person requires is getting a proper health insurance plan to safeguard him from the rising costs of medicines, hospitalization, and treatments. Not just getting a comprehensive health insurance plan helps a person to lead a stress-free life in his old age but also saves from a huge financial blow, especially after the retirement period. We have observed with Senior Citizens (SeC) do not have the right plans as they have limited themselves to a Mediclaim Plan which could be as old as 10-15 years or more. Those old-generation plans not only have low Sum Assured but also do not have features that have emerged in recent times. The Senior Citizen plans can be classified into two parts- SeC below 65 and SeC above 65.

The distinction is important to understand as the SeC below 65 can opt for plans which are normally available for everyone. In a true sense, the SeC age for Mediclaim purposes is 65 as against 60 which we normally understand. It’s also important for SeC who hasn’t turned 65 should get a normal plan or port their old Plan to a new one. In your old age would you prefer to be treated as a burden on your family? Obviously, the answer is NO! And this is not the only reason which proves that getting health insurance is a must, there are several other reasons that highlight the importance of health insurance for senior citizens. Below mentioned are some of the factors that cannot be overlooked:

  1. Coming of Medical Problems in an Old Age It is very difficult to escape medical problems that come only with old age even if one maintains a healthy lifestyle and more than 90% of senior citizens face health-related concerns. Most of the problems in the present time are neither too easy to treat nor are pocket friendly and due to this reason, medical insurance can prove to be of great support for the sufferer as well as the family.  A good policy also provides cover for major critical illnesses such as body part transplants, heart disease, or diabetes as well.

  2. Health Insurance Plan Makes You Financially Independent Due to the skyrocketing prices of medical expenses in today’s time, your medical expenses become a burden on the family when you are no anymore an earning member during your old age. So a health insurance plan is made to take care of all your medical expenses and helps senior citizens not to depend on their family for their medical expenditures and to be financially independent during their lifetime.

  3. Perfect Way to Invest Money for Your Old Age Your entire savings might be wasted if not appropriately invested and what can be a better way than investing money in your health so that any illness, even a critical one, can be cured easily without even giving a second thought about money? The total cost of a comprehensive health plan, including all the premiums, is way less, and you can easily afford a health plan without making a big dent in your savings.

FEATURES
  • In-Patient Hospitalization: Covers medical expenses for hospitalization for more than 24 hrs.

  • Pre- Hospitalization: The medical expenses that you incur due to illness during 30 days immediately before you are hospitalized.

  • Post-Hospitalization: The medical expenses you incur in the 60 days immediately after you are discharged from the hospital.

  • Day-Care Procedures: The medical expenses for enlisted 140 day-care procedures, which do not require 24 hours hospitalization due to technological advancement, are covered.

  • Domiciliary Treatment:  The treatment expenses involved in getting a treatment done at home which otherwise would need hospitalization.

  • Organ Donor: Treatment expenses for the organ donor at the time of organ transplant.

  • Emergency Ambulance: Expenses incurred if ambulance service is used on the way to the hospital for hospitalization.

  • E-Opinion in case of Critical illness: A second opinion will be arranged from a medical practitioner.

  • Co-payment: applicable on room rent type & specific illness & surgeries. However, some plans are available by some companies where they do not apply any co-share by getting a medical check-up.

MAJOR EXCLUSIONS
  • Nill treatments within the first 30 days of cover except for any accidental injury.

  • Any pre-existing condition will be covered after a waiting period of 3 years.

  • 2 years waiting period for specific diseases like cataract, hernia, joint replacement surgeries, surgery of hydrocele etc.

  • Expenses arising from HIV or AIDS and related diseases.

  • Congenital diseases, mental disorders or insanity, cosmetic surgery and weight control treatments.

  • Items of personal comfort and convenience.

  • Pregnancy, dental treatment, external aids and appliances unless covered under the plan.

  • Hospitalization due to war or an act of war or due to a nuclear, chemical or biological weapon and radiation of any kind.

HEALTH POLICIES AT A GLANCE

LIFE INSURANCE

In case you are not there to hold him make sure you leave a safety net for him.