Senior citizen health insurance-Apollo Munich’s “Optima Senior”

Health concerns start as person get older. During younger age normally you will not face any major health issues and mostly your employer will take care of your health insurance part. So it is important to have health cover during your retirement period. Apollo Munich recently launched new plan called “Optima Senior” to cater senior citizen’s health insurance need. Let us find what are the unique features of this plan.

Product features-

Minimum entry age-61 years

Maximum age-no limit (life long cover)

Sum Assured available-Rs.2,00,000 Rs.3,00,000 and Rs.5,00,000

No claim loading or deny of coverage due to claimed or fell ill after taking policy.

Sum Assured may be enhanced without further medical test if you have no claim.

Discounts-

No claim discount of 5%. Provided policy is renewed without break.

5% discount if you take policy with your spouse.

7.5% discount if you take 2 years policy.

Co-Pay options-

15% in case of accommodation in a twin sharing room or lower room type. 30% in case of accommodation in a single room or higher room type. 15% in case of day care procedures.

Medical examination-Medical examination will be based on your age, sum assured opted and your health condition. 50% of expenses will be reimbursed once your proposal get accepted. Means if accepted you need to bear 50% of medical examination expenses else 100% medical expenses.

Premium chart is as below.

 

 

 

 

Exclusions-

All treatments within 30 days of cover, except any accidental injury. Pre-existing conditions will be covered after 3 years waiting. HIV & AIDS not covered. Pregnancy, dental treatment, external aids and appliances will not be covered. 2 years waiting period for the specific diseases like cataract, hernia, hysterectomy, joint replacement, hydrocele etc.

Positive points to consider for buying this product-

1) Life long cover. So if anybody wishing to opt after their retirement then the best plan.

2) Compare to National Varishta of National Insurance, in this plan you can opt for higher Sum assured.

3) No sub limits on room rent and ICU.

4) Pricing is ideally matching with features compare to National Varishta and Star Red Carpet (because these two plans looks cheaper than any other available senior citizen health plans). Even though Star Carpet looks cheaper but co-pay, sub limits on treatments and loading on claims may cost you more in future than this plan.

5) If you are healthy without any major health diseases then it is best plan to opt for early entry.

 

 

 

12 Comments

  1. Sir my father has kidny problem his both kidney are infecting in many time in years.his age 67 years and I want to know that which mediclaim company provides insurance facility
    Sir quick replay on my mail I’d
    Thanks

    Reply
    • Devendra-It is hard to get medical insurance and also to cover such diseases. Check your luck with public sector companies.

      Reply
  2. Dear Basavaraj,

    My father is of 62 yrs. and my mother is of 58 yrs. In 2011 my father has undergone a cancer surgery.
    I want to buy a Health Insurance Plan so can you suggest which will be the best product.
    I am little bit confused because Health Plans for Senior Citizens are more costlier as compared to my current salary i am already investing in MF and i can invest Yearly 12000 for My Parents Health Insurance.
    So please suggest me the Health Plan which i can opt for my Parents.

    Reply
  3. both I &my spouse are retired government employee. I am governed by railway medical facility as dependent in railway hospital consequent upon my spouse,s employment with Indian railway. I request u to advise me to have an extra health insurance coverage of Rs. 300000/- to 500000/- both for my spouse and me in any insurance company.I request u to recommend a an Insurance company where i can go for it at Bhubaneswar (ODISHA). Iam a diabetic since 10 years and my date of birth is 25/05/1955 and my spouse date of birth is 01/01/1954. we both are having sound health with no specific complication

    Reply
    • Basant-Whether the existing employer-provided health insurance is for lifelong coverage for both of you? How much coverage they provide?

      Reply
  4. I have health insurance poilcy rs.150000=00 +nocliam bonus 100000=00 agians health poilcy of Royal Sundaram & rs. 200000=00 for national insurance Varishta scheme.

    I had no claim till to day in any of this poilcy since my health is without any problem till to day & working in KOLKATA with public limited company as executive design & proposal.
    I WANT SUITABLE HEALTH INSURANCE POILCY WHICH SHALL WORTH RS. 600000=00 SO THAT I CAN GET BEST HOSPITALISATION FACILITY IN CASE IT IS REQD.
    PL. ADVICE

    Reply
    • Asoke-Why not increase the sum insured from same health insurance?

      Reply
  5. Raj-All are good until and unless you provide them right information without hiding any materiel facts. If you have doubts with any company then better to diversify your risk by purchasing with 2-3 insurers.

    Reply
  6. Dear Sir,
    Which term insurance is good for the age of 30 years Male? Policy bazar adviced to take aviva term insurance. For 75 laks premium is around 6800 for next 35 years and critical illness rider of 10 lakhs is around 2800 for next 30 years. Pls suggest this is better option or not?

    regards,
    Raj

    Reply
  7. Aalok-First of all LIC dont have their own service team to provide you service when actually claim arises. It is not a wise idea to go with Jeevan Arogya, instead go for pure health insurance product where your claim will be settled immediately. Dont go with brand of LIC, instead go for your need and service you will get immediately.

    Reply
  8. Please do let us know your views about LIC’s Jeevan Arogya,

    Regards,

    Aalok

    Reply

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