Senior Citizen Mediclaim Policy vs Star Top Up Plan Health Insurance Plan 2026 | PolicyX

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National Senior Citizen Mediclaim Policy is a plan designed for senior citizens, allowing them to live a relaxed life post-retirement. It covers expenses for in-patient treatment (allopathy, ayurveda, and homeopathy), domiciliary hospitalization, and treatment of a disease or injury during the policy period.

The policy offers a sum insured up to INR 10 Lakh under both Individual and Floater Basis for two plans: Plan A and Plan B. Plan B includes additional features like hospital cash, reinstatement of sum insured, no sub-limits for room rent, and funeral expenses.

This versatile plan offers modern treatments, HIV and mental illness coverage, treatment for morbid obesity, hospital cash, lifelong renewability, and more.

PLAN DETAILS

Senior Citizen Mediclaim Policy

Star Top Up Plan

Product Type Senior Citizen Health Insurance Top Up and Super Top Up
Key Features
(Key features of the plan)
  • Plan options available
  • Domiciliary hospitalization
  • Modern treatments
  • High Sum Insured
  • Recharge Benefit
  • Wellness Benefit
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 14000
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 Minimum: 91 Days to Maximum: 65 Years
Plan Premium Entry Age and S/A 7,313 -
Plan Waiting Period 30 30
Plan Coverage Individual/ Family Floater -
Plan Sample Premium 7,313 -
Plan Brochure Brochure URL Brochure URL
Policy Term 1 Year 1/2/3 Years
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 99.06
Solvency Ratio -0.67 2.21
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