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    Health Insurance

    Senior Citizens Health Insurance Plans

    MyHealthCarePlan

    Key Features

    GST Free Health Insurance for Senior Citizens

    Coverage Highlights

    Get comprehensive health coverage for your old age
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    • Take care of your old age medical treatment needs

    Covers higher health care costs you may incur in your old age and reduces the financial burden on you and your family to ensure peace of mind

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    • Wide Sum Insured (SI) Options

    Choose adequate sum insured from INR 50,000 to 10 lacs that suits your need

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    • Entry Age up to 80 Years

    You are eligible to get this health insurance plan between 46 years to 80 years of age

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    • Floater Policy Option Available

    Get the option to cover multiple family members under a single sum insured so that you can utilise the total coverage amount for one or all insured members

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    • Mental Health Treatment (IPD Basis)

    Coverage for in-patient department (IPD) treatment of mental health problems including hospitalization expenses

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    • Preventive Health Check-Ups

    Avail preventive health check-ups after specified claim free years as per the chosen plan

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    • Direct Discount

    Enjoy flat 5% discount if you make an online purchase from our website or application

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    • Room Rent Capping Discount

    Get discount on policy premium (10% for SI up to INR 2 lacs & 5% for SI INR 3 lacs and above) if you opt for room rent limit of 1% of sum insured

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    • Note

    Please read policy wording for detailed terms and conditions

    Inclusions

    What’s covered?
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    • Hospitalisation & Day Care Expenses

    Coverage for the cost of in-patient hospitalisation (including room type choices), ICU charges (at actuals), and all day care procedures, surgeries, and other essential medical services

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    • Pre- & Post-Hospitalisation Expenses

    Pre-hospitalisation expenses and post-hospitalisation expenses as per the Plan Opted covered

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    • Domiciliary Hospitalisation Cost (Only for Plan B)

    Coverage for medical expenses incurred during at-home treatment as per the doctor’s advice in case there are no beds available at the hospital or the patient can’t be moved to the hospital

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    • Advanced Treatment Charges

    Any medical expenses incurred while undergoing advanced treatment methods and modern technological procedures are covered

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    • AYUSH Hospitalization Cost

    Coverage for ayurvedic, yoga, unani, siddha and homeopathic (AYUSH) treatment on a doctor’s advice for treating illness or physical injury

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    • Road Ambulance

    Our insurance has your back with up to INR 1000 per claim for your ambulance ride

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    • Cumulative Bonus

    Sum insured automatically increases at renewal by 10% if there is no claim in expiring period, max upto 100%

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    • Floater & Individual Sum Insured

    Cover your loved ones under one plan or keep it personal with individual coverage options

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    • Note

    Please read policy wording for detailed terms and conditions

    Exclusions

    What’s not covered?
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    • Initial Waiting Period

    Treatment expenses during the first 30 days except for treatment of accidental injuries

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    • Pre-Existing Diseases

    Treatment expenses for pre-existing diseases such as diabetes, asthma, thyroid and other PED, are excluded until 12 months (as selected) from date of your first Silver Health Policy

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    • Specific Illness Treatment

    Treatment expenses for specified illnesses, including hernia, gout, endometriosis, and cataract are excluded are excluded until 12 months (as selected) from date of your first Silver Health Policy

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    • Expenses for Medical Investigation & Evaluation

    Cost of diagnostic procedures and medical evaluation unrelated to the current diagnosis or treatment

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    • Dietary Supplements & Substances Dietary Supplements & Substances

    Cost of supplements that are purchased without a prescription by a certified doctor as a part of treatment, including vitamins, minerals and organic substances

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    • Cosmetic Surgery Expenses

    Treatment to change appearance unless it is for reconstruction required for a medically essential treatment or following an accident or burns

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    • Treatment for Self-Inflicted Acts

    Medical expenses incurred as a result of self-harm, intoxication, illegal actions, hazardous activities, etc.

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    • Deductibles & Co-pays

    Part of the claim will be borne by you (the policyholder) as per the chosen Plan

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    • Note

    Please read policy wording for detailed exclusions

    Additional Covers

    What else can you get?
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    • Respect Rider (Senior Care)

    Senior citizens can avail emergency assistance with services such as SOS alert, doctor on call, and 24x7 ambulance service

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    • Health Prime Rider

    Coverage for in-person or online doctor consultation, dental wellness, emotional wellness, diet & nutrition consultations as per the chosen plan

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    • Non-Medical Expenses

    Coverage for non-medical expenses (such as consumables) within the in-patient hospitalisation sum insured for health indemnity product plans with SI of INR 5 lacs and above

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    • Note

    Please read policy wording for detailed terms and conditions

    What is Senior Citizen Health Insurance?

