Maternity insurance is an add-on cover for a health insurance policy that you can opt for at the time of purchase or renewal by paying a nominal additional premium. This add-on cover is designed to provide comprehensive coverage for medical costs related to pregnancies and childbirth.
Maternity insurance typically covers normal and C-section deliveries, pre and post-natal care, hospitalisation, diagnosis, medications, doctor consultations, and more.
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The Maternity Health Insurance Cover offers the following benefits:
With pregnancy/ Maternity Insurance, you can gain coverage for C-section and normal delivery expenses, hospital stays, medications, any complications resulting from the pregnancy and more!
The pre and post-hospitalisation expenses resulting from check-ups, medications, follow-ups, etc. before and after delivery are covered.
In case the newborn is diagnosed with a critical illness, the insurance cover shall be extended to the child for up to 90 days after birth. Moreover, it also covers the cost of vaccinations.
You can do away with the worry of hefty medical bills due to your pregnancy as the cashless hospitalisation facility ensures financial security!
You can rest assured about the ambulance charges incurred during an emergency with the Maternity Insurance policy!
Here are some key inclusions and exclusions in case of a Maternity Insurance plan that you must consider:
The Maternity Insurance add-on cover shall cover all the expenses arising from the delivery of a baby. The coverage might limit the number of pregnancies covered under the plan.
The health insurance policy shall cover the hospitalisation expenses and the room rent incurred while you are admitted.
In case the doctor recommends a caesarean section or also known as a C-section for the well-being of the mother and child, maternity health insurance covers the expenses.
To ensure you are covered against any pregnancy-related complications, maternity health insurance includes all medical costs incurred for the same.
In case of medically required termination of your pregnancy, the maternity health insurance add-on cover has got your back.
The insurance plan protects your infant with a newborn baby cover by offering coverage for the first 90 days from birth.
With soaring medical care costs due to medical inflation, the expenses related to pregnancy and childbirth have subsequently increased over the years. The costs incurred for a C-section or normal delivery is not inclusive of prenatal care like fertility treatment, frequent doctor’s appointment fees, diagnostic expenses, medications, and other pregnancy-related costs.
Without sufficient insurance coverage, bearing such hefty healthcare costs can take a toll on your finances. The National Family Health Surveys (NFHS - 5) reported a high number of C-sections in India which could be due to complicated pregnancy cases. However, the caesarean section is a more expensive procedure. This is why Maternity Insurance Cover becomes crucial for families planning for a child as it not only covers childbirth but also provides insurance coverage to the newborn baby!
While deciding to purchase Maternity Insurance coverage, it is vital to pick extensive coverage that secures most pregnancy-related costs. Hence, go through the features of the maternity add-on cover offered by your insurer to understand if it suits your requirements. You should make sure the following features are available under your pregnancy insurance:
Pre and post-natal expenses
Normal and c-section delivery costs
Newborn baby cover
Coverage for vaccination
Couples who have recently gotten married and would start planning for a child after some years can consider a Maternity Insurance to complete the waiting period in health insurance sooner.
Individuals who have finally reached a stage in their marriage where they want to start considering a child.
Couples who already have one kid and want insurance coverage before planning for another child.
Individuals who aren’t planning to conceive anytime soon but want to have maternity coverage for the future!
It is imperative to do thorough research before buying any insurance policy. Here are a few important aspects that you should consider before choosing a Maternity Insurance:
As the maternity cover is an add-on, you have to purchase it separately from your health insurance policy. Although the features of the cover offer extensive coverage, ensure you take the additional premium into account.
Many Maternity Insurance plans have a fixed waiting period that you must complete to avail the benefits. Thus, the insurance provider will not accept any claims before the waiting period. So, make sure you check the waiting period applicable to your add-on cover. Furthermore, it is highly advisable to choose a health insurance plan with maternity cover early in life to enjoy the coverage.
