An analysis of disability among the elderly and its covariates during the period 2005–12 is provided using data from the two rounds of the nationally representative India Human Development Survey, conducted in 2005 and 2012. The increase in life expectancy has not translated into a healthier life, as prevalence of disabilities, their severity, and their association with non-communicable diseases have risen. Given the lack of access to assistive devices, specialised medical services, rehabilitation, and stigma attached to disability, the temptation to offer simplistic but largely medical solutions must be resisted. Instead, a multidimensional strategy is needed that helps the elderly overcome physical and socio-economic barriers as well as address the issues related to prevention and treatment of their underlying health conditions.