Maternity Health Insurance Plans

Know how maternity insurance plans ensure a safe parenthood journey. Check out policies with coverage up to Rs. 50 lakh*
Maternity Health Insurance Plans
3 mins
12-April-2023

A maternity insurance policy is a type of health insurance policy that covers the medical expenses for delivery, hospitalisation, and medicines. Parenthood is one of the most significant life experiences for a couple. But given the rising medical cost, this stage can put you under some financial burden. This is exactly when a comprehensive health insurance for pregnant women comes as a saviour. Maternity insurance helps expecting mothers get quality healthcare facilities without the financial burden.

Key features of maternity health insurance

Here is a quick look at the key features of maternity health insurance.

Features

Specifications

Network hospitals for cashless facilities

6,500+

Coverage

Up to Rs. 50 lakh*

Newborn care

Covered

Tax benefits

Available

Daycare procedures

Covered

OPD cover

Covered

Ambulance charges

Covered

What is maternity health insurance?

Maternity health insurance policy covers the costs for C-sections and normal deliveries up to the sum insured. You can also opt for health insurance with maternity coverage as an add-on cover. Further, several maternity insurance companies provide coverage for up two pregnancies. This add-on coverage also provides financial assistance for the newborn’s vaccination and other medical costs that may arise. Get pre-and post-hospitalisation coverage up to 30 days before and 60 days after hospitalisation.

Why do you need maternity insurance?

Maternity health insurance can be beneficial in multiple ways:

· Financial protection

Maternity expenses can be significant, including prenatal care, hospitalisation, and postnatal care. Maternity insurance provides financial protection by covering these expenses.

• Comprehensive maternity coverage

Maternity insurance plans offer comprehensive coverage, encompassing routine check-ups, diagnostic tests, delivery costs, and postnatal care. This ensures that all aspects of maternity care are included in the policy.

· Customised maternity plans

Maternity insurance plans can be tailored to your specific needs. You can choose the coverage amount, add-ons, and the duration of the policy, allowing for a personalised and flexible insurance solution.

· Protection against unforeseen complications

Maternity insurance covers unforeseen complications during pregnancy or childbirth. This includes coverage for emergency C-sections, preterm births, and other complications that may arise.

· Preventive and postnatal care

Maternity insurance does not just cover delivery expenses. It often includes coverage for prenatal and postnatal care, encouraging a holistic approach to maternal health.

Is there an option to buy maternity health insurance while you are pregnant?

Obtaining health insurance for pregnancy while already pregnant is typically challenging. Most insurers consider pregnancy a pre-existing condition and exclude coverage for it. However, some insurers may offer limited maternity benefits with a waiting period.

  • Pre-existing condition: Pregnancy is usually deemed a pre-existing condition.
  • Limited coverage: Some insurers provide limited maternity benefits. These may include room, nurse, and surgeon; anaesthetist consultation; medical practitioner and emergency ambulance charges.
  • Waiting period: Policies often have a waiting period before benefits apply.
  • Early planning: It’s advisable to get health insurance for pregnancy before conceiving to ensure comprehensive coverage.

Key benefits of maternity health insurance

A maternity health insurance policy comes with several benefits. Some of these are as follows:

· Comprehensive coverage

Get complete coverage for expenses associated with delivery, hospitalisation, medicines and more.

· Newborn care

The policy provides coverage to the newly born child if diagnosed with any form of critical illness at birth. You can get an additional child health insurance too.

· Ambulance charges

Covers ambulance charges in case of an emergency.

· Cashless facility

Hospitalisation at an insurer’s network hospital allows you to get the advantage of cashless treatment (for certain maternity insurance plans). Here the insurer will directly settle bills with the hospital. In this case, you need not make any out-of-pocket payments. With a pregnancy insurance, you can get your treatment at a network hospital from the early stage of pregnancy.

· Hospitalisation coverage

Covers any pregnancy-related expenses incurred 30 days prior and 60 days post-hospitalisation under the plan.

· Easy and quick online application process

Buy a maternity health insurance policy online without any paperwork.

· No Claim Bonus

You can benefit from the 10% cumulative bonus offered for having claim-free years.

· Tax benefit

Get tax exemption up to Rs. 60,000 under the relevant sections of the income tax act. Check health insurance tax benefits.

Factors to consider while buying a maternity/pregnancy health insurance policy

Here are some key factors that you must consider when buying a maternity health policy.

· Focus on the policy premium

Choose a maternity health cover with a premium as per your financial

· Check the policy waiting period

It is always a wise decision to choose a health insurance with maternity coverage that comes with a limited waiting period.

