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Insurance Plans 1486 views December 9, 2019
The title itself speaks about a health insurance plan which is specifically designed for senior citizens who are an integral part of the society. Senior Citizens need special care about their health and here comes the importance of having a comprehensive health insurance plan which will help take care of all the financial requirements for good health and protects against any sudden financial need.
Care Health Insurance Company recognizes the above fact and hence has a product that is only dedicated to senior citizens. We will talk about the Care Care Senior Health Insurance Plan in the below article.
Table of Contents
The plan has many benefits which can be summarized as follows:
The Company understands the following aspects which are essential for health insurance for a senior citizen:
Minimum Age of Entry | Individual- 61 years and up. Floater- 2 Adults -Self, spouse, Mother & Father |
Maximum Age of Entry | Lifelong |
Proposer’s Age | 18 Years and up |
Age of Exit | Lifelong |
Type of Cover | Individual up to 6 members and Floater |
Renewal | Lifetime |
Co- Payment | 20% per claim, where the age of the Insured individual or the oldest person is 61 years or up. (Non-compulsory for present Insured Individual on reaching 61 years of Age) |
Waiting period - Explicit | 24 Months |
Waiting period for Pre-existing Diseases | 24 Months |
Initial Waiting period | 30 Days |
Now we will have a look at the details of Care Senior Health Insurance Plan
Name of the Plan | Care 8 | Care 9 |
---|---|---|
Annual Sum Insured (Rs) | 3 Lakhs | 5 Lakhs, 7 Lakhs & 10 Lakhs |
Tenure of the plan | 1 year, 2 years & 3 years | 1 year, 2 years & 3 years |
Day Care Charges | Till Sum Insured | Till Sum Insured |
In-patient Care | Till Sum Insured | Till Sum Insured |
Annual Health Check up | Once a year | Once a year |
Pre-Hospitalization Charges | Pre-Hospitalization expenses for 30 days & Maximum up to Sum Insured | Pre-Hospitalization expenses for 30 days & Maximum up to Sum Insured |
Post-Hospitalization Charges | Post-Hospitalization for 60 days Maximum up to Sum Insured | Post-Hospitalization for 60 days Maximum up to Sum Insured |
Cover of Ambulance | Rs 1500 /hospitalization | Rs 2000 /hospitalization |
Sum Insured Recharge | Till Sum Insured which is once in a Policy Year | Till Sum Insured which is once in a Policy Year |
Domiciliary Charges | Up to 10% of Sum Insured crossing 3 days of hospitalization | Up to 10% of Sum Insured crossing 3 days of hospitalization |
Cover of Organ Donor | Up to Rs 50000 | Up to Rs 100000 |
Coverage of Daily Allowance | Rs. 500 per day with a maximum of 5 days per hospitalization | Not Applicable |
Cost of Second Opinion | On one occasion per Major Illness / Injury per policy year | On one occasion per Major Illness / Injury per policy year |
No Claim Bonus | In case of no claim a 10% increase in Sum Insured per Policy subject to a maximum of up to 50% of Sum Insured (10% reduction in Sum Insured per Policy Year in case a claim. Such reduction is only in Sum Insured accumulated as No Claim Bonus) | In case of no claim a 10% increase in Sum Insured per Policy subject to a maximum of up to 50% of Sum Insured (10% reduction in Sum Insured per Policy Year in case a claim. Such reduction is only in Sum Insured accumulated as No Claim Bonus) |
Substitute Treatment | Up to Rs 15000 | Up to Rs 20000 |
Room Rent | Up to 1% of Sum Insured each day | Single Private Room subject to a maximum of 1% of Sum Insured each day |
ICU Costs | Up to 2% of Sum Insured each day | Up to 2% of Sum Insured each day |
Cataract Treatment | Up to Rs 20000 for each eye | Up to Rs 30000 for each eye |
Total Knee Replacement Costs | Up to Rs 80000 for each Knee | Up to Rs 1 Lakh for each Knee |
Here is the step by step procedure of claim for Senior Health Insurance Plan
The claim is to be made within 30 days from the date of discharge with the following essential documents:
Conclusion
From the above discussion, it is clear that the Senior Health Insurance Plan of Care is an appropriate health insurance plan for Privileged citizens, namely, senior citizens to guard them against the unforeseen medical hazards and protects them financially as well to lead a hassle-free life.