No Room Rent Capping | No Medical Check-up up to 55yrs | Tax Benefit up to 75k | Buy Health Insurance starting @ ₹244 pm

What is Maternity Insurance?

Maternity insurance cover is an add-on cover designed to secure the healthcare costs related to pregnancy, including normal and C-section delivery. Offering coverage for pre and post-natal expenses, hospitalisation costs and a newborn baby cover, maternity cover ensures you are financially protected and provides solid support! You can easily opt for a maternity add-on cover with your existing individual or family health plan or while purchasing a new policy!

Why do you Need Health Insurance With Maternity Cover?

With soaring medical care costs, the expenses related to pregnancy and childbirth have subsequently increased over the years. The cost incurred for a C-section or normal delivery is not inclusive of pre-natal care like fertility treatment, frequent doctor’s appointment fees, diagnostic expenses, medications, and pregnancy-related costs.

 

Without sufficient insurance coverage, bearing such hefty healthcare costs can take a toll on any family. The National Family Health Surveys (NFHS - 5) reported a high number of C-sections in India which could be due to complicated pregnancy cases. But the caesarean section is a more expensive procedure. This is why a maternity cover becomes crucial for families planning for a child as it not only covers childbirth but also provides insurance coverage to the newborn baby!

Features and Benefits of Maternity Cover

The maternity health insurance cover offers the following benefits:

  • Comprehensive Coverage

With pregnancy insurance, you can gain coverage for C-section and normal delivery expenses, hospital stays, medications, any complications resulting from the pregnancy and more!

  • Covers Hospitalisation Expenses

The pre and post-hospitalisation expenses resulting from check-ups, medications, follow-ups, etc. before and after delivery are covered.

  • Secures the Newborn

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.

  • Cashless Hospitalisation

You can do away with the worry of hefty medical bills due to your pregnancy as the cashless hospitalisation facility ensures financial security!

  • Ambulance Cover

You can rest assured about the ambulance charges incurred during an emergency with the maternity insurance policy!

Eligibility Criteria for Maternity Insurance

Although the eligibility criteria for maternity health 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

What to Look for in a Maternity Insurance?

While deciding to purchase a maternity health insurance cover, 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 expense

  • Normal and c-section delivery costs

  • Newborn baby cover

  • Coverage for vaccination

  • Hospitalisation expenses

  • Ambulance cover

What’s Covered?

Here are some key inclusions of the pregnancy insurance that you must consider while opting for the add-on cover:

  • Cost of Delivery & Labour

The maternity 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.

  • Room Rent & Hospitalisation

The health insurance policy shall cover the hospitalisation expenses and the room rent incurred while you are admitted.

  • C-Section

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.

  • Pregnancy Complications

To ensure you are covered against any pregnancy-related complications, maternity health insurance includes all medical costs incurred for the same.

  • Medically Required Pregnancy Termination

In case of medically required termination of your pregnancy, the maternity health insurance add-on cover has got your back.

  • Newborn Baby Cover

The insurance plan protects your infant with a newborn baby cover by offering coverage for the first 90 days from birth.

What’s Not Covered?

Now, let’s look at some of the exclusions of the maternity health insurance policy that aren’t covered by the insurer:

 

  • Any pre or post-natal expenses incurred, unless it leads to hospitalisation.

  • Vitamins, tonics or other supplements for the mother and the child.

  • An ectopic pregnancy will not be under the maternity cover unless included in the base health plan.

  • In case of pregnancy claims after you have exhausted the number of pregnancies covered under maternity insurance.

  • Any insurance claims raised during the waiting period.

  • Healthcare costs of harvesting and storing stem cells are not covered.

  • Some maternity health insurance might not cover infertility treatments.

Who Should Opt for Maternity Insurance?

  • Newly Married Couples

Couples who have recently gotten married and would start planning for a child after some years can consider a maternity cover to complete the waiting period in health insurance sooner.

  • Couples Planning for Children

Individuals who have finally reached a stage in their marriage where they want to start considering a child.

  • Families Planning a Second Child

Couples who already have one kid and want insurance coverage before planning for another child.

  • Couples Who Want Children in the Future

Individuals who aren’t planning to conceive anytime soon but want to have maternity coverage for the future!

How to Buy Maternity Insurance Online

Follow the below-mentioned steps to purchase a health insurance plan with a maternity cover:

 

Step 1: Go to the ‘health insurance premium calculator’ page on Bajaj MARKETS.

 

Step 2: Select a suitable type of health insurance policy. Enter the personal details required on the page such as your name, age, contact number, residential pin code, etc. and proceed.

 

Step 3: You shall find various health plans visible on the screen.

 

Step 4: Select the maternity add-on cover from the add-on options.

 

Step 5: Compare the available policies based on the sum insured and other benefits.

 

Step 6: Proceed with a suitable health plan and review the policy details.

