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Medical Insurance
Insurance is considered a form of long-term savings for senior citizens. This money provides financial stability and also helps them in times of need. Medical insurance enables senior citizens to pay for health checkups, emergency medical costs and long-term treatment. The income tax benefit on insurance premiums is up to Rs. 15,000 under Section 80 D of the Income Tax Act, as on March 31, 2007. Medical insurance is provided through several private insurance companies and four public sector general insurance companies. These are:

The National Insurance Company offers the Varistha Mediclaim Policy (External website that opens in a new window) for senior citizens. This policy covers hospitalization and domiciliary hospitalization expenses under Section I as well as expenses for treatment of critical illnesses, if opted for, under Section II. Diseases covered under critical illnesses are coronary artery surgery, cancer, renal failure, stroke, multiple sclerosis and major organ transplants. Paralysis and blindness are covered at extra premium.

Oriental Insurance Company provides a Comprehensive Health Insurance Scheme, a Group Insurance Policy (External website that opens in a new window) and an Individual Mediclaim Policy (External website that opens in a new window). These policies pay for hospitalisation or domiciliary hospitalisation of the insured in case of a sudden illness, an accident or surgery. These conditions should have arisen during the policy period.

The Mediclaim Policy available through New India Assurance Company (External website that opens in a new window) available through New India Assurance Company allows any Indian between 5-80 years to be insured as on March 31, 2007. This policy provides for cashless hospitalization in India for the treatment of any illness, disease or accidental injury suffered during the policy period. The payment of claims is made through third party administrators who have been empanelled by the company.

United India Insurance Company offers a Mediclaim Policy (External website that opens in a new window) that covers anyone between the ages of 5-75 years. The policy pays for actual hospitalization expenses of various types subject to a maximum of Rs. 15,000 - Rs. 5,00,000, as on March 31, 2007. This limit depends upon the sum chosen by the insured at the inception of the policy.

Life Insurance Corporation came out with a special Nav Prabhat scheme in 2001 for senior citizens. It provides for risk cover at a comparatively low cost and relief for disability arising due to accident or illness. It also has an option for life pension after maturity of the policy.

Medical Policies

What medical situations does a Mediclaim policy cover?
Answer: Mediclaim policies settle hospital bills that incur as a result of ailments or accidental injuries suffered by the policy owners during the policy period.

What is the age limit for people who wish to take out a medical policy?
Answer: As per policy rules, the age limit for children is 3 months to 5 years if either of their parents is covered simultaneously. For others it is between 5 to 80 years.

What is the amount of tax benefit?
Answer: Policy premiums up till Rs.10,000/- are exempted from tax under Section 80 D of the Income Tax Act as on March 31, 2007.

What health policies are available for people from low-income groups?
Answer: People from low-income groups can avail the benefits of the Jan Arogya Bima Policy.

What policy is available for cancer patients?
Answer: Members of the Indian Cancer Society may use the Cancer Medical Expense Policy while members of the Cancer Patients Aid Association are eligible for the Cancer Insurance policy.

What systems of medicine are covered under Mediclaim policies?
Answer: Presently, only the Allopath, Ayurvedic and Unanipathy systems of medicine are covered by Mediclaim policies.

Does a Mediclaim policy covers illnesses, diseases or accidents that occur in other states of India or abroad?
Answer: A Mediclaim Policy is valid for health problems that happen anywhere in the world provided that treatment is received in India.

What happens if I have to undergo a treatment like dialysis and I am discharged on the same day?
Answer: When treatments such as Dialysis, Chemotherapy or Radiotherapy are received in a hospital and the insured patient is discharged on the same day, the treatment is grouped under the Hospitalization Benefit Scheme.

What about an eye operation through Laser Capulsotomy?
Answer: An operation of the eye done by Laser Capulsotomy comes under the Hospitalization Benefit Scheme of a Mediclaim Policy.

Can my dependants avail benefits under my Mediclaim policy if another policy currently covers them?
Answer: No coverage is allowed if your spouse or other dependants are covered under other Mediclaim Policies.

How do you define continuous treatment?
Answer: Continuous treatment is the treatment given to a patient for a particular ailment at a stretch. It includes all relapses within 45 days from the date of last consultation with the doctor or hospital. Any occurrence after 45 days will be considered a new ailment.

How are payments of claims made?
Answer: All medical treatment for which Mediclaim protection is desired should be received in India only. Payment of all claims will be made in Indian currency.

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The information provided in this website is general in nature. It is not intended to provide instruction or advice and viewers/readers should not rely on this information to determine diagnosis, prognosis or a course of medical treatment. It should not be used as a substitute of a professional consultation with a Doctor or a Health Care provider. Team shall be in no way responsible/liable for the consequences of your decision resulting from the use of the information contained in this website. You should not disregard the advice of your physician of qualified health care provider because of any information you receive from the website. If you have any healthcare question, please consult the relevant medical practioner.

The names of Doctors, Health care providers, care givers and other experts/professionals/organizations/service providers in the relevant arena have been collected from various sources in good faith and included in the website as a matter of information only. The website does not certify or vouch for the qualification, quality of professional competence, integrity, quality of service etc of such Doctors/Health Care Providers / Care Givers / Professional/experts /organizations/Service Providers etc. The viewers/readers of the website is once again requested to make his/her own due diligence before obtaining any service from them.


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