Care Senior Health Plan

Secure Your Health, Enjoy Your Golden Years
9,747+
9,747+ Network Hospitals
95.2%
95.2% Claims Settled in the Year 2022-23
Up to 6 CR
Up to 6 CR Sum insured
24*7
24*7 Customer support
Secure Your Health, Enjoy Your Golden Years

Plan Your Family’s Health

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What is the Care Senior Health Plan?

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.

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Care Senior Health Plan Specifications

KEY FEATURES₹3L₹5L, 7L, 10L
In-Patient HospitalizationUp to the Sum InsuredUp to the Sum Insured
DaycareUp to the Sum InsuredUp to the Sum Insured
Pre-hospitalization*30 Days30 Days
Post-hospitalization*60 Days60 Days
Daily Allowance₹500 per day---
Ambulance CoverUp to ₹1,500 per hospitalizationUp to ₹2,000 per hospitalization
Organ DonorUp to ₹50,000Up to ₹1 Lac
Domiciliary HospitalizationUp to 10% of the Sum InsuredUp to 10% of the Sum Insured
Automatic Recharge
Second Opinion
Alternate TreatmentUp to ₹15,000Up to ₹20,000
No Claim Bonus
Annual Health Check-up
Room RentUp to 1% of Sum Insured per daySum Insuredngle Private Room (Max. Up to 1% of Sum Insured per day)
ICU ChargesUp to 2% of Sum Insured per dayUp to 2% of Sum Insured per day
Tenure1 Yr/2 Yrs/3 Yrs1 Yr/2 Yrs/3 Yrs
Treatment of CataractUp to ₹20,000 per eyeUp to ₹30,000 per eye
Treatment of Total Knee ReplacementUp to ₹80,000 per kneeUp to ₹1 Lac per knee
Treatment for Ailments like Hernia Surgery, etc.Up to ₹50,000Up to ₹65,000
Treatment for Ailments like Cancer Surgery, Bone Fractures, etc.Up to ₹2 LakhUp to ₹2.5 Lakh

Choose the Best Health Insurance Plan

that provides all the necessary coverage benefits you need at affordable premiums.

Coverage Benefits of Care Senior Health Plan

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.

BenefitsCoverage
In-patient HospitalizationThe plan covers hospital expenses for stays over 24 hours.
Pre and Post Hospitalization Expenses30 days pre-hospitalization and 60 days post-hospitalization are covered for full medical expense reimbursement.
Day-Care TreatmentHospitals cover 541 procedures with stays of less than 24 hours.
Domiciliary HospitalizationInsured can get 10% coverage for home treatment if the hospital stay is over 3 days.
Alternative TreatmentThe insured can use AYUSH treatment with a limit of 15,000 or 20,000 rupees based on the sum insured.

What’s Covered and Not Covered in Care Health Plan for Senior Citizens

Care Health for Senior Citizens Plan: Inclusions

  • Accommodation Rent The Room and ICU Charges are restricted to a maximum of 1% and 2% of the Sum Insured, respectively.
  • Ambulance Charges The covered amount is either Rs 1500 or Rs 2000, depending on the chosen sum insured.
  • Organ Donor Expenses The expense covered for the transplantation of organs is limited to Rs 50000 and Rs 100000, depending on the chosen Sum Insured.
  • Optional Add-on Cover Reduced wait for pre-existing conditions from 48 to 24 months
    20% co-payment waived
    Coverage for 3 benefits claim protected

Waiting periods

  • 30-day waiting period for all illnesses except accidents
  • 48-month wait for pre-existing conditions
  • 24-month waiting period for specific diseases
 

Similar Insurance Company Plans

Claim Process Of Care Health

More than 22,900 healthcare establishments offer cashless treatments through Care Health Insurance. Notification of planned procedures at non-network hospitals must reach Care Health Insurance 48 hours in advance, or within 48 hours of the patient being admitted to the hospital in the case of an emergency. Notably, authorization for cashless care at non-network hospitals is contingent upon meeting the requirements outlined in your Care Health Insurance policy as well as the hospital's agreements.

Cashless Claims Process

1
Go to the closest network hospital of care health company.
2
Approach the front desk to speak with the TPA, or third-party administrator.
3
TPA will complete and submit your application to Care Health Insurance on your behalf.
4
If everything is authorized, the claim executive will examine the reports and proceed with processing the claim.
5
You can begin receiving therapy at the hospital as soon as you receive approval.
6
Your insurer and the hospital will settle the bill directly after treatment.

Reimbursement Claims Process

1
Notify Care Health Insurance of your hospital stay (within 48 hours in the event of an emergency, and 48 hours in advance if it is planned).
2
Pay your hospital costs in full and turn in all required paperwork.
3
Complete and send in a claim form.
4
Await the insurer's permission and status report.

Keep in mind that you must: 

  • Submit all paperwork with your claim form within 15 days of discharge.
  • Save all properly signed paperwork for submission to ensure a seamless claim procedure.[3]

Care Senior Health Plan Contact Details

You may contact Care Health Insurance using the below-mentioned information if you have any queries about Care Health Insurance plans:

  • WhatsApp Connect with us on WhatsApp: +91-8860402452 (Services)
  • Call Connect with us on Call: 1800-102-4499 (Sales)
  • Website Website: Care Health Insurance
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Best Health Insurance Plans In India

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
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium

Frequently Asked Questions (FAQs)

A.

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.

A.

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.

A.

There is a minimum age requirement of 60 years old to enrol in Care Senior, but there is no upper age limit.

A.

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.

A.

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.

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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.

A.

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.

A.

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.

A.

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.

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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.

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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.

A.

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.

A.

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.

A.

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.

A.

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.

A.

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.

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