Super Top-up Health Insurance for Senior Citizens

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How Does a Super Top-up Health Insurance Work for Senior Citizens?

What is Super Top-Up Health Insurance for Senior Citizens?

Understanding Super Top-Up for Senior Citizens with an Example

Meet Mr. Gupta, who has health insurance for his father (aged 70 years) covering INR 10 Lakh of the sum insured. He bought a super top-up plan (Digit’s Health Care Plus Policy) to be covered entirely in times of emergencies. He opted for a 2 lakh deductible in the super top-up plan.

 

Let’s see how the super top-up for senior citizens (for Mr. Gupta’s father) and deductibles work together for you compared to other top-up plans:

Your Policy Details & Claims Super Top-Up Insurance for Senior Citizens (Digit Health Care Plus) Other Top-Up Plans
Deductible Choose 2 Lakhs 2 Lakhs
Sum Insured Chosen 10 Lakhs 10 Lakhs
1st Claim of the Year 4 Lakhs 4 Lakhs
You Paid 2 Lakhs 2 Lakhs
Your Top-up Insurer Pays 2 Lakhs 2 Lakhs
2nd Claim of the Year 6 Lakhs 6 Lakhs
You Paid Nothing! 😊 2 Lakhs (Deductible Opted)
Your Top-up Insurer Pays 6 Lakhs 4 Lakhs
3rd Claim of the Year 1 Lakh 1 Lakh
You Paid Nothing! 😊 1 Lakh
Your Top-up Insurer Pays 1 Lakh Nothing ☹️

Why Should Senior Citizens Get a Super Top-Up Health Insurance Plan?

Senior citizens often face higher medical expenses due to age-related health issues. A super top-up health insurance plan provides additional coverage beyond a specified deductible limit. It’s an affordable solution to enhance existing coverage. Here are some reasons why you should buy a senior citizen super top-up:

Increasing Healthcare Expenditures

Increasing Healthcare Expenditures

Healthcare expenditures are 3.8 times higher for elderly parents! This simply means your parents will need a higher sum insured. While you may have a corporate plan that covers them, top-up health insurance helps boost your sum insured for better coverage.

High Cover at an Affordable Premium

High Cover at an Affordable Premium

Health insurance plans for seniors are generally high due to their age and the health risks involved. However, you can opt for a top-up that gives you extensive coverage and is yet a lot cheaper than a normal senior health insurance plan.

Increasing Health Risks

Increasing Health Risks

Unfortunately, as people age – the risks of illnesses and diseases increase too. Therefore, it’s always better that you’re secure against those risks with affordable yet high coverage like a top-up health insurance.

Key Benefits of Super Top-Up Health Insurance for Senior Citizens

As our loved ones age, their healthcare needs often increase, making it essential to ensure that they have adequate financial protection. Hence, super top-up insurance for senior citizens is the smart and affordable option for getting adequate health coverage.

Here are key benefits that make super health insurance a valuable choice for seniors:

Increased Coverage

Increased Coverage

One of the primary advantages of super top-up plans for senior citizens is that they offer a higher covered sum than basic health insurance policies. This increased coverage is crucial for older persons who require greater financial stability and are more prone to illness.

Financial Safety Net

Financial Safety Net

Unexpected medical expenses often threaten seniors' retirement resources. Super top-up plans act as a financial safety net, ensuring that medical costs won't drain their hard-earned cash.

Deductible Payment

Deductible Payment

In contrast to regular health insurance plans, super top-up plans pay for medical costs exceeding a predetermined deductible amount. After the policyholder has paid this amount, the insurance company will pay the remaining claim amount.

Support for Critical Illnesses

Support for Critical Illnesses

Critical illnesses can be financially taxing, particularly for elderly people. Seniors can choose to add more coverage for critical illnesses to their super top-up plan, which provides comfort in the event of a medical emergency.

Extra Protection

Extra Protection

Senior citizen super top-up plans frequently cover pre and post-hospitalization expenditures, ICU charges, alternative therapies such as Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH), and other medical expenses.

How Super Top-Up Insurance Work for Senior Citizens?

Super top-up health insurance is designed to provide additional financial protection once medical expenses exceed a specified deductible limit. Here’s how it works:

Parameters

Descriptions

Base Coverage and Deductible

Senior citizens typically have a base health insurance policy. The super top-up plan activates only after the deductible limit is reached.

Cumulative Claims

Unlike regular top-up plans that consider a single claim, a super top-up covers the total expenses in a policy year. This is beneficial for senior citizens who may face multiple medical treatments annually.

Additional Protection

It enhances coverage at a lower premium, ensuring financial security during high or recurring medical costs.

 

Example: If Mr. Sharma, a 68-year-old man, has a base policy with a ₹3 lakh sum insured and a super top-up plan of ₹10 lakhs with a ₹3 lakh deductible: For a ₹6 lakh hospitalization bill, the base policy covers ₹3 lakhs, and the super top-up covers the remaining ₹3 lakhs.

What's Great About Digit’s Super Top-up Health Insurance for Senior Citizens?

