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Health Insurance with Maternity Coverage

Becoming a parent is a life-changing journey filled with joy, excitement, and countless preparations. But with the dreams of welcoming a baby many people might overlook the expenses incurred in maternity. Read more... From diagnostic tests and delivery to postnatal care, the expense of pregnancy could add up very quickly making it difficult for the parents to handle this financial burden. This is when maternity coverage in health insurance becomes important. Remember, parenthood comes with a responsibility, and it starts with the correct financial coverage! 🙂 Read less

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What is Maternity Cover in Health Insurance?

Why Do You Need Maternity Cover in Health Insurance?

Planned Parenthood

Having maternity coverage is similar to having a plan if you intend to grow your family. With your health insurance protection, you can plan financially and concentrate on raising your child in a loving family.

Pay for Newborn Medical Costs

The expense of giving birth has increased dramatically due to the rise in medical inflation. You may cover this expense with maternity health insurance without having to take money out of your savings.

Financial Security

Although babies bring happiness, babies also come with expenses. A health insurance plan covering maternity costs is your financial superhero because it covers everything to ensure you don't worry about hospital fees.

Maternity Cover in Health Insurance Simplified

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Welcoming a new life is beautiful, but are you prepared for the unexpected expenses that come with it?

With maternity coverage in health insurance, you can focus on the joys of parenthood without worrying about financial burdens. It supports hospitalization and delivery expenses, ensuring a stress-free experience for expecting families.

Watch this video to discover how maternity coverage works and why it's essential for every family.

Who Can Benefit from a Maternity Cover in Health Insurance?

When Should You Opt for Health Insurance with Maternity Cover?

One important step in buying health insurance is securing maternity coverage at the right time. Here is when you must opt for maternity coverage in health insurance:

Early Parenting Planning

Early Parenting Planning

It's never too early to begin planning to become a parent. Pregnancy insurance is advantageous when you are in the family planning stage.

Future Financial Comfort

Future Financial Comfort

Having a child is unquestionably a happy occasion, but it involves costs. Pregnancy insurance lessens the financial strain of postpartum, maternity care, and delivery costs and provides financial security during these times.

For Unexpected Complications

For Unexpected Complications

Although everyone hopes their pregnancy goes well, unanticipated problems might happen. Pregnancy insurance ensures you get the support you require without worrying about related expenses by covering unforeseen medical issues.

Workplace Coverage Gaps

Workplace Coverage Gaps

Certain places of employment don't offer full maternity benefits. If your employer's coverage is inadequate, pregnancy insurance is an additional plan to bridge the gaps and provide complete coverage for all your requirements.

What’s Covered under a Maternity Insurance Policy?

Maternity health insurance covers the expenses incurred when a mother is about to deliver. But, the coverage does not end here. Here is what is covered under the maternity health insurance:

Prenatal Care

Prenatal Care

Maternity insurance policies usually cover prenatal care costs, such as regular checkups, consultations, diagnostic testing (such as blood tests and ultrasound scans), and prescription drugs.

Postnatal Care

Postnatal Care

Maternity insurance pays for the mother's and the baby's postnatal care costs after delivery. This covers prescription drugs, follow-up appointments with medical professionals, and other therapies required to promote healing.

Coverage of Newborn Baby

Coverage of Newborn Baby

Many maternity insurance plans cover newborns for a pre-determined amount of time after birth. This plan usually covers newborn care, immunizations, regular pediatric checkups, and any necessary medical treatments.

Hospitalization Costs

Hospitalization Costs

Your maternity insurance will cover you if you must stay in the hospital on the big day. You may concentrate on the wonderful moment without worrying about the bills.

Delivery Fees

Delivery Fees

Your insurance helps pay for the delivery costs, whether standard or special, through C-section. So, you can enjoy the wonderful times without worrying about the healthcare fees.

Pre-Existing Disease Condition

Pre-Existing Disease Condition

Some maternal health insurance policies cover pre-existing diseases and even include the cost of any previous maternity-related conditions under a special clause.

What’s Not Covered under Maternity Health Insurance?

