The disease burden among the elderly population is significantly higher compared to the younger population, according to the data from the 75th round National Sample Survey, 2017-18, which increases their vulnerability during the COVID-19 pandemic. The footprint of elderly population in public facilities for inpatient and outpatient care has increased over the years. Financially, the elderly face far less burden in public facilities than in private facilities. © 2020 Economic and Political Weekly. All rights reserved.