Super Top Up Health Insurance
  • Digit’s Super Top-up Plan:  A super top-up insurance covers claims when cumulative medical expenses go above the deductible during one policy year, unlike a regular top-up plan that only covers a single claim above the deductible.
  • Pay your Deductible Only Once: With super top-up insurance, you pay your deductible amount only once and can then claim multiple times in a year. It's a true Digit special! 🙂
  • Customize your super top-up policy: You can choose from 1, 2, and 3 lakhs deductibles and choose between Rs 10 lakhs and 20 lakhs as your Sum Insured.
  • No Room Rent Restriction: Everyone has different preferences and we understand that. That’s why, we have no room rent restrictions for seniors! Choose any hospital room!
  • Get Treated at any Hospital: Choose from 9000+ of our network hospitals in India for cashless claims or you may even opt for a reimbursement.
  • Easy Online Processes: From the process of buying a super top-up health insurance to making your claim is paperless, easy, quick and hassle-free! No hard copies, even for claims!

What’s Covered in Super Top-up Health Insurance for Senior Citizens by Digit?

Coverages

Gold Super Top-Up

Diamond Super Top-Up

Platinum Super Top-Up

Important Features

Inpatient Hospitalisation

Day Care Procedure

Pre & Post Hospitalization

30/60 Days
30/60 Days
30/90 Days
Road Ambulance Expenses

Covered up to INR 5,000
Covered up to INR 10,000
Covered up to INR 10,000
Bariatric Surgery

No Room Rent Capping
digit_special Digit Special

Psychiatric Illness

Organ Donor Expenses

×
Consumable Cover

AYUSH Hospitalization

Up to the Sum Insured
Up to the Sum Insured
Up to the Sum Insured
Cumulative Bonus
digit_special Digit Special

×
5% per claim-free year, Max 100%
10% per claim-free year, Max 100%
Initial Waiting Period

30 Days
30 Days
30 Days
Pre-Existing/Specific Illness Waiting Period

4 Years /2 Years
3 Years/ 2 Years
3 Years/ 2 Years
Co-Payment
digit_special Digit Special

×
×
×

Other Features

What’s Not Covered?

Claims Applicable Only After Deductible Exhaustion

You can only claim your top-up health insurance once you’ve already exhausted your existing health insurance policy claim amount or, have already spent up to the deductible from your pocket. However, the bright side is that you only pay your deductible once.

Pre-Existing Diseases

In case of a pre-existing disease, unless the waiting period is over, the claim for that disease or illness cannot be made.

Hospitalization without a Doctor’s Recommendation

Any condition you get hospitalized for, that doesn’t match with the doctor’s prescription is not covered.

Steps to Buy Super Top-Up Health Insurance for Senior Citizens

To purchase a super top-up for elderly persons, you must thoroughly review all the plans in the market and choose the one that provides better coverage. Here are the steps to buy the best super top-up health insurance:

Step 1

Research: Research the super top-up insurance currently on the market first. When comparing various plans, consider your parents' medical history, current health, and financial situation if you are purchasing coverage for them.

Step 2

Providing Health Details & Personal Information: After you've found a senior citizen super top-up health insurance plan that suits your needs, go to the official website of the insurance company that offers the coverage. Complete the necessary information and application procedure.

Step 3

Check for Accuracy: Make sure all of the information is correct before sending it in. Any mistakes or inconsistencies could cause problems when the claim is made.

Step 4

Health Examination: The insurance company's policy may require older individuals to visit specific diagnostic centres for a medical examination. This step is essential for the insurer to evaluate their health state properly.

Step 5

Issuing of Policies: The insurance provider will issue the super top-up health insurance plan once the relevant procedures have been completed and the requisite paperwork has been submitted. You will then receive the policy with terms and conditions.

Eligibility for a Super Top-Up Health Insurance Plan for Seniors

How to File a Claim for Super Top-Up Policy for Senior Citizens?

Factors to Consider Before Buying a Super Top-Up Plan for Senior Citizens

Choosing the right super top-up plan for your parents is crucial especially when you are purchasing it to safeguard the health of your parents. Here are some of the factors you must evaluate before buying a super top-up plan to make an informed decision.

Coverage Scope

Understand what is included, such as pre-existing diseases, critical illness, daycare treatments, and domiciliary care, and any associated waiting periods.

Deductible Amount

Choose a deductible that aligns with your existing health insurance coverage. Ensure it’s affordable and practical based on anticipated medical expenses.

Network Hospitals

Ensure the insurer has a wide network of hospitals, especially in your preferred location, for cashless treatment options.

Additional Benefits

Look for extra features like free health check-ups, ambulance cover, or OPD benefits. These can be valuable for senior citizens.

Waiting Periods

Check the waiting period for pre-existing conditions and specific diseases. Shorter waiting periods are more favourable for senior citizens.

Difference Between Super Top-up for Senior Citizen and Top-up Health Plan

Many of you might be confused about whether a super top-up plan for senior citizens and a normal top-up plan are the same thing? No, They are widely different in terms of coverage, premiums and deductibles. Here is a chart to help you understand the difference better.

Factors

Super Top-Up Plan for Senior Citizens

Top-Up Plan

Coverage

They are comparable, except they cover total medical costs that are beyond the sum covered and the deductible.

Exceeds the current medical insurance's threshold level and offers single-claim coverage.

Premium  Paid

Slightly higher premiums

Lower and affordable premiums

Basics of Claim

Covers cumulative claims that exceed the deductible amount in a year.

Covers only a single claim above deductible.

Deduction

Deductions are applied to the total medical expenses in a year.

Deductibles are applied to each time a claim is made. 

Suitable for 

Multiple claims due to recurring expenses.

Single high-value claims.

FAQs about Super Top up Health Insurance for Senior Citizens