All about health insurance for senior citizens

Are you a senior citizen and have lost all hope of buying a regular health insurance policy? Well, if you are still under 65 years of age, you wouldn't be too old to get one some time from now.
The Insurance Regulatory and Development Authority (Irda) has asked general insurance companies to keep at least 65 years as the maximum entry age for a health insurance policy.
The present problem
Across the 16 insurers that offer health insurance policies in India, there are many choices. However, once you are over 50 years, your options get limited -- most insurers do not offer fresh covers beyond this threshold. (see Entry Age Limits).
Also, you will have to undergo some self-funded medical tests -- the older you are, the stricter the tests get. Even after this, you may not get a cover on the ground of you being medically unfit. If you are fit, there may not be a policy for your age group. In that case, you will have to opt for the especially designed senior citizens' policy (see Senior Citizens' Plans).
Senior citizens' plans
Here's a list of standalone senior citizens' health policies, the age band that they cover and the maximum sum insured they offer. To facilitate a comparison among these, we give indicative premiums assuming that the policy is for a 60-year-old with a sum insured of Rs 1 lakh (Rs 100,000).

IRDA's solution
The regulator aims at addressing all such problems. No insurer will be able to refuse an older persom a cover or load him with extra premium without giving a valid reason for doing so. "Such reasons should stand the scrutiny of reasonableness and fairness," Irda has said.
Important as it may be, the health insurance market is arbitrary at present. For example, while some insurers reimburse the cost of medical tests to be undergone by a customer above the age of 45 years, others don't, and some others reimburse only part of it.
Beginning July 1, all insurers will have to reimburse 50 per cent of the cost of tests if they agree to cover the customer after medical examination.
At the time of refiling their products with Irda or launching new ones, general insurers will have to include these clauses in their policies.
Says Sanjay Datta, head (health insurance), ICICI [Get Quote] Lombard General Insurance: "The sector is heading towards more transparency and consistency. With the entry age being extended to 65 years, customers would have greater flexibility in choosing a plan and also since now disclosures are explained upfront, an insured would know what's in stock for him."
The future problem
Cross-subsidisation: Some insurers feel that the move could lead to cross-subsidisation and a subsequent increase in the premium for younger people.
Says Sreeraj Deshpande, head (underwriting), Bajaj Allianz General Insurance: "We have a separate policy for senior citizens as they comprise a different risk pool. Cross-subsidisation may be a natural fallout of combining two risk pools -- that of senior citizens and younger people. To compensate the risk associated with senior citizens, younger people may have to shell out a little extra."
Senior citizens' policies were introduced keeping cross-subsidisation in mind. These policies have a lower sum insured and greater premium and are, therefore, self-sustainable. These policies also considered other needs of senior citizens.
For example, Star Health and Allied Insurance Senior Citizen Red Carpet policy offers to insure people in the age group of 60-69 years without a medical test. It also covers pre-existing diseases right from the first year.
National Insurance's Varistha Mediclaim, too, mandates no medical tests, gives no-claim benefits and includes pre-existing diseases after one claim-free year.
However, while Senior Citizen Red Carpet gives a sum insured of up to Rs 2 lakh, Varistha Mediclaim offers a maximum sum insured of only Rs 1 lakh.
Medical reimbursement: The fact that the insurer will now have to reimburse at least 50 per cent of costs of medical tests may also lead to a hike in premiums.
Entry age limits
The insurance regulator has mandated that the maximum entry age for a standard health insurance policy offered by general insurers should be at least 65 years. Here's what general insurers offer at present.

Mixed reforms
The reforms process seems to be rolling. Earlier this year, Irda had asked insurers to spell out renewal norms clearly to avoid any ambiguity. Says Antony Jacob, CEO, Apollo DKV Insurance: "The proposed changes will surely have a pricing implication. We will need to see it in conjunction with Irda's circular on renewals."
However, general insurers are complaining. They say that the new guidelines do not propose anything for life insurers, which have entered the health insurance business in a big way.
Says Jacob: "Life, non-life and pure health insurers should follow similar regulations when it comes to their health insurance portfolio since they operate in a similar market."
Sources say, life insurers are excused as, barring a few exceptions, they are long-term contracts and offer benefit policies like critical illness and hospital cash.
It is expected that Irda will take cognisance of such disparity soon. For you it is just a step up as the sector matures.

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8 amusing facts about your home loan

A loan agreement is the document that lays out the terms and conditions of the lender. It also informs the lender of the borrower's consent. It is very important to read what you sign for that very reason. Be informed before you agree.
The agreement could be the last thing you want to read. The miniscule font size alone is a turn off. Add to that, too many asterisks, and more than ample number of sections. So, even if reading the document seems to be a mind-numbing task, you have to get it done. This document is legal and once you sign it, you are bound by its terms and conditions.
But you must read the document very carefully. Because not only will it inform you, it has immense potential for amusement. Are you ready for some fun then?
1. If you have a dispute with the bank during the loan tenure, as a borrower, you cannot issue a stop-payment instruction with respect to post-dated cheques for as long as the 'facility' (loan) or any part of the dues is outstanding. In case such an instruction is issued, the bank can initiate criminal proceedings against you under the Negotiable Instruments Act (1881).
2. If you, the loan borrower, do not understand English, a declaration in vernacular language needs to be executed and signed by you in the desired vernacular language. There is a special instruction in the agreement regarding the same.
3. There is a special 'Memorandum Regarding Signing' for those who understand a vernacular language, for an illiterate, and for a blind person.
4. According to the agreement, you cannot sell, exchange, partition, mortgage, charge, encumber, lease, or dispose the property till you have got 'discharge' from the bank in writing.
5. You cannot hold the bank responsible for any delay in construction, giving possession of, completion of property by developer, promoter or society even if the bank has approved or sanctioned any facilities to such a person or entity.
6. If you are a resident Indian, you cannot leave India for employment or business or stay long-term outside India without fully repaying the loan. You cannot stay out of India for any purpose for more than 60 days. There should not have been a change in the citizenship nor should you have made any earnings or income during this period from abroad.
7. If you have taken a 'home equity' or a 'top-up loan' you cannot let out your property for use/ occupation by another person without prior written permission from the bank.
8. Oh yes, and this one is a personal favourite, see if it's yours too. It is not clear whether banks are bound by law to notify you of changes in their policy. But, the agreement binds you to remain acquainted with a bank's rules/ terms and conditions affecting or relating to the loan taken.