Health/Life

Inclusions and exclusions for senior citizen Mediclaim policy

downsize senior citizen Mediclaim policy

Senior citizens require a robust medical healthcare plan more than anyone. Thanks to the growing awareness about senior citizen Mediclaim policy, the insurance providers have started offering affordable premiums and wide-ranging options to make it accessible for most people.

These plans are specifically designed for people over the age of 60 to help them enjoy their life with peace of mind that their medical expenses will be taken care when the time comes. Also read how to improve mobility as a senior with our guide to 5 key factors to rev up.

The senior citizen mediclaim policy is highly recommended for addressing age-related illnesses and tackling the burden of hospitalization bills that arise out of it. 

However, with so many insurance providers out there, it cannot be easy to choose the right one when making an investment decision. Benefits like hospitalization expenses, cashless facility, and numerous other factors need to be considered before buying a senior citizen mediclaim policy.

Inclusions and exclusions for the senior citizen Mediclaim policy

To simplify the process, you can refer to this article to know the inclusions as well as exclusions to ensure that you have the protection of the best policy. 

Inclusions

Did you know that the medical insurance premiums and expenses for senior citizens are higher? Therefore, choosing a senior citizen Mediclaim policy requires you to assess these inclusions carefully. Some of them are mentioned below: 

  • In-Patient Hospitalization 

Sometimes, older people require treatment at the hospital that may need hospitalization of more than 24 hours. The longer the stay, the more you would have to pay. To avoid getting stressed about the hospital bills, health insurance policies provide in-patient hospitalization benefit that covers the cost of medicines, ICU, room rent, nurse charges, doctor consultation, etc. so that you can focus on the treatment.

  • Day care treatment

In some cases, doctors can take care of the patient treatment without the need for hospitalization. Make sure that the senior citizen Mediclaim policy you choose includes the coverage for day care treatment.

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  • Pre-existing illnesses

A person who is over 60 years of will have certain pre-existing medical conditions, such as diabetes, that requires regular medication. A health policy usually includes these after the completion of the lock-in period.

  • Pre and post hospitalization charges

You may need to take your parents to the hospital multiple times in their old age. Therefore, your medical insurance should include pre and post hospitalization expenses to help you cover these costs.

  • Ambulance cover

Most health insurance plans designed for senior citizens include ambulance cover up to a certain limit.

  • Domiciliary Hospitalization

Give yourself or your loved ones the requisite treatment from the comfort of your home. Make sure your policy includes this type of hospitalization. Also read
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  • Annual health check-ups

The insurers often provide annual health checks as a preventive measure to detect serious illnesses before they become life-threatening. In most cases, you will be able to avail of one annual health check-up at no additional cost.

  • Additional benefits

Enhance your policy coverage by opting for add-ons, such as co-payment waiver, no claim bonus, OPD care, etc.

Exclusions

Exclusions often mean conditions that are not covered under your policy. Here are some that you must know of:

  • Injury caused due to self-harm

Any expenses incurred due to injury caused due to self-harm, such as an attempt to suicide, are excluded from your policy cover.

  • Illnesses or injuries caused due to alcohol consumption

Any illnesses or injuries that arise due to substance abuse or alcohol consumption are excluded.

  • Pregnancy

Treatment required due to pregnancy or childbirth, abortion, miscarriage is also excluded from the senior citizen Mediclaim policy.

  • Permanent exclusions

Any hospitalization arising from war, strike, riot, etc., is treated as permanent exclusions in a health insurance policy.

As you grow old, your health is bound to deteriorate and the frequency of medical visits will also increase. The best way to take control of your health and finances at such a time is by consulting with best insurance providers like care health insurance investing in a health insurance plan for senior citizens. Keep all these points before making a purchase to help you buy the right policy.

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