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Home > Health Insurance > Care Health Insurance > Care Senior
Ageing can lead to various health problems that require extensive Insured care and can even lead to hospitalisation if not treated properly. The increased cost of healthcare and medical inflation can significantly impact your finances, especially during retirement. However, opting for the Care Senior Citizen health insurance plan can provide financial security and ensure that you receive the best possible Insurable care when you need it the most. Care Senior Health Plan by Care Health Insurance is a comprehensive health insurance plan with a sum insured specifically designed for individuals aged 60 and above.
The plan provides comprehensive Insurance protection for elderly individuals against sudden medical expenses, ensuring access to top-notch medical facilities without financial burden. With an affordable premium, senior citizens can select insured sums based on their healthcare requirements without straining their finances, particularly post-retirement. This policy can be bought without a pre-policy medical checkup, although a tele-underwriter may inquire about any pre-existing medical conditions. Noteworthy elements of the Care Senior plan include annual health checkups, cashless hospitalisation, coverage for pre-existing conditions and more than 541 daycare treatments.
KEY FEATURES | ₹3L | ₹5L, 7L, 10L |
In-Patient Hospitalization | Up to the Sum Insured | Up to the Sum Insured |
Daycare | Up to the Sum Insured | Up to the Sum Insured |
Pre-hospitalization* | 30 Days | 30 Days |
Post-hospitalization* | 60 days | 60 days |
Daily Allowance | ₹500 per day | --- |
Ambulance Cover | Up to ₹1,500 per hospitalization | Up to ₹2,000 per hospitalization |
Organ Donor | Up to ₹50,000 | Up to ₹1 Lac |
Domiciliary Hospitalization | Up to 10% of the Sum Insured | Up to 10% of the Sum Insured |
Automatic Recharge | ✓ | ✓ |
Second Opinion | ✓ | ✓ |
Alternate Treatment | Up to ₹15,000 | Up to ₹20,000 |
No Claim Bonus | ✓ | ✓ |
Annual Health Check-up | ✓ | ✓ |
Room Rent | Up to 1% of Sum Insured per day | Sum Insuredngle Private Room (Max. Up to 1% of Sum Insured per day) |
ICU Charges | Up to 2% of Sum Insured per day | Up to 2% of Sum Insured per day |
Tenure | 1 Yr/2 Yrs/3 Yrs | 1 Yr/2 Yrs/3 Yrs |
Treatment of Cataract | Up to ₹20,000 per eye | Up to ₹30,000 per eye |
Treatment of Total Knee Replacement | Up to ₹80,000 per knee | Up to ₹1 Lac per knee |
Treatment for Ailments like Hernia Surgery, etc. | Up to ₹50,000 | Up to ₹65,000 |
Treatment for Ailments like Cancer Surgery, Bone Fractures, etc. | Up to ₹2 Lakh | Up to ₹2.5 Lakh |
that provides all the necessary coverage benefits you need at affordable premiums.
The primary coverage in Care Health for Senior Citizens is specifically tailored to address the unique healthcare needs of elderly individuals, who are at high risk for age-related illnesses. As a result, the coverage includes a wide range of services and treatments that cater to the specific health concerns of seniors, ensuring they have access to the care they need as they age.
Benefits | Coverage |
In-patient Hospitalization | The plan covers hospital expenses for stays over 24 hours. |
Pre and Post Hospitalization Expenses | 30 days pre-hospitalization and 60 days post-hospitalization are covered for full medical expense reimbursement. |
Day-Care Treatment | Hospitals cover 541 procedures with stays of less than 24 hours. |
Domiciliary Hospitalization | Insured can get 10% coverage for home treatment if the hospital stay is over 3 days. |
Alternative Treatment | The insured can use AYUSH treatment with a limit of 15,000 or 20,000 rupees based on the sum insured. |
- Reduced wait for pre-existing conditions from 48 to 24 months
- 20% co-payment waived
- Coverage for 3 benefits claim protected
Care Health prioritizes your health and aims to alleviate stress during unexpected medical situations. This guide will simplify the process of filing claims under your insurance plan, whether it is for emergency hospitalization, planned procedures or selecting between cashless and reimbursement options.
Timely Intimation is Key
Choosing Your Claim Path: Cashless or Reimbursement
Claim Approval Process
Care Health Insurance Claim Process Through Claim Genie
At Care Health, accessibility and hassle-free claim processes are the top priorities. With “Claim Genie” integrated into their Care Health Customer App, you can conveniently handle all your health insurance needs. The user-friendly app allows for claim intimation, online form submission, document uploads and real-time claim status tracking.
Make sure you have all the necessary documents ready for a quick claim settlement, whether you are opting for the cashless or reimbursement method. Having the right paperwork in order will help expedite the process and ensure that you receive timely compensation for your claim.
Filled and signed claim form with name, policy number, illness details and address.
Include all medical test reports and relevant documentation.
Original hospital bills, discharge summaries and payment receipts are crucial for claim verification.
Attach pharmacy bills and corresponding prescriptions for medication used during treatment.
Include police FIR and post-mortem report (if applicable) for accident claims.
Open the Care Health Customer App on your smartphone
Find and click “Claim Genie” and then “Claim Intimation” on the home screen
Choose between “Emergency” or “Planned” when asked to choose a claim type.
Enter claim details for the insured member.
Upload your medical documents for your claim.
