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What is a maternity health insurance plan?

The first thing that must be ticked on your checklist while planning to start a family is a comprehensive maternity insurance plan that covers all the maternity-related treatment costs. As most couples in India are apprehensive to start a family due to the financial responsibilities that are attached to it,

maternity health insurance plans are of great help for the to-be parents. It helps them to be stress-free as they cover medical examinations, medicines, monthly tests & reports etc. The main objective of maternity insurance coverage is that it helps them to be financially secured and prepared for sudden maternity emergencies.

Feature & benefits of maternity health insurance

  • Comprehensive coverage

    Maternity health insurance covers the expenses for delivery, hospital stay, medicines, new-born baby cover, pregnancy complications and more.

  • Newborn care

    The policy coverage is extended to the newborn if he/she is diagnosed with any kind of critical illness. This policy covers the new-born up to 90 days from birth, including the vaccinations

  • Easy online application

    Apply for maternity health insurance online from

  • Ambulance charges

    Ambulance charges during an emergency are covered under this plan.

  • Hospitalization coverage

    Any pregnancy-related expenses incurred 30 days prior, and 60 days post-hospitalisation are covered under the plan.

  • Cashless facility

    With the maternity health insurance plan with Bajaj Finance, you can avail of the cashless facility with any of the insurer’s network hospitals.

  • Quick claim settlement

    Get a quick claim settlement with a single point of contact for treatments taken at non-network hospitals.

  • Claim-free bonus

    Get the benefit of 10% cumulative bonus for each claim-free year.

  • Tax savings

    Avail tax exemption up to Rs. 60,000 under section 80D of the Income Tax Act, 1961.

Factors to Consider When Buying Maternity Health Insurance

It important to consider certain crucial factors while buying health insurance plan,let explore some of them in detail:

Focus on the Premium

Certain maternity health insurance policies are available at high health insurance premium rates.So,make sure to choose the maternity plan that falls within the budget.

Check the Waiting Period

There is always a waiting period involved with maternity health insurance policies. So, this waiting period is the time in which claims made will not be accepted by the insurer. It is always important to select a maternity health insurance plan with a limited waiting period.

Check the Sum Insured

It imperative to choose health insurance policy with sufficient coverage.

Network Hospitals

Cashless treatment is only available to policy holders who seek treatment at an empanelled hospital.

What’s covered in maternity health insurance?

The following are some of the things that are included in a maternity insurance plan:

• Ambulance expenses
• Medication
• Inpatient care treatments
• Pre-natal expenses
• Follow-up visits
• Day-care treatments
• Post-natal expenses
• Room rent charges
• Caesarean/normal delivery
• New-born baby cover

Documents required to apply for pregnancy insurance

To file an insurance claim, you should have the below mentioned documents handy. It would be good to maintain a file and keep the documents at one place.

• Duly filled in claim form
• Policy documents
• Discharge summary
• KYC documents
• Consultation bill
• Original hospital bill
• Passport size photographs

How to raise a claim for maternity health insurance

To claim for maternity health insurance the below-mentioned claim process is what is generally followed:

Claim intimation (Emergency cases within 24 hours of hospitalisation and planned hospitalisation within 48 hours)

Cashless pre-authorisation entails the following:

• Submit the filled-up claim form that your hospital provides you at the time of hospitalization
• The hospital authorities send the claim form to your insurance company, along with your doctor's reports
• A representative from your insurer may raise queries, which the hospital/you must reply to. If your claim is approved, your insurer will pay your hospital directly as per the sum insured that you are eligible for.

The reimbursement claim process entails the following:

• Submit the filled-up claims form on discharge to your insurance company along with the required documents like receipts and bills of reports and medical treatments, etc.
• A representative from your insurer may raise queries, which you must reply to and submit additional information or documents if required.
• If your claim is approved, your insurance company will reimburse you as per your eligible sum insured

Frequently Asked Questions (FAQs) for Maternity Insurance

If you are pregnant, can you get health insurance?

Yes, you can get health insurance when you're pregnant. However, it is always best to get yourself covered well in time to tide over waiting periods, if any. 

Is pregnancy considered a pre-existing condition for health insurance?

Yes, pregnancy is considered a pre-existing condition for health insurance with maternity cover but not for regular health insurance. As a result, it is important to purchase health insurance with maternity coverage as soon as you believe it is necessary; for example, maternity health insurance can be purchased shortly after your marriage.

What all coverages are there in maternity insurance?

Different insurance companies provide different benefits when it comes to health insurance for pregnancy.

Plans usually include complete maternity health insurance coverage, such as maternity-related hospitalisation bills up to 30 days before birth and 60 days after delivery, delivery expenses, including pre-and post-natal fees, hospitalisation charges, and newborn baby coverage. The coverage is available for normal as well as C-section deliveries.

How is maternity insurance premium calculated?

The premiums for maternity health insurance policies are usually relatively high. It is expensive because, unlike other types of health insurance, this policy is guaranteed to payout in the case of a claim. On the other hand, ordinary health insurance policies cover unplanned medical situations.

As a result of the certainty of the event (pregnancy), insurers charge a higher premium for health insurance that includes maternity coverage. However, before purchasing any health insurance coverage, it’s advisable to compare the benefits and the premium you need to pay to avail of the coverage. 

Which health insurance is good to have for pregnancy?

For comprehensive coverage, it is important to have health insurance that includes maternity coverage. 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, pre-and post-hospitalisation coverage for up to 30 days before and 60 days after hospitalisation is also offered.

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