Sixty Plus Mediclaim Policy

The Sixty Plus Mediclaim Policy from New India Assurance is designed to provide health insurance coverage for senior citizens, offering a range of benefits and features to meet their specific needs.

Key Features:

  • Eligibility: Individuals aged 60 to 80 years.
  • Coverage: Hospitalization expenses, including room charges, ICU charges, surgeon fees, anesthesia, blood, oxygen, OT charges, surgical appliances, medicines, drugs, diagnostic materials, X-ray, dialysis, chemotherapy, radiotherapy, artificial limbs, and implants.
  • Pre-existing Diseases: Covered after 48 months of continuous coverage.
  • Pre-acceptance Medical Check-up: Required for those without continuous health insurance coverage for the last four years or with adverse medical history.
  • Sum Insured Options: ₹2 Lakhs, ₹3 Lakhs, and ₹5 Lakhs.
  • Co-payment: 10% of the admissible claim amount.
  • Hospital Cash: 0.1% of the Sum Insured per day, up to a maximum of 1% of the Sum Insured.
  • Coverage under AYUSH Treatment: Up to 100% of the Sum Insured for Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy systems of medicines.
  • Limit on Payment for Cataract: As per the policy terms and conditions.
  • Ambulance Charges: Up to 1% of the Sum Insured per hospitalization.
  • Optional Cover: Voluntary co-pay of an extra 10% for a discounted premium.

Additional Benefits:

  • Attendant benefit of up to ₹800 per day, with a maximum limit based on the Sum Insured.
  • Coverage for specific treatments and surgeries, such as angiography, cataract, hydrocele surgery, and dialysis, with specified limits.
  • Coverage for modern treatments like Uterine Artery Embolization, Balloon Sinuplasty, Deep Brain Stimulation, and more, up to specified limits.
  • Coverage for pre and post-hospitalization expenses, up to 10% of the Sum Insured.

Exclusions:

The policy also outlines various exclusions, including pre-existing diseases, specific waiting periods for certain conditions, and exclusions for treatments like cosmetic surgery, hazardous sports injuries, and more.

This policy aims to provide senior citizens with financial security and access to quality healthcare during their later years, offering a comprehensive package of benefits and coverage options.

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