Senior Citizen Mediclaim Policy vs Group Mediclaim Insurance Policy Health Insurance Plan 2026 | PolicyX

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The National Senior Citizen Mediclaim Policy offers health coverage tailored for seniors, including in-patient treatment across multiple systems and domiciliary hospitalization. It provides sum insured options up to INR 10 Lakh, available on both individu
PLAN DETAILS

Senior Citizen Mediclaim Policy

Group Mediclaim Insurance Policy

Product Type Senior Citizen Health Insurance Group Health Insurance
Key Features
(Key features of the plan)
  • Plan options available
  • Domiciliary hospitalization
  • Modern treatments
  • Coverage for employees
  • 3 variants available
  • Avail tax benefits
OPD Details
(In some policies, OPD (Out patient department) expenses are also covered.)
Covered -
Room Rent
(A limit of room rent cover during hospitalization if any)
Covered -
Domicillary Hospitalization
(It is the expenses incurred on treatment of the patient at home)
Covered -
Pre-hospitalization
(Expenses before the insured is hospitalized)
Covered -
Post-hospitalization
(Expenses after discharge from the hospital)
Covered -
Day Care Treatment Covered
(Day care treatments refers to the treatments that do not necessarily require 24hrs of hospitalization like MRI.)
Covered -
Hospital_network
(Number of Hospital Network in city)
3200 9100
Organ Donor Expenses
(Expenses incurred on organ donor in case of organ transplants)
Covered -
Hospital Daily Allowance
(Some plans offer daily allowance to take care of expenses like food, etc)
Covered -
Ambulance Charges
(Expenses incurred on ambulance charges)
Covered -
Maternity Benefits
(All Hospitalization cost covered at the time of pregnancy.)
Not Covered -
New Born Baby Covered
(Newborn babies can be covered under the insurance plan after a certain period)
Not Covered -
Health Checkup
(An added benefit of one time full health checkup of policy holder.)
Covered -
Sub Limit
(Sub-limit is a monetary capping that applies on specific diseases like cataract)
Covered -
Co-pay
(Mentioned %, if any is to be borne by Insured and rest will be borne by insurer)
Covered -
Plan Entry Age 60 to 80 Years 18 to 65 years
Plan Waiting Period 30 30
Plan Coverage Individual/ Family Floater Group medical cover
Plan Sample Premium 7,313 NA
Plan Brochure Brochure URL -
Policy Term 1 Year 1 year
ICU Charges Covered -
Covid-19 Treatment Covered -
Cataract Covered -
Automatic Restoration Not Covered -
Ayush Treatment Covered -
Modern Treatment Covered -
E Consultation Not Covered -
Air Ambulance Not Covered -
Global Coverage Not Covered -
Claim Ratio 91.31 87.50
Solvency Ratio -0.67 2.35
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