    Health plan for senior citizens is a special health insurance policy for senior citizens that is targeted at their medical requirements that are encountered as they grow older. Generally, these plans cover the cost of hospitalisation, pre and post-hospitalisation costs, day care treatment and other health care needs.

    Health plan for senior citizens allows the elderly people (aged 60 years or above) to avail good health services without any fear of increasing medical expenses. For elderly parents, health insurance for parents over 60, these health insurance plans are designed to address the health issues that typically affect older individuals.

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    Quick Overview

    • 1

      Lifelong Renewability Benefit: Enjoy uninterrupted health insurance coverage with renewal options available throughout your lifetime.

    • 2

      Hospitalisation Coverage Benefits: Covers eligible hospitalisation expenses arising from illness, injury, or medical emergencies requiring treatment.

    • 3

      Cashless Treatment Facility: Receive medical treatment at network hospitals without making upfront payments for covered expenses.

    • 4

      Flexible Sum Insured: Select coverage amounts that align with healthcare requirements and financial planning goals.

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      Day-Care Coverage Benefits: Covers eligible day-care treatments that do not require extended hospital stays.

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      Senior Parent Protection: Helps families manage healthcare expenses while ensuring timely treatment for elderly parents.

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      Retirement Savings Protection: Safeguards retirement funds against unexpected medical costs and rising healthcare expenses.

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      Complete Peace Assurance: Provides financial security and access to quality healthcare during medical emergencies and illnesses.

    Read More

    Key Features of Health Insurance Plan for Senior Citizen

    Understanding the key features of a senior citizen health insurance plan can help you choose coverage that supports your healthcare needs and financial well-being.

    Why Should You Choose Bajaj General Senior Citizen Health Insurance?

    Ensuring the right health plan for senior citizens is crucial to handling healthcare expenses and obtaining top-notch care when necessary. Bajaj General Insurance has solutions to cater to the health requirements of senior citizens and also make it convenient and financially secure:

    • Designed for your special needs

      This health insurance plan for the elderly is well considered to cater for the healthcare requirements of older people. It provides a financial safety net for hospitalisation costs and gives people greater peace of mind.

    • Long-Term Policy

      A long-term policy up to 3 years would give the senior citizens a continuous health cover and help them avoid the financial risk of unexpected medical costs over a long-term period.

    • Wide-Ranging Health Coverage

      Get benefits for hospitalisation cost, day-care procedure, pre and post cost of hospitalisation, ambulance cost and other eligible medical expenses incurred under the policy by Bajaj General Insurance.

    • Family Discount

      All relatives can enjoy a 5% discount when buying a policy for 2 or more family members. It helps to keep health insurance more accessible and provides comprehensive coverage for loved ones.

    • Complete Hospital Cashless Network

      Treatment can be availed from a large network of hospitals in India, with the advantages of cashless claims. In case of an emergency, this feature is useful for reducing out-of-pocket costs.

    • Convenient Digital Services

      You can easily manage your policy online, from making apps to renewing coverage, to getting access to policy documents, claims tracking, and even support when necessary.

    • Designed to Suit the Needs of Elderly People

      This senior citizen health insurance plan is tailored to meet the unique healthcare requirements of senior citizens. This plan provides benefits that meet the health care needs of the elderly.

    • Reliable Assistance in Times of Medical Emergency

      During medical emergencies, you can rely on efficient medical claims with reliable support. In times of crisis, having trusted help to guide them makes their health experience easier.

    Senior Citizens Health Insurance at a Glance

    The table below provides a quick overview of the essential features available under senior citizen health insurance plans.

    Sr No. Features What is it?

    1

    Eligibility

    Designed for individuals generally aged 60 years and above.

    2

    Hospitalisation Cover

    Covers eligible medical expenses arising from hospitalisation due to illness or injury.

    3

    Cashless Treatment

    Enables treatment at network hospitals without making upfront payments for covered expenses.

    4

    Day-Care Procedures

    Covers specified treatments that do not require 24-hour hospitalisation.

    5

    Pre-Hospitalisation Expenses

    Covers eligible diagnostic tests, consultations, and related medical expenses incurred before hospital admission.

    6

    Post-Hospitalisation Expenses

    Covers follow-up consultations, medicines, and related treatment costs after discharge.

    7

    Sum Insured Options

    Multiple coverage amounts available to suit different healthcare requirements.

    8

    Tax Benefits

    Premiums may qualify for tax deductions under applicable tax laws.

    9

    Network Hospitals

    Access to a broad network of hospitals for cashless treatment facilities.

    10

    Policy Renewal

    Renewable as per policy terms and conditions, ensuring continued health protection.

    11

    Claims Support

    Dedicated support for cashless and reimbursement claim processes.

    12

    Financial Security

    Helps reduce the impact of rising healthcare costs during retirement years.

    What are the Benefits of the Health Insurance Plan for Senior Citizens?