· Know the network hospitals

Knowing the network of hospitals when you choose the pregnancy insurance plan will allow you to get cashless treatment in times of emergencies. Most insurers have tie-up with some of the leading hospitals in the city.

Which are the best maternity insurance plans available in India?

Consider maternity insurance that covers all pregnancy-related expenses, childbirth, and newborn expenses. You can have a look at the health insurance plans below that offer maternity coverage in their plan variants.

Bajaj Allianz Health Guard plan:

You get maternity coverage under its gold and platinum plan variant. The plans cover up to two deliveries or terminations (if recommended medically). These plans also cover any complications arising during the pregnancy period. You get coverage for pre-and post-natal hospitalisations up to the sum insured.

Note: Check with your insurer if you want to add maternity cover to your plan, as you may have to pay additional fees. It may vary from insurer to insurer.

Read also: Maternity insurance plans with no waiting period.

Who can benefit from maternity health insurance cover?

Anyone who complies with the following parameters can benefit from maternity health insurance cover.

  • Anyone married and below 40 years old can benefit from the plan.
  • You can avail of the benefits if bought the maternity health insurance cover along with the health insurance policy.
  • You can claim for maternity health insurance upon completing the waiting.
  • You can claim for maternity health insurance up to two deliveries.

Eligibility criteria for maternity health insurance

Anyone between the age of 18 and 45 years can buy the pregnancy health insurance plan. However, one should note that the eligibility criteria tend to vary for different insurers.

Most insurance companies offer maternity coverage for up to two deliveries only. Check with the insurer when buying the policy for more terms and conditions.

Inclusions of maternity health insurance

Here are the pointers covered under a maternal health insurance policy:

  • Ambulance expenses
  • Inpatient care treatments
  • Medication
  • Follow-up visits
  • Pre- and post-natal expenses
  • Daycare treatments
  • Medically necessary pregnancy termination expenses
  • Vaccination expenses for newborn
  • IVF treatment

Exclusions of maternity health insurance

  • Cosmetic surgery
  • Pre-existing conditions
  • Expenses related to pregnancy before completing the policy waiting period
  • Medical expenses for eyesight, hearing and dental

Also, read: Senior citizen health insurance

When to purchase maternity health insurance?

Maternity health insurance, also known as pregnancy insurance is designed to protect expected parents from the high costs of pregnancy and childbirth. It covers expenses such as prenatal care, delivery charges, and postnatal care. It is recommended for women who are planning to conceive or those who are already pregnant.

Purchasing maternity insurance coverage should be done well in advance of conception. This is because there is usually a waiting period, which can range anywhere from a few months to a year, before the policy becomes effective.

Another good reason to purchase maternity insurance early on is to ensure that any pre-existing conditions are covered. These include medical conditions such as diabetes or high blood pressure. By securing maternity insurance policy before getting pregnant, expectant mothers can ensure that they will receive adequate coverage for any medical complications that may arise during their pregnancy.

A step-by-step guide to buying maternity health insurance plans

Follow the below steps to buy the maternity health insurance offered by our partners on Bajaj Finance Insurance Mall:

Step 1: Click on ‘Get Quote’ to open our online application form.

Step 2: Fill in the application form with your basic details or the person whom you want to insure. Provide name, gender, mobile number, date of birth, and residential PIN code.

Step 3: Now click on ‘Get Quote’ to proceed.

Step 4: Change the policy type option located at the top of the page to Top-up to get a list of comprehensive and top-up health plans. Choose the preferred health plan by clicking the ‘Buy Now’ button.

Step 5: Select the policy term and premium amount.

Step 6: Enter your email ID and check if all personal details shown are correct. Click ‘Next’ to proceed.

Step 7: Enter some additional details, such as height, weight, nationality, marital status, address, and nominee details (if applicable).

Step 8: Answer a few questions about your health and lifestyle by clicking the relevant checkboxes. Click on the ‘Next’ button to proceed.

Step 9: Verify if the previously filled details are correct. Click on the ‘Proceed’ button to visit the payment page.

Step 10: Make the payment through net banking, UPI, debit, or credit card to buy the policy.

Documents required to raise a claim for maternity insurance

In order to raise a claim, a policyholder will have to keep the following documents handy:

  • Duly filled insurance claim form
  • Discharge summary
  • Policy documents
  • Consultation bill
  • KYC documents
  • Passport-size photos
  • Original hospital bills

What is the claim process to avail of the maternity health insurance policy?

You can claim for pregnancy insurance policy in two ways.

Raise a cashless claim for maternity health insurance

Step 1: You have to submit a properly filled form provided by the hospital during the time of hospitalisation.

Step 2: Following this, the hospital will send a claim form to the insurance provider with the doctor’s report.

