With a steadily increasing elderly population, India faces significant public health challenges in geriatric care. The National Programme for Health Care of the Elderly (NPHCE), launched in 2010, represents a pivotal step towards addressing the complex healthcare needs of older adults. However, the implementation of comprehensive geriatric care in India remains inadequate due to systemic limitations, a shortage of trained geriatricians, infrastructure gaps, and socio-economic disparities. This review explores the current landscape of geriatric healthcare in India, critically analyses policy frameworks and healthcare delivery models, and highlights the need for integrated, multidisciplinary approaches to meet the rising demands of this vulnerable demographic. The article draws on recent national surveys and peer-reviewed studies to offer insights and policy recommendations aimed at improving geriatric health outcomes.