The Top Benefits of Senior Citizens' Health Insurance
senior citizen health insurance plan. Insurers who offer senior citizen coverage for health-related issues have formed partnerships with several healthcare institutions that offer advanced and specialised treatment options. A policyholder can avail of cashless treatment at these healthcare establishments.
In the event of a medical emergency, if the insured is admitted to an insurer's network hospital, he/she is not required to pay anything out of pocket for treatment except the deductible. For example, Mr A, a 65-year-old retiree with ₹10 lakh of health insurance from XYZ company and a ₹1 lakh deductible, suffered a heart attack. He was brought to the hospital, and the doctor advised him to have an angioplasty.
The total treatment bill here was ₹5 lakh. In this situation, the insurer will directly settle the expense of ₹4 lakh with the hospital, leaving Mr A to pay ₹1 lakh. Let’s illustrate this with two scenarios.
Mr A has had a chronic cough for the past 30 days. To validate his health, the doctor records a series of medical examinations. He was diagnosed with bronchial infection.
The doctor put him on medication for 20 days, but his health did not improve, and he was admitted to the hospital on the 21st day after being diagnosed with the ailment. Under the pre-hospitalisation clause, the insurer will pay for medical screenings required for disease diagnosis, as well as any medications he took before being admitted to the hospital. Another scenario arises after being discharged from the hospital: Mr A’s condition necessitates the presence of a nurse at his home for the next 30 days.
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