Step 3: You or the hospital must reply to the representative from the insurance provider when they raise a query.

Once your insurer approves the insurance claim, the company will pay the expenses to the hospital as per the sum insured.

Also, read: Family health insurance

Raise a reimbursement claim for maternity health insurance

Step 1: Submit a properly filled claim form to your insurer after discharge. Also, bills and receipts of reports and treatments, etc.

Step 2: A representative from the insurance provider might get in touch with you in case of a query. You will have to submit all the necessary documents and additional information to address the query.

Step 3: Once the insurer approves the claim request, you will receive the reimbursement as per the sum insured.

Things you must know before buying a maternity health insurance policy

Waiting period:

Most maternity insurance plan come with a waiting period including maternity cover benefits. Also, you may have a waiting period to avail of critical illnesses coverage if offered under the plan.

Number of children covered:

Most pregnancy insurance plans cover up to two children. Usually, maternity insurance plans provide coverage for newborns of age up to 90 days, and vaccination coverage for children up to one year old.

Termination/abortion:

 Some maternity insurance cover child termination or abortion in up to two instances. Due to pregnancy complications, it becomes medically necessary to terminate a pregnancy. Your health policy covers these expenses.

Newborn care:

Maternity insurance covers the expenses of a newborn baby up to 90 days from birth. It covers vaccination and any health complications of the baby.

Check the above pointers with your insurer when buying a maternity health insurance policy. You must always read the policy terms and conditions to benefit the most of your plan. Also, read about women health insurance policies.

Frequently asked questions

Is there any maternity insurance with no waiting period?

Most of the maternity health insurance policies come with a waiting period. However, it differs from insurer to insurer. Generally, the waiting period ranges from 2-4 years. You can avail the benefits of maternity coverage only after completing the waiting period.

Can I buy maternity insurance when I am pregnant?

Health insurers consider pregnancy as a pre-existing condition. Therefore, if you buy maternity insurance when pregnant, you cannot benefit from the cover. As most maternity health insurance policies come with a waiting period.
Hence, you must opt for maternity insurance cover well in advance.

Is second childbirth also covered in the maternity coverage?

Yes. Most maternity health insurance policies cover up to two deliveries.

Is the newborn baby covered in the maternity coverage?

Yes. Usually, maternity insurance covers newborn babies up to 90 days from birth. You get coverage for their vaccinations and treatment for health complications, if any.

Is pregnancy a pre-existing condition under health insurance?

Yes. Pregnancy is considered as a pre-existing condition in health insurance. There is a waiting period to avail the benefits offered under the pregnancy insurance. As a result, it is important to purchase health insurance with maternity coverage well in time. For example, you can buy a maternity health insurance immediately after your marriage.

What are all the coverages available in maternity insurance?

Different insurance companies provide different benefits in health insurance for pregnancy. Maternity insurance covers maternity-related hospitalisation up to 30 days before birth and 60 days after delivery. Also, delivery expenses, including pre-and post-natal fees, and hospitalisation charges. Maternity health insurance also covers your newborn baby. You get coverage for normal and C-section deliveries.

How is maternity insurance premium calculated?

The premiums for maternity health insurance policies are relatively high. It is expensive because the policy guarantee payout if claimed. Therefore, due to the certainty of the event, insurers charge a higher premium for pregnancy insurance. However, compare the benefits and the premium before purchasing any health insurance with maternity coverage.

Which is the good health insurance to cover pregnancy expenses?

Any health insurance that offers comprehensive maternity coverage is good. Health insurance plans offered by Bajaj Finance provide an add-on feature of maternity benefit that covers up to two deliveries. It also covers the newborn's vaccination and medical expenses (if any). Additionally, covers pre-and post-hospitalisation for up to 30 days before and 60 days after hospitalisation.

How many childbirths does a maternity health insurance policy cover?

Usually, maternity insurance policies cover up to two childbirths. It may vary depending on the insurer's terms and conditions.

Is there any waiting period for the maternity insurance plans?

Yes. Maternity insurance plans have a waiting period. The waiting period can range between 9 months and 6 years. However, check with your insurer for the terms and conditions.

How much does insurance cover for maternity?

Maternity insurance coverage varies depending on the specific policy and insurer. Typically, it covers expenses such as prenatal care, hospitalisation for delivery, postnatal care, and sometimes newborn care. It's essential to review the policy details for specific coverage limits and exclusions.

How much is maternity claim?

The amount of maternity claim varies based on the specific health insurance policy and the coverage chosen by the policyholder. Typically, it covers expenses related to prenatal care, delivery, and postnatal care up to the sum insured specified in the policy.

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Disclaimer

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