    Senior citizen health insurance offers financial protection against rising healthcare expenses while ensuring access to quality medical treatment. The following benefits make health insurance for senior citizens an important part of retirement planning:

    Which Factors Affect Health Insurance Premium for Senior Citizens?

    The higher the premium for senior citizen health insurance, the more of the following factors can help the insurer determine his or her level of risk and coverage. Here you will be able to get a detailed understanding of different factors:

    Age of the Insured

    This is one of the most crucial to the insurance premiums. Premiums are usually higher for senior citizens, and the risk of treatment and hospitalisation tends to be higher as well.

    Medical History

    Medical conditions, previous treatments and medical history will affect premiums and terms of the policy. Hence, the premiums for health plan for senior citizens with pre-existing diseases generally cost more.

    Sum Insured Chosen

    A higher sum insured will give you greater financial security regarding medical costs. Its coverage limits will rise, and the premium of the health insurance policy may rise, too.

    Coverage Benefits

    Those with broader coverage, better treatment benefits, extra features and superior protection typically come with higher premiums because of the more comprehensive coverage.

    Policy Type

    Premiums may vary depending on the type of health insurance policy you choose, such as an individual or specialised health plan for senior citizens, and their coverage, benefits, and eligibility requirements.

    Lifestyle and Health Profile

    Your overall health, lifestyle habits and wellness may influence the insurance premiums. These factors can have an impact on future medical claims.

    What is Covered Under the Senior Citizen Mediclaim Policy?

    A senior citizen mediclaim policy is designed to provide financial assistance for a wide range of healthcare expenses. Coverage may vary depending on the policy selected and its terms and conditions.
    1
    Covers eligible hospitalisation expenses arising from illness, injury, or emergencies.
    2
    Includes eligible medical expenses incurred before hospital admission for treatment.
    3
    Covers follow-up medical expenses incurred after discharge from the hospital.
    4
    Includes specified day-care procedures without requiring extended hospital stays.
    5
    Covers eligible ambulance expenses incurred during medical emergency transportation.
    6
    Enables cashless treatment at network hospitals for covered medical expenses.
    7
    Covers certain advanced treatments and specialised medical procedures when required.
    8
    Includes domiciliary treatment expenses when hospitalisation is medically unavailable.
     

    Eligibility Criteria for Senior Citizen Health Insurance

    Senior citizen health insurance is designed for individuals seeking financial protection against rising healthcare costs during their retirement years. Eligibility requirements may vary depending on the policy selected.

    Understanding these criteria can help applicants choose a suitable health plan for senior citizens and complete the application process smoothly.

    Eligibility Criteria Specification

    Minimum Entry Age

    Generally, 46 years and above

    Maximum Entry Age

    80 years

    Citizenship

    Indian residents are eligible to apply

    Medical Assessment

    May be required based on age, health condition, or policy requirements

    Policy Type

    Individual or family-based coverage options are available

    Documentation

    Identity proof, age proof, and other required documents

    Step-by-Step Guide

    To guide you through your insurance journey.

    How to Buy

    • 1

      Visit Bajaj General website

    • 2

      Enter personal details

    • 3

      Compare health insurance plans

    • 4

      Select suitable coverage

    • 5

      Check discounts & offers

    • 6

      Add optional benefits

    • 7

      Proceed to secure payment

    • 8

      Receive instant policy confirmation

    How to Renew

    • 1

      Login to the app

    • 2

      Enter your current policy details

    • 3

      Review and update coverage if required

    • 4

      Check for renewal offers

    • 5

      Add or remove riders

    • 6

      Confirm details and proceed

    • 7

      Complete renewal payment online

    • 8

      Receive instant confirmation for your policy renewal

    How to Claim

    • 1

      Notify Bajaj General about the claim using app

    • 2

      Submit all the required documents

    • 3

      Choose cashless or reimbursement mode for your claim

    • 4

      Avail treatment and share required bills

    • 5

      Receive claim settlement after approval

    How to Port

    • 1

      Check eligibility for porting

    • 2

      Compare new policy benefits

    • 3

      Apply before your current policy expires

    • 4

      Provide details of your existing policy

    • 5

      Undergo risk assessment by Bajaj General

    • 6

      Receive approval from Bajaj General

    • 7

      Pay the premium for your new policy

    • 8

      Receive policy documents & coverage details

    Download Policy Document

    Get instant access to your policy details with a single click.

    How to Make a Claim for Your Bajaj General Senior Citizens Health Insurance?

    Making a health insurance claim is a straightforward process when the required documents and information are readily available. Depending on the treatment facility and policy terms, policyholders may choose between cashless and reimbursement claim options.

