5 Factors to Consider When Buying Mediclaim Policy for Senior Citizens

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One of the demands of these changing times is having a mediclaim coverage for senior citizens. Medical crises are on the rise as a result of poor eating habits, pollution, and other factors, therefore it’s always a good idea to have medical coverage for older persons. During hospitalization or other similar situations, they add an added layer of safety and confidence. However, finding the correct senior citizen insurance might be difficult!

People often get perplexed by various providers, a plethora of plans, numerous factors to consider, and other buying-related dilemmas. But worry not! You are not the only one, and that’s why we are here to help with this list of factors you need to consider and check before buying a mediclaim policy for senior citizens. Consider these factors before buying and shun that burden of confusion off your shoulders.

Waiting Period

This is the time an insurance provider takes between giving you a mediclaim policy and activating that mediclaim policy for senior citizens. This can be around 15-30 days. According to IRDA, generally, a 30 days waiting period is regulated.

So, it is always safe to consider the waiting period of the mediclaim policy to ignore any sudden burnouts. Thus, if you think your senior citizen family member would need medical support soon, invest in mediclaim policy for senior citizens before considering the waiting period. Early buying of mediclaim policy for senior citizens has obvious perks and is recommended. 

Claim Settlement ratio and Process

A lengthy claim settlement process elevates the stress and toil during critical medical conditions. What good a policy is for if it cannot make you feel relaxed while having sick senior citizens at hand? That is where considering the claim settlement process and ratio comes into need. It underlines the ease of claiming and availing of mediclaim policy for senior citizens’ benefits.

Often, a high claim settlement ratio and an easy claim settlement process with little documentation are advised. Furthermore, a cashless facility is one of medical policies’ most essential and highlighted needs. Therefore, a provider who provides a cashless facility can be a great advantage. One such provider is Care Health Insurance.

Associated and Networked hospitals

Every provider has a network of hospitals to provide cashless facilities to insurance bearers. Generally, insurance providers network with a range of general as well as specialized hospitals. Still, sometimes a hospital of choice or hospital where your family doctor consults is not in the panel of a particular provider. That makes it essential to know the associated hospital network diligently before buying the insurance. 

So, always look at the list of associated hospitals and medical facilities to make sure you will avail of medical policy for senior citizens’ benefits during medical conditions. Mostly, a mediclaim policy for senior citizens from insurance providers near your house, specialized and multi-facility hospital in its network is advised.

Inclusions and Exclusions

These are also a part of going through the policy documents carefully and further, mapping the inclusions and exclusions with the needs. For instance, think of a senior citizen with a heart problem. Would it be wise for them to invest in a mediclaim policy for senior citizens which doesn’t include any heart treatment or associated expenses? It certainly would be an atrocious buy then!

This is why inclusions, exclusions, and terms and conditions should be carefully and thoroughly understood before making that final decision. To mitigate doubts, ask your insurance agent for confirmation.


Sub-limits are amounts allowed for room rent, medications, etc. Considering these while buying a mediclaim policy for senior citizens is paramount as these can exert a massive difference during hospitalization or chronic illness cases.

These are the factors one must consider before buying the right mediclaim policy for senior citizens. Whether for chronically ill patients, or those on the verge of aging, looking for these factors can ensure the right mediclaim policy.

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