Senior citizens can hope for better health insurance plans as private non-life insurance companies are planning to come up with health insurance plans targeted towards senior citizens. These plans will be for people above 60-65 years and planning to take a new health insurance plan.
Already there are six insurance companies including three public sector insurers offering such products. Six companies that are offering such products are New India Assurance, National Insurance, United India Insurance, Star Health and Allied Insurance, Apollo Munich Health Insurance and Bajaj Allianz General Insurance.
Generally, the maximum entry age for an individual to take health insurance plan is capped at 60 or 65 years. While in senior citizen plan an individual can take a health insurance plan even if he is over 65 years.
Generally, insurance companies sees senior citizen segment as high risk category, where chances of claims are high and quantum of claim amount is also high.
Lot of innovation can be done in senior citizen segment but lack of actuarial data is a major deterrent due to which proper pricing is a challenge.
At present, there is a general exclusion of one-two years for coverage of cataract, benign prostatic hypertrophy, hernia, congenital internal disease, piles, sinus and stones.
However, dental treatment done for cosmetic reasons, injury or disease caused by war, vaccination for cosmetic reason, cost of glasses and contact lenses, hearing aids, congenital external disease or defects or anomalies, sterility, venereal disease, intentional self-injury are permanently excluded.
Apart from high premium and medical conditions, another factor that de-motivates policyholders are the limits imposed on claim amounts. Senior citizen plans generally have co-payment clause, where, in case of claim, a policyholder have to bear 20-50% of the claim amount on there own.
Instead of co-payment clause, insurers should come out with different variants of products where policyholder can choose between co-payment option or whole coverage.








