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Why Seniors Should Review Their Health Insurance Coverage Annually

Reviewing your health insurance plan every year ensures better coverage and peace of mind in later years

January 3, 2025
January 3, 2025

Health insurance is one of the most vital safety nets for older people, as they are more prone to medical needs. Even though it's a wise decision to buy a good health insurance plan, its review is just as important on an annual basis. Health needs change with time, and so does the landscape of healthcare. An annual review can ensure your policy aligns with your current health and financial situation. Here's why this step should not be overlooked:

1. Healthcare Needs Evolve with Age

Various types of health issues arise with age. It may be the management of diabetes, hypertension, or arthritis, which may need regular consultations or special treatments. If such needs are not covered under your policy, then you have to pay for such expenses personally. Annual reviews can help you determine gaps in such cases and avail more appropriate coverage.

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2. Inflation in Medical Expenses

Healthcare in India is becoming very expensive, and the amount that would cost Rs 50,000 today might go up to Rs 1 lakh over a few years. Suppose the sum insured of your policy has not been increased. This may not be sufficient during emergencies. Check your plan every year so you don't miss upgrading it due to inflation; this way you get financial aid in times of an emergency.

3. Add-on Benefits Available

The insurance market is dynamic, and the insurers keep introducing new benefits to attract more customers. Features such as day-care procedures, mental health support, and home healthcare have become very common in recent years. You can check your policy and switch to a plan that offers these modern benefits or add riders to your existing policy. 

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4. Policy Terms May Change

Sometimes, the terms and conditions change. Sometimes, co-payment clauses increase or even benefits are reduced. The update allows for alertness about such changes to avoid surprises in case of claim filing.

5. Freedom to Switch to Better Plans

What worked for you a decade ago might not be the best option today. New policies with higher coverage, lower premiums, or better benefits might be available. Portability rules in India allow you to switch your insurer without losing accrued benefits like the no-claim bonus. An annual review helps you make this decision at the right time.

6. Ensure Coverage for Family Members

Many old persons have a family floater, covering their spouse or dependents. The health requirements of your family may have altered; your insurance plan must mirror the same. In case you undergo an annual review, you will see whether the sum insured and the benefits were appropriate for everyone included in the scheme. 

7. Tax Benefits May Alter

Health insurance premiums qualify for tax deductions under Section 80D of the Income Tax Act. These rules are changed periodically, however. Reviewing your policy keeps you updated on whether you are really maximizing your tax benefits or if adjustments are required in that regard. 

8. Check Claim History and Performance

If you’ve filed a claim in the past year, it’s a good time to evaluate the insurer’s claim settlement process. Was it smooth, or were there unnecessary delays? If the insurer doesn’t meet your expectations, it might be time to explore other options.

9. Assess Add-On Riders

Most senior citizen plans have optional riders, such as critical illness coverage or personal accident coverage. Your health and financial situation may make some riders more relevant now than before. Adding these riders during an annual review can enhance your overall coverage.

10. Reduce Financial Stress for Loved Ones

One of the main reasons seniors buy health insurance is to avoid burdening their family members with healthcare costs. Keeping your policy updated will ensure that it provides adequate financial protection, reducing stress for you and your loved ones.

Tips for an Effective Annual Review

1. Discuss with Your Doctor: Talk to your healthcare provider about any medical expenses or treatments you expect

2. Compare Policies Online: Look for newer and better options available in the market through comparison websites 

3. Discuss with Family: Engage your family to ensure that the policy suits all members

4. Check Insurer Reviews: Review customer feedback about claim settlement and service quality 

5. Talk to Your Insurer: Approach your insurance company to upgrade or change your policy

Health insurance should not be considered as an expense for geriatric citizens. It provides critical investment in their well-being and peace of mind. Only having a policy may not be of any use though. Regular reviewing makes sure to keep you just sufficiently covered; and adjust to various changing circumstances to remain prepared for the medical urgencies.

Annual reviews don't really take much time, but they make a lot of difference in your journey of healthcare. It helps you assess your needs, keep up with the ever-increasing cost, and not be surprised at the time when it is needed most.

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