Pre-Existing Disease Before Pregnancy

Maternity insurance policies do not pay for pre-existing pregnancy-related costs during policy claims or waiting periods. Therefore, it is crucial to accurately declare any current pregnancy complications during application to prevent a claim from being denied.

Waiting Period

The insurance company has a waiting period for maternity insurance policies before which pregnancy-related costs are not covered. Depending on the insurer and the policy terms, this waiting period may be a few months or a few years.

Treatments for Fertility

Assisted Reproductive Technologies (ART) such as IVF and other infertility treatments are among the costs associated with fertility treatments that are typically not covered by maternity insurance plans. Usually, only medical costs directly associated with pregnancy and childbirth are covered.

Understanding the Waiting Period for Maternity Cover in Health Insurance

Eligibility Criteria for Maternity Health Insurance

Individuals and families who intend to obtain complete healthcare coverage during the maternity period must be aware of the eligibility requirements for maternity health insurance:

Age Limitations

Most maternity health insurance policies have minimum and maximum coverage eligibility limits. Maternity health insurance is normally available to people above 18 years of age.

Pre-Existing Condition

Tell the truth about any health issues you may have had in the past. It will increase the waiting period or exclusions accordingly.

Financial Stability

Some insurers may take the policyholder's income and financial stability into account, even though this isn't always mentioned clearly.

Medical History

Certain policies may question the policyholder's family medical history to know genetic problems that might affect eligibility.

Health Examinations

A medical checkup can be necessary before the policy is issued, depending on the insurer and the policyholder's age.

What is the Process to Claim Maternity Insurance Benefits?

Documents Required For Claim Process

What makes Maternity Benefit so Important for Young Couples?

Financial Security

Financial Security

Stay financially secure during one of the most important moments of your life. A maternity benefit cover in your health insurance will ensure you don’t need to spend much from your savings and will ensure you have a stress-free delivery and onset of parenthood.

Relaxing Onset to Parenthood

Relaxing Onset to Parenthood

A maternity benefit cover does not only cover expenses during delivery but, also covers your newborn baby up to its first 90 days (covering for any medical complications and required vaccinations), so you can relax, recover and relish the beginning of your new journey.

Valuable Longterm Benefits

Valuable Longterm Benefits

Some Maternity covers provide additional benefits on the Sum Insured when you have a second child.

Cover Against Medically Necessary Terminations

Cover Against Medically Necessary Terminations

Have the option to medically terminate your pregnancy in case the need arises. The maternity benefit cover offered by us covers medically necessary and lawful terminations of pregnancies.

Peace of Mind

Peace of Mind

Peace of mind. Our babies are our bundle of joy, and we don’t want to take that away from you by stressing you about the expenses. A Maternity Cover has your back!

Things to Know About Maternity Cover in Health Insurance

From the waiting period to coverage details, understanding maternity insurance is essential for a stress-free experience during your pregnancy. Here are the key things every parent must know about the maternity cover insurance:

Waiting Period

Like other vital covers, such as pre-existing disease coverage, Maternity Cover comes with a waiting period before you can claim and benefit from it. Usually, the waiting period for maternity coverage lasts up to two years.

Number of Children

Usually under a Maternity Benefit Cover, the coverage is up to two children.

Medically Necessary Termination

Sometimes, due to pregnancy-related complications, such as the mom-to-be's health conditions; parents may decide to medically terminate a pregnancy. In this case, your health policy will cover for all expenses arising due to the same. Under this benefit, there is no restriction as to the number of medically necessary and lawful termination of pregnancies.

Eligibility Criteria for Maternity Insurance Cover

Any married or single person who has opted for maternity benefit coverage is eligible for the maternity benefit. One can also opt for this add-on later during their policy period. However, one must note that they will not be eligible for a maternity benefit if they’re already pregnant.

Newborn Baby Benefit

Under the maternity insurance cover, the newborn baby is further insured for the first three months, i.e., 90 days of their life. This includes any health complications and required vaccinations according to the National Immunization Schedule the Government of India defines.

FAQs about Maternity Coverage in Health Insurance