Health Insurance for Elderly

April 1, 2017

The details of the percentage of elderly people covered under Health Insurance in India are not available at central level as the same is not centrally maintained by Insurance Regulatory and Development Authority (IRDA). The total number of lives (including elderly people) covered under any type of Health insurance policies during the Financial Year 2015-16 was 35.89 crore which is approximately 30% of the India’s total population.

Government of India is implementing Senior Citizen Health Insurance scheme (SCHIS) for Senior Citizens of age 60 years and above, belonging to Below Poverty Line (BPL) and 11 other defined designated categories such as MGNREGA Workers, Construction Workers, Mine Workers, Licensed Railway Porters, Street Vendors, Beedi Workers, Rickshaw Pullers, Rag Pickers and Auto/ Taxi drivers with effect from 01.04.2016, as a top up scheme of RashtriyaSwasthyaBimaYojna (RSBY). The health coverage is uptoRs. 30,000/–per annum per senior citizen for treatment packages, over and above RSBY entitlement.

At present SCHIS is being implemented in 8 States namely Assam, Gujarat, Karnataka, Kerala, Meghalaya, Nagaland, Tripura and Uttar Pradesh.

Ministry of Health & Family Welfare had launched. “National Programme for the Health Care of Elderly” (NPHCE) during 2010-11 with a view to provide dedicated health care facilities to the elderly population in the country through State Health Society (SHS). This is a health care scheme under which provisions have been made to establish comprehensive health care setup tuned to needs of the elderly people.  Following facilities are being provided under the Programme:

  • Geriatric OPD, 30 bedded Geriatric ward for in-patient care, etc at Regional Geriatric Centres.
  • Geriatric OPD and 10 bedded Geriatric Ward at District Hospitals.
  • Bi-weekly Geriatric Clinic at Community Health Centres (CHCs).
  • Weekly Geriatric Clinic at Primary Health Centre (PHCs).
  • Provision of Aids and Appliances at Sub-centres

The Minister of State (Health and Family Welfare), SmtAnupriya Patel stated this in a written reply in the Lok Sabha.

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