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Maternity Health Insurance

Motherhood is one of the most incredible experiences in a woman's life. But it also brings a fair amount of health issues that may create pressure on your finances, building up to the hospitalisation costs at the time of delivery. Comprehensive maternity health insurance assists and enables expectant mothers to access the best healthcare facilities without facing financial burdens. Thus, the entire family can enjoy the time together and get set to welcome the new member with pomp.

A maternity insurance plan covers the expenses for normal and C-section deliveries up to the sum insured under a policy term. This insurance coverage is typically included as a rider or add-on benefit with a standard health insurance policy. Many maternity insurance providers cover up to two pregnancies. It also covers the newborn's vaccinations as well as any medical costs that may arise. Pre- and post-hospitalisation coverage is also available for up to 30 days before and 60 days following hospitalisation.

Feature & Benefits Of Maternity Health Insurance

  • Comprehensive coverage

    Maternity health insurance covers the expenses for delivery, hospital stay, medicines and more.

  • Newborn care

    The policy coverage is extended to the newborns if they are diagnosed with any kind of critical illness.

  • Easy online application

    Apply for maternity health insurance plan online.

  • Ambulance charges

    Maternity insurance plan covers ambulance charges during an emergency are covered under this plan.

  • Hospitalisation coverage

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

  • Cashless facility

    Get a cashless facility at 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 Insurance Plan

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

What's not covered under the maternity health insurance policy


Here are some of the common exclusions under the policy.
• Pre-existing conditions
• Cosmetic surgery
• Pregnancy-related expenses before completing the waiting period
• Medical expenses for dental, hearing and vision

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) about maternity insurance

1. Is there any Maternity insurance coverage with no waiting period?

Generally, the waiting period differs from one insurer to another. It ranges from 2 years to 4 years. So, if your waiting period is 2 years for maternity coverage, that means you will have to wait for 2 years from the day your policy starts to avail benefits of maternity coverage.

2. Can I buy maternity coverage when I am pregnant?

Many health insurers consider pregnancy as a pre-existing condition. Therefore, there is a waiting period before you can claim the benefits of the maternity insurance. The waiting period may vary from insurer to insurer. Hence, it is recommended that you must buy the maternity insurance well in advance.

3. Is 2nd childbirth also covered in maternity coverage?

Yes, up to two childbirths are covered in most maternity or health insurance plans.

4. Is the newborn baby covered in the maternity coverage?

Yes, your newborn baby is covered for up to 90 days since birth in the maternity insurance, where treatment for any illness or emergency for the new born is covered alongwith vaccinations.

5. 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.

6. 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.

7.What are all the coverages available 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.

8. 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 pay out 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.

9. 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.
 

10. How many childbirth are covered under a maternity health insurance policy?

Usually, maternity insurance policies provide coverage for up to the birth of two children. However, it may vary depending on the insurer's terms and conditions.
 

11. Is there any waiting period for the maternity insurance plans?

Yes. Maternity insurance plans have a waiting period, although it may vary depending on the insurer. The waiting period implied by the insurer is usually between 9 months and 6 years.

12. What is the waiting period for maternity insurance?

Most of the maternity health insurance plans have initial waiting period of 30 days. However, the waiting period depends from insurer to insurer. Therefore, check with the insurer before buying a maternity insurance plan. In this waiting period you can't avail claims except for medical expenses due to accidental injuries.

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