Many medical facilities or covers in health insurance come with a sub-limit clause. Similarly, maternity health insurance coverage could also have sub-limits. So, make sure to go through the policy documents after compare health insurance plans and choose the one that best suits your needs.
The policy that you choose needs to provide adequate coverage that caters to all your pregnancy-related expenses. This includes hospitalisation costs, medications, checkups, consultations, and any costs arising from complications.
Although the eligibility criteria for Maternity Insurance shall vary from one insurer to another, here are some common norms to meet:
Minimum Entry Age: Child - 1 day to 24 years old, Adult - 18 years or above
Maximum Entry Age: 45 years old
Here are a few steps which you can follow to purchase a health insurance plan with Maternity Insurance Cover:
Step 1: Go to the ‘Health Insurance Premium Calculator’ page.
Step 2: Enter the personal details required on the page such as your name, age, contact number, residential pin code, etc. and proceed.
Step 3: Select the maternity add-on cover from the add-on options.
Step 4: Compare the available policies based on the sum insured and other benefits.
Step 5: Proceed with a suitable health plan and review the policy details.
Step 6: Pay the premium online.
Your health insurance policy with Maternity Insurance will be issued soon!
Inform your insurer immediately when you are hospitalised for childbirth. This way, they can initiate the claim process for your Maternity Insurance. The claim settlement can either be cashless or reimbursement, depending on the hospital you are admitted to. Here’s how you can file a cashless and reimbursement claim:
You can avail the cashless insurance settlement facility when seeking medical assistance at a network hospital.
Fill out the claim application form available at the insurance desk at the network hospital.
The hospital shall seek approval and initiate the claim process. Submit the necessary documents to the insurer.
Once the claim application is approved, the insurer will settle the amount directly with the hospital.
When availing medical assistance at a non-network hospital, you can proceed to claim compensation with reimbursement claims against your Maternity Insurance.
Notify the insurer regarding the hospitalisation due to pregnancy.
Fill out the Maternity Insurance claim application form after discharge and submit the necessary documents and hospital bills.
The insurer will assess your claim application and raise a request for additional documents (if needed).
Once the claim application is approved, the insurer will compensate for the expenses incurred as per the terms of your Maternity Insurance.
Make sure you have the following documents while raising a Maternity Insurance claim:
Health insurance policy document
Claim application form
Original invoices and bills, in case of reimbursement claims
Pre-authorisation form, in case of cashless claims
Other documents that may be required by the insurer
Yes, you can opt for maternity insurance coverage while you are pregnant. But you cannot raise any insurance claims before the waiting period is completed. Thus, it is recommended to get maternity coverage a couple of years before planning for a child.
As maternity insurance/pregnancy insurance is an add-on cover, the premium quote will vary from insurer to insurer. So, contact your insurance company to find out the maternity cover price and opt for it during insurance renewal.
Yes. You can opt for a comprehensive health insurance plan while you are pregnant.
No. Currently, all maternity health insurance covers have a waiting period.
Most insurance companies cover the medical care expenses of up to two pregnancies under the maternity health insurance cover.
You can avail the maternity cover benefits if you meet the following criteria:
If you have purchased a maternity add-on cover with your health insurance policy.
If you haven’t exhausted the coverage available under the add-on (or had more than two children).
In case you have completed the waiting period applicable under the cover.
Most maternity health plans extend coverage for newborn babies for up to 3 months/ 90 days. However, it is best that you confirm the same with your insurance provider.
Yes, the maternity benefits fall under the category of income and hence are taxable. However, you can get tax exemptions under Section 80D.
Most maternity insurance plans offer coverage for up to 2 pregnancies. However, it is best that you confirm the same with your insurance provider.
Yes, a husband and wife both can claim maternity insurance.
There is no maternity insurance benefit that can be claimed within zero months. All of them come with a waiting period of at least some months.
You can add a Maternity Benefit as an add-on or top-up to your existing Health Insurance.
Yes, many insurance companies offer maternity insurance that you can purchase from their official websites. Remember to only buy insurance from reputed insurance companies.