    Cashless Claim

    1
    Visit a network hospital listed under the insurer's cashless hospital network.
    2
    Present the health insurance card and valid identification documents at the hospital.
    3
    Complete and submit the cashless claim request form.
    4
    The hospital shares treatment details with the insurer for approval.
    5
    After approval, eligible medical expenses are settled directly with the hospital.
    6
    The policyholder pays only non-admissible expenses, if applicable.

    Reimbursement Claim

    1
    Receive treatment at a hospital of your choice and settle the medical bills.
    2
    Collect all original medical records, bills, prescriptions, and discharge documents.
    3
    Complete the reimbursement claim form with accurate information.
    4
    Submit the required documents within the prescribed timeline.
    5
    The insurer reviews the claim and verifies the submitted documents.
    6
    Upon approval, the eligible claim amount is reimbursed as per policy terms and conditions.
     

    FAQ's

    What are the sum insured options available under the Silver Health ?

    Under Silver Health Plan A, you can choose a sum insured ranging from ₹50,000 to ₹5 lakhs. For Plan B, the sum insured can range between ₹3 lakhs and ₹10 lakhs.

    What is the entry age for the Silver Health policy?

    The plan is available to individuals or families with an age range of 46 to 80 years.

    What is the premium payment term for the Silver Health policy?

    The annual premium must be paid upfront for a one-year policy. For long-term policies of two or three years, the total premium is collected at the time of risk inception and upon renewal. Alternatively, the premium can also be paid in annual installments.

    What is the renewal age for the Silver Health policy?

    The policy offers lifetime renewal benefits under normal circumstances, except in cases of moral hazard, misrepresentation, non-cooperation, or fraud. Renewal is subject to the policy being renewed annually within the 30-day grace period from the expiry date.

    Is there any pre-policy check-up for enrolling under the Silver Health policy?

    Yes, a pre-policy medical check-up is mandatory for every Silver Health policy proposal. The check-up will be conducted at our empanelled diagnostic centres. The test reports remain valid for 30 days from the date of the medical examination, ensuring up-to-date health assessment before policy approval.

    What is the eligibility age for buying Health Insurance for Senior Citizens?

    Bajaj General Insurance offers senior citizens' health insurance for individuals aged 60 years and above. The health policy for parents under this plan ensures they receive medical coverage tailored to their age-specific needs and health risks.

    What is the waiting period in Health Insurance for Senior Citizens policies?

    The waiting period in medical insurance for senior citizens may vary based on the policy, but generally includes a standard period for pre-existing conditions and specific illnesses. Bajaj General Insurance typically offers clear waiting timelines in the policy wording for better transparency.

    Are day care procedures covered in Health Insurance for Senior Citizens?

    Yes, Bajaj General Insurance includes a wide range of day care procedures under its health insurance for senior citizens. This ensures coverage even for treatments that don't require 24-hour hospitalisation, offering more value from the policy.

    Is cashless treatment available under Health Insurance for Senior Citizens?

    Yes, senior citizens health insurance from Bajaj General Insurance provides access to cashless treatment at network hospitals across India, helping policyholders get treated without paying upfront at partnered healthcare centres.

    What is the process for filing a Health Insurance for Senior Citizens claim?

    You can file a claim under your health insurance by using the Bajaj General Insurance’s app or opt for the traditional reimbursement process. Both methods require submission of documents and adherence to timelines as mentioned in the policy.

    How long does it take to settle a Health Insurance for Senior Citizens claim?

    Claims under medical insurance for senior citizens are generally settled within 10 working days after submission of all necessary documents, as per Bajaj General Insurance's claim procedures. Cashless claims are usually processed within hours, subject to policy terms.

    What are the common reasons for rejection of Health Insurance for Senior Citizens' claims?

    Claim rejections under senior citizens' health insurance may occur due to incomplete documentation, policy exclusions, or non-disclosure of pre-existing illnesses. Bajaj General Insurance advises customers to carefully review the terms before filing any claims.

    How can I check the status of my Health Insurance for Senior Citizens claim?

    To check your health insurance claim status, you can log into the Bajaj General Insurance’s customer portal or mobile app, or contact their customer care helpline. Updates are typically provided via SMS and email notifications for added convenience.

    Is there a grace period for Health Insurance for Senior Citizens renewal?

    Yes, Bajaj General Insurance offers a grace period for renewing your health policy for parents. This allows continued policy benefits without a break in coverage if renewal is done within the specified timeframe after policy expiry.

    Is a medical test required for Health Insurance for Senior Citizens renewal?

    In most cases, if there’s no major health change or recent claims, Bajaj General Insurance does not require a medical test for policy renewal. However, specific cases may need updated reports based on the terms of your senior citizens health insurance plan.

    Can I switch insurers during Health Insurance for Senior Citizens renewal?

    Yes, policyholders can port their health insurance to Bajaj General Insurance during renewal by applying within the specified window. The company allows portability from other insurers with continued benefits, provided all terms are met and documents are submitted timely.

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