 

Step 7: Pay the premium online.

 

Step 8: Your health insurance policy with maternity cover will be issued soon!

Factors to Keep in Mind While Buying Maternity Insurance

It is imperative to do thorough research before buying any insurance policy. Here is a look at some important aspects that you should consider before choosing a maternity cover:

  • Premium Quote

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.

  • Waiting Period

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 a maternity cover early in life to enjoy the coverage.

  • Sub-Limit Clauses

Many medical facilities or covers in health insurance come with a sub-limit clause. Similarly, a maternity health insurance cover could also have sub-limits. So, make sure to go through the policy documents after comparing various plans and choose the one that best suits your needs.

  • Policy Coverage

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.

How to Claim Maternity Health Insurance

Inform your insurer immediately when you are hospitalised for childbirth. This way, they can initiate the claim process. 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 a reimbursement claim:

  • Cashless Claim

  1. You can avail the cashless claim settlement facility when seeking medical assistance at a network hospital.

  2. Fill out the claim application form available at the insurance desk at the network hospital.

  3. The hospital shall seek approval and initiate the claim process. Submit the necessary documents to the insurer.

  4. Once the claim application is approved, the insurer will settle the amount directly with the hospital.

  • Reimbursement Claim

When availing medical assistance at a non-network hospital, you can proceed to claim compensation with reimbursement insurance claims.

 

  1. Notify the insurer regarding the hospitalisation due to pregnancy.

  2. Fill out the claim application form after discharge and submit the necessary documents and hospital bills.

  3. The insurer will assess your claim application and raise a request for additional documents (if needed).

  4. Once the claim application is approved, the insurer will compensate for the expenses incurred.

Documents Required for Claiming Under Maternity Insurance

Make sure you have the following documents while raising a maternity insurance claim:

 

  • Health insurance policy document

  • KYC documents

  • Claim application form

  • Discharge summary

  • 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

Wrapping it Up!

Pregnancy is a long journey that includes constant doctor’s visits, medications, tests, follow-ups and more. To ensure the mother and the child are healthy, you must not skip any tests or procedures recommended by your medical practitioner. With a maternity cover, you can prioritise yourself and your child without any financial worries!

 

Health insurance plans available on Bajaj MARKETS come with an option to choose a maternity add-on cover and offer extensive coverage! So, head over to our platform and safeguard yourself against pregnancy-related medical expenses today. Enjoy perks such as reinstatement benefits, cashless claim settlements, hassle-free renewals, and more with us.

Best Health Insurance Plans Available at Bajaj MARKETS

FAQs on Maternity Health Insurance

  • ✔️Can I get maternity insurance while pregnant?

    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 a maternity cover a couple of years before planning for a child.

  • ✔️What is covered under the maternity insurance plan?

    Maternity health insurance offers coverage for both normal and c-section deliveries along with a newborn baby cover.

  • ✔️How are premiums in pregnancy insurance calculated?

    As maternity 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.

  • ✔️Can I opt for health insurance while I am pregnant?

    Yes. You can opt for a comprehensive health insurance plan while you are pregnant.

  • ✔️Are there any maternity covers without any waiting period?

    No. Currently, all maternity health insurance covers have a waiting period.

  • ✔️How many pregnancies are covered under the maternity cover?

    Most insurance companies cover the medical care expenses of up to two pregnancies under the maternity health insurance cover. 

  • ✔️Who can avail the maternity cover benefit?

    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.

Happy Customers of Bajaj MARKETS

Getting a loan to take care of my wedding and relieving my parents to enjoy the occasion was the best decision I ever made. Easy-to-apply, amazing interest rate and quick disbursal, what more can one ask for!

I am passionate about the vehicle I drive. I want to protect it with the best available option. What amazed me was the full transparency, quick quotes and the attractive discount on the premium while choosing the annual payment option!

Check your personal loan eligibility in seconds!

My husband and I will finally move into our own house this Diwali. All thanks to Bajaj Finserv, with competitive interest rates, minimal processing fees and easy to repay EMIs, our dream saw the light of reality in no time!

Get the best FD interest rates starting @ 8.40%. Let's start!

Kids grow up fast and to fulfill their dream trip to Disneyland I had everything but instant funds. With no collateral or guarantor required and a hassle-free processing, I gifted my family a memorable trip to Orlando with just a click!

Get sum insured up to 1 Crore! Let's start!

The best way to start looking for health insurance is to do a close study of the coverage needs and checking the insurance company's claim ratio. No unnecessary jargons, easy to apply claims process and choice of premia!

Zero additional charge on part-payment option on Business loans! Let's start!

I bought my first iPhone using my Bajaj Finserv EMI Network Card. Zero downpayment with a No cost EMI on Bajaj Finserv EMI store just made my day!

Get home loan sanctioned online in 72 hours! Let's start!