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Things to Remember Before Buying Senior Citizen Health Insurance

TeamAckoApr 24, 2024

As we age, our healthcare needs change, and having a reliable health insurance plan becomes increasingly crucial. Senior citizen health insurance offers tailored coverage for the specific requirements of older individuals. However, choosing the right insurance plan requires careful consideration of various factors.

In this guide, we'll walk you through the key things to remember before buying senior citizen health insurance, ensuring that you make an informed and confident decision. When it comes to purchasing health insurance for senior citizens, here are some essential factors to keep in mind.




Things to consider while buying Senior Citizen Health Insurance

Here are things that you must consider before buying a health insurance policy for Senior citizens.

Coverage and Benefits

Before finalising a health insurance plan, thoroughly assess the coverage it offers. Look for benefits such as hospitalisation expenses, pre and post-hospitalization care, ambulance services, and coverage for critical illnesses. Ensure that the policy covers both in-patient and out-patient treatments, as well as day-care procedures.

Waiting Periods

Senior citizen health insurance plans often have waiting periods for specific illnesses. Familiarise yourself with these waiting periods, as they can vary between policies. Opt for a plan with shorter waiting periods, especially if you have pre-existing conditions.

Pre-existing Conditions

Declare any pre-existing medical conditions truthfully when purchasing health insurance. While some plans might exclude coverage for pre-existing conditions initially, others may cover them after a waiting period. Be clear about the terms and conditions related to pre-existing conditions.

Network Hospitals

Check the list of network hospitals tied to the insurance provider. A wide network ensures you have access to quality healthcare facilities without any hassle, especially during emergencies. Confirm that the hospitals included are conveniently located.

Sub-limits and Co-payments

Some insurance plans have sub-limits on specific medical expenses, meaning the insurer will only cover up to a certain amount for those expenses. Additionally, co-payment clauses require you to pay a percentage of the claim amount. Understand these terms and evaluate if they align with your financial capabilities.


Compare premiums from different insurance providers. Keep in mind that while a lower premium might seem attractive, it could also result in reduced coverage. Balance the premium with the coverage offered to ensure you get the best value for your money.

Renewability and Age Limits

Opt for a policy with lifelong renewability. As you age, the need for health insurance becomes even more critical, and having a policy that can be renewed without age restrictions provides long-term peace of mind.

No-Claim Bonus

Check if the insurance policy offers a no-claim bonus. This bonus rewards you with a higher sum insured or a discount on premiums for every claim-free year. It's an excellent incentive for maintaining a healthy lifestyle.


Thoroughly review the policy's exclusions to understand what is not covered. Common exclusions include cosmetic treatments, self-inflicted injuries, and treatments related to substance abuse. Knowing the exclusions helps prevent any unpleasant surprises when making a claim.

Claim Process

A hassle-free claim process is essential. Research the insurer's claim settlement ratio and read reviews about their claim process. A high settlement ratio indicates a smoother and more efficient claims experience.

Lifestyle Requirements

Consider your lifestyle and choose a plan that aligns with your preferences. If you enjoy travelling, opt for a plan that offers coverage during trips. Similarly, if you prefer alternative treatments like Ayurveda or Homeopathy, look for policies that include them.

Additional Riders

Insurance providers offer riders or add-ons that enhance your policy's coverage. Evaluate these riders based on your specific needs. Common riders include coverage for critical illnesses, accidental injuries, and coverage for spouses.


If you already have health insurance, you can switch to a new insurer without losing benefits through the portability feature. This ensures continuity of coverage and might offer additional benefits from the new insurer.

Regular Medical Check-ups

Some policies offer annual medical check-ups. This can help you detect any health issues early and take preventive measures, ultimately reducing future medical costs.

Long-Term Care

Consider the possibility of requiring long-term care as you age. Look for policies that offer coverage for assisted living, nursing care, or home healthcare services.


Choose an insurer known for transparency in terms of policy wordings, claim procedures, and charges. Avoid insurance providers with a history of disputes or complaints from policyholders.

Financial Strength of the Insurer

Research the financial stability and reputation of the insurance company. You want an insurer that can honour claims promptly, even during times of economic uncertainty.

Customer Support

Good customer support is invaluable, especially when you have queries or need assistance. Read reviews about the insurer's customer service responsiveness and efficiency.

Online Services

Opt for an insurer that offers online services such as policy purchase, renewal, and claim submission. Online services provide convenience and quick access to information.

Reviews and Recommendations

Seek recommendations from friends, family, or online forums. Reading about others' experiences can provide valuable insights and help you make an informed decision.

Compare Multiple Options

Don't settle for the first policy you come across. Compare multiple options, read the fine print, and evaluate the pros and cons of each before making your choice.

Regularly Review Your Coverage

Once you've purchased a senior citizen health insurance policy, make it a habit to review your coverage periodically. As your health needs evolve, you might need to adjust your coverage accordingly.

Wrapping up

Choosing the right senior citizen health insurance plan is a significant decision that requires careful consideration. By keeping these key factors in mind, you can navigate the complexities of insurance policies and make a choice that provides you with comprehensive coverage and peace of mind during your golden years.

Frequently Asked Questions (FAQs)

Things to Remember Before Buying Senior Citizen Health Insurance


Here are some common questions about things to remember before buying senior citizen health insurance.

Can I buy a senior citizen health insurance plan for my parents?

Yes, you can purchase a senior citizen health insurance plan for your parents. Many insurers offer family floater plans that cover multiple family members, including parents.

Are pre-existing conditions covered under senior citizen health insurance?

Yes, many senior citizen health insurance plans cover pre-existing conditions. However, there might be a waiting period before such coverage kicks in.

Can I enhance my coverage with riders?

Absolutely. Riders allow you to customise your insurance policy by adding extra coverage. Common riders include critical illness coverage and accidental injury coverage.

What is a claim settlement ratio?

The claim settlement ratio indicates the percentage of claims settled by an insurance company out of the total claims received. A higher ratio suggests a better claims process.

Is it better to buy insurance online or through an agent?

Both options have their advantages. Buying online offers convenience and sometimes lower premiums, while agents can provide personalised assistance and guidance.

What should I do if my insurance needs change over time?

Regularly review your insurance coverage to ensure it aligns with your current needs. You can adjust your policy or switch to a different one if necessary.

Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. It is based on several secondary sources on the internet and is subject to changes. Please consult an expert before making any related decisions.


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