Track Your Claim Status with Ease
To ensure absolute transparency, you have the power to monitor the progress of your claim at any given moment. All you need to do is access the app’s homepage and click on the “Claim Tracking” option. This section provides you with a comprehensive overview of all your active claims. By selecting the “Track Cliam” feature for the specific claim you wish to keep tabs on, you will instantly presented with the most up-to-date status update. Moreover, the app grants you the ability to effortlessly download vital documents, ranging from query and settlement letters to approval notices.
You may contact Care Health Insurance using the below-mentioned information if you have any queries about Care Health Insurance plans:
Phone: 1800-102-4499 (Sales) or WhatsApp: 8860402452 (Services)
Website: Care Health Insurance
Download the Mobile App for easy policy management.
When it comes to the best health insurance, there is no “one-size-fits-all” policy. It is like choosing a Netflix or OTT plan - different plans offer different benefits and have different costs. However, this age is designed to meet the diverse needs of most users, making it a versatile and comprehensive health insurance comparison page.
It is essential to conduct a thorough comparison to find the policy that best suits your needs. We have created a comprehensive table of how some of the top mediclaim policies in India compare to others in the industry.
Insurance Provider | Plan Name | Coverage Type | Sum Insured Range | Age Limit (Adults) | Important Parameters | |
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Care Advantage Health Insurance Plan | Individual & Family Floater | ₹2 Lakh - ₹6 Crore | 18-65 years |
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Check Premium | |
ICICI Elevate Health Insurance Policy | Individual & Family Floater | ₹2 Lakh - ₹6 Crore | 18-65 years |
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Check Premium | |
IFFCO Tokio Family Health Protector Policy | Individual & Family Floater | ₹2 Lakh - ₹6 Crore | 18-65 years |
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Check Premium | |
Niva Bupa Aspire Policy | Individual & Family Floater | ₹2 Lakh - ₹6 Crore | 18-65 years |
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Check Premium | |
Arogya Supreme Policy | Individual & Family Floater | ₹2 Lakh - ₹6 Crore | 18-65 years |
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Check Premium | |
TATA AIG Medicare Lite Policy | Individual & Family Floater | ₹2 Lakh - ₹6 Crore | 18-65 years |
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Check Premium |
Care Senior Health Plan, provided by Care Health Insurance, is a comprehensive health insurance plan tailored for individuals aged 60 and above. It covers a broad spectrum of medical expenses, such as hospitalization costs, ambulance charges, pre and post-hospitalization care and more.
The plan is designed to provide seniors with the financial security they need to cover unexpected medical expenses, offering them peace of mind. This is especially beneficial for seniors who may be living on a fixed income and want to ensure they have access to necessary medical care without fearing the cost.
There is a minimum age requirement of 60 years old to enrol in Care Senior, but there is no upper age limit.
It is important to carefully review the policy document to understand any sub-limits on specific benefits such as room rent, doctor fees or certain procedures. Some plans may have restrictions in place and being aware of these limitations can help you make informed decisions about your coverage.
Care Senior plans generally include coverage for hospitalization in India. However, it is important to check if there are any specific exclusions for international treatment, especially if you anticipate the need for medical care overseas.
There is typically a grace period of 15 to 30 days to pay your premium before your coverage lapses. The exact grace period offered by your plan can be found in your policy details.
Cancellation of the Care Senior Health plan is an option but it could result in losing accrued benefits or facing penalties. Carefully check your plan’s terms for more information.
The process for making a claim will differ based on your insurance provider. Typically, you will have to get in touch with your insurer and provide the required paperwork, like medical bills and physician’s assessments. Certain plans may provide cashless claims at affiliated hospitals, making the procedure more straightforward.
It is important to know that Care Senior plans cover hospitalization expenses for treating chronic conditions after the waiting period for pre-existing conditions. Just keep in mind that certain plans may have limitations for specific chronic illnesses. Understanding these details is crucial before enrolling.
Care Senior plans are generally designed as individual policies, tailored to the needs of the individual enrolling. While Care Health Insurance may offer separate plans for family coverage, these are not typically included as part of the core Care Senior product.
It is important to thoroughly compare plans from different insurers. Utilize online comparison tools or seek guidance from licensed insurance agents who represent multiple companies. Pay attention to factors such as coverage details, claim settlement ratios, network hospitals and customer service reputation.
Care Senior provides continuous coverage, requiring policy renewal and timely payments. Regardless of any deterioration in health, coverage eligibility remains intact as per the plan’s terms, except for any pre-existing condition waiting periods.
Some Senior Care plans provide more extensive coverage and higher insurance amounts for specific medical procedures, which can be beneficial for seniors with a larger healthcare budget. However, these plans usually have higher premium costs to match the increased coverage.
Care Senior plans mainly cover hospitalization and related medical expenses but may not include long-term care services such as nursing homes. Insurers might provide separate long-term care insurance but it is usually not part of the standard Care Senior product.
The Insurance Regulatory and Development Authority of India (IRDAI) has put in place a system to safeguard policyholders in the event of an insurance company’s departure from the market. In such a scenario, your policy would be transferred to another insurance provider, ensuring that your coverage remains uninterrupted.
Consider speaking with a licensed insurance agent representing Care Health Insurance for personalized advice and further clarification. They can provide detailed information about the plan, address your specific questions and assist in selecting the most suitable coverage option based on your health requirements and budget.
Tax Savings up to Rs. 54,600*
Additional 15% Online Discount
4.8 Customer Rating
Affordable Premium Amount