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Insurance Chronicle Magazine:
Scope for Geriatric Health Insurance in India: Some Issues and Solutions
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The ratio between the number of people in the active working age to the number of people not involved in active working has declined these days. With the increase in number of lock-outs, VRS schemes and layoffs, many active working people are sent home with some attractive packages, thus the size of active workforce has declined. On the other hand, due to increase in longevity, the population of the elderly keeps increasing.

For those who retire (either by superannuation or VRS), two main issues concern them. First is the absence of a regular income which makes it difficult to continue with the earlier standards of living. Many people who enjoy good standards of life and quality living during their active working period, are not provided with any pension schemes upon their retirement. Though they are paid some attractive package benefits at the time of their retirement or voluntary retirement, the current interest rates which are market-driven, are not promising much returns. The returns of any investment made using the retirement package or VRS package is nowhere near the income drawn during their active working period. The situation of the people who took VRS is pathetic. Many of them are in the age group of 45-55 with childen in the age group of 15-25. Given the current unemployment scenario, many of these children have still a long way to go. Many of the retirees have failed in their attempts of owning a viable business due to lack of experience in the business and stiff competition.

Second is the support for healthcare, which poses a bigger threat than the first one mentioned above. Though the quality of medical care has improved a lot, the cost of treatment has increased manifold. During the active working period, they are covered under Employees State Insurance Corporation Act which takes care of their healthcare needs. Basically, Employees' State Insurance (ESI) Scheme of India is an integrated social security scheme in the organized sector tailored to provide social protection to workers and their dependants in contingencies, such as, sickness, maternity or death and disablement due to an employment injury or occupational disease. The scheme tailored to suit health insurance requirements of workers provides complete medical facilities to insured persons and their dependants as well as cash benefits to compensate for loss of wages or earning capacity in different contingencies. But this scheme was extended only to the people earning less than Rs. 6,500 per month. Hence, most of the workers lost their eligibility to utilize ESI scheme even during their active working period. Some of the employers provided Group Health Insurance Scheme (Mediclaim) for a minimum coverage. During the active working period, the workers remain unfazed about the healthcare related issues, like whether it is covered by ESI Scheme or Group Health Insurance Scheme, and whether the benefits are enough or not.

 
 
 

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