The high decibel advertising by the Life Insurance companies have already created a market of fairly conscious individuals who start planning for their retirement even when they are in the middle of their working lives. Also, the newly set up Pension Fund Regulatory Authority of India (PFRDA – which hopefully will soon become a statutory body) has done lot of work towards designing an excellent pension product, which is already being used by the Government and select PSU employees.
However, even among all this newly found (and welcome) consciousness on planning for retirement, we normally miss out on planning for medical expenses after retirement. I am sure each one of us will know somebody whose parent was hospitalized and was put on life support system for days together. Apart from the emotional stress caused by the hospitalization of a loved parent the overwhelming financial burden of such an illness (bills of Rs. 15 lacs to Rs. 20 lacs are not unheard of) has put several middle class families financial stressed for at least a decade or so.
All of us know that as we age, the need for medical attention and hospitalization increases. Advancement of medical technology has also ensured that we will live longer than our forefathers. But unfortunately it comes at a very high cost. Medical expenditure has been galloping at a rate much higher than the average inflation rate due to shortage of quality hospitalization infrastructure and use of sophisticated technology. Therefore planning for medical expenses after retirement is vital as it will be impossible (or too expensive) to get a policy after you retire.
So don’t try to dig a well only when you get thirsty. Individuals in their 30s or 40s today need to plan now for the medical expenditure after they retire. In fact the best planning can be done by individuals who are still healthy and without any pre-existing diseases.
So before setting out to plan your post retirement medical expenses, you should know the three kinds of risks that you need to cover:
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Your regular Mediclaim policy must not abandon you just when you need it the most. So look at the maximum age up to which your current Mediclaim policy is renewable. As per the data available from the Apnapaisa Research Bureau only three companies offer policies that are renewable up to the lifetime - Apollo Munich Easy Health policies, United India Insurance - Mediclaim Policy Platinum and Oriental Insurance - Health Insurance. Additionally the following plans will renew the policy till 80 years of age.
| Insurance companies | Renewable till what age |
| Star Health – Medical Classic | 80 |
| National Insurance – Mediclaim | 80 |
| Reliance General – Individual Mediclaim | 80 |
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As inflation rises your existing Mediclaim policies will become inadequate to handle the medical expenditure that arises after retirement. A mediclaim plan currently for Rs. 5 lacs may look adequate but this will become grossly inadequate after 15-20 years due to sheer rise in inflation and medical costs that have historically outstripped inflation by several multiples.
To cover for this risk you should go in for high deductible medical expenses reimbursement expenditure policies such as United India Insurance Super Top up policies. (See my write up in DNA of April 18, 2009). These will offer fairly high coverage of up to Rs. 15 lacs after deducting the first Rs. 3 - 5 lacs of hospitalization expenditure (which will get covered by your regular mediclaim policies). These plans are relatively cheap because of the high upfront deductible. In the current years these will help you cover against catastrophic medical expenses but as the years go by this policy (in combination with your regular mediclaim policy) will be just enough to cover your regular hospitalization expenses. Even here you must take polices that cover you when you need them the most – that is the age upto which the policy is renewable needs to be the highest. (Refer table below for details)
| Insurance companies | Renewable till what age |
| United India – Super Top Up | Life time |
| Star Health – Super Surplus | 75 |
| Bajaj Allianz – Extra Care | 80 |
For both 1 and 2 above it is better to pay a slightly higher annual premium today to get renewability till a higher age (as per IRDA guidelines insurance companies cannot deny renewal unless it is on the grounds of fraud, misrepresentation or moral hazard).
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You also need a cover for medical expenses that are not covered by either of these policies. Say for example, the amounts incurred for :
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Diagnostic tests (which regular policies normally cover only if they lead to hospitalization in 30 days) which are increasingly becoming very expensive,
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Treatment of chronic diseases such as lifelong medicines for organ transplants (not covered beyond 60-90 days after hospitalization) or
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Expensive implements (e.g. CPAP machines for obstructive sleep apnea)
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It may be alright to leave these uncovered currently when you are still earning but after retirement it will become a big burden. A good way to plan for these expenses is through a separate nest egg for medical expenditure for yourself and spouse (your children should be planning this for themselves) through the regular route like diversified equity fund or an index fund. The target amount for this can be based on your current medical cover adjusted for inflation.
Some experts suggest using the Unit Linked Health Insurance Plans offered by Life Insurance companies for this purpose of creating a nest egg for such expenses, as you can utilize any left over tax deductions under section 80D (for payments made on Health Insurance covers) that may otherwise lapse. I, personally, do not recommend them due to the high costs associated with these plans including the high insurance costs that are deducted from the fund value which more than negate any tax advantage that contribution to these schemes may bring.
To summarize, plan now for your medical expenses in the old age and don’t let your retirement plan go awry.
Pointers:
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Medical expenses after retirement can derail your retirement planning
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Go for high deductible (top up and super top up) policies cover that will provide cover for catastrophic medical expenditure in current years and still is enough to cover regular hospitalization expenditure after retirement.
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Use the regular method of SIP in a diversified equity fund or index fund to create a nest egg for your non-covered medical expenses.







