Have you ever been confused while taking a Mediclaim for senior citizens in your family? And hard to decide whether to take a Government vs Private Mediclaim for Senior Citizens? Let’s decode it.

According to reports, senior citizens (aged 60 and above) now account for 18% of all health insurance policies sold in India.

Where in September 2024, the Indian government has expanded the scheme for people over the age of 70 years. A free health coverage of 5 lakh per family annually.

In this blog, we’ll go through some Government vs Private Mediclaim for Senior Citizens and their comparisons on the basis of premium, coverage, network hospital, policy duration, etc. To simplify your decision-making process, helping you make a confident choice when selecting the best Mediclaim policy for your elderly loved ones.

Indian government provides various health insurance scheme for senior citizens. Some schemes are: –

  1. Pradhan Mantri Jan Arogya Yojana (PMJAY – Ayushman Bharat)
  2. Coverage: 5 lakh per family annually.
  3. Available for: Economically weaker section (based on SECC data).
  4. Premium: No premium charges.
  5. Facility: Hospitalization, surgery, and follow-ups.
  • Varishthan Mediclaim Policy (by National Insurance)
  • Age: Designed for people aged 60-80 years.
  • Sum insured: 1-2 lakh for hospitalization, 1 lakh for critical illness.
  • Network hospitals: Limited network hospitals.
  • Premium: Very affordable premium.
  • Facility: Hospitalization, surgery, and follow-ups.
  • Central Government Health Scheme (CGHS)
  • Available: Available for central government employees and pensioners.
  • Lifetime coverage for eligible members.
  • Comprehensive OPD & IPD coverage at empaneled hospital.

Private Mediclaim for senior citizens


1. Star Health Red Carpet Policy

  • Entry age: Up to 75 years.
  • Coverage: Up to 25 lakh.
  • No pre-insured medical test.
  • Facility: Cashless hospitalization available.

2. HDFC Ergo My: Health Suraksha

  • Comprehensive benefits with higher coverage options.
  • Includes daycare procedures and organ donor expenses.
  • Digital app for claims and support.
  • Refigure Care Freedom Plan
  • Renewability: Lifetime.
  • Covers pre-existing diseases: After 2 years.
  • No pre-policy and medical checkup required.

How Insurance Mart Simplifies Your Confusion Between Government and Private Mediclaim Policies

Insurance Mart is not just a health insurance provider, it’s a trusted advisory firm dedicated to guiding you through every step of your health coverage journey.

One of our key strengths lies in helping you understand the right choice between government and private Mediclaim policies based on your unique background, needs, and financial capacity.

More importantly, we don’t stop at just advising. If your claim has been denied or delayed, Insurance Mart steps in with expert assistance to help you get the rightful resolution. Our team thoroughly evaluates your requirements and ensures you receive the most suitable coverage before any medical emergency arises.

Choosing the right policy isn’t a gamble, it’s a decision that deserves informed guidance. Let Insurance Mart be your partner in making it the right one.

Post a comment

Your email address will not be published.

Book An Appointment