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What is Maternity Cover in Health Insurance?
Maternity cover is an add-on cover one can opt for in a health insurance plan that covers all maternity-related expenses.
Anyone with an existing or new health insurance plan can include this benefit for themselves or their spouse so that whenever the time arises, all your maternity expenses towards the delivery of a baby and/or treatment related to any complications in the pregnancy or medically necessary termination can be covered and taken care of by us.
Additionally, the cover also compensates for expenses arising out of fertility issues and the newborn baby’s hospitalization charges due to any medical complications, and vaccination charges, up to 90 days from the date of delivery.
Disclaimer: Currently, Digit does not offer any Maternity coverage with our Health Insurance.
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Why Do You Need Maternity Cover in Health Insurance?
Maternity Cover in Health Insurance Simplified
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?
Planning for a family is one of life’s most joyous moments, but it comes with a financial burden. This is when a maternity cover is important. Mentioned below are the people who can benefit from maternity cover:
- Newly married couples who plan on starting a family at least in the next two to three years
- Who are planning to get married soon and have a baby in the next two to three years
- Those who already have one kid but are planning for the next child at least in the next two years
- Couples who aren’t planning for a child anytime soon but would still like to be safeguarded
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:
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:
Disclaimer: Currently, Digit does not offer any Maternity coverage with our Health Insurance.
What’s Not Covered under Maternity Health Insurance?
Understanding the Waiting Period for Maternity Cover in Health Insurance
In simple words, the waiting period in health insurance is the amount of time you must wait before you are eligible to begin receiving benefits under Maternity Coverage in Health Insurance. Pregnant women benefit greatly from this measure, which guarantees them some financial help while on maternity leave.
How does the waiting period work, then?
Well, the waiting period often begins on the day that a new policy starts working. Generally, it lasts between two to four years, depending on the policy.
You can start receiving maternity benefits as soon as you fulfil this requirement! To give you the time and assistance you need to care for yourself and your new baby, these benefits usually include paid leave for a certain amount of time before and after giving birth.
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:
What is the Process to Claim Maternity Insurance Benefits?
Filing a claim during pregnancy is a simple and easy procedure. The hospital you select will determine the claim procedure. You can file a cashless claim if you have chosen a network hospital, or you can use a reimbursement claim procedure if you have chosen a non-network hospital:
Cashless Claim
Step 1: Notify your insurer and select a network hospital for your treatment before being admitted to the hospital.
Step 2: Show your e-health card at the network hospital helpdesk and ask for the pre-approval.
Step 3: Fill out and sign the form and submit it to the helpdesk.
Step 4: After verification, the insurance company will take care of the cost involved in the treatment.
Reimbursement Claim
Step 1: If you select a non-network hospital or your cashless claim is rejected, keep all the medical bills, reports, and other essential expense documents with you.
Step 2: After treatment, contact your insurer and provide them with all the soft copies of the documents and bank account details for reimbursement of expenses.
Step 3: The insurer will verify the documents, and you will receive a reimbursement for the treatment.
Documents Required For Claim Process
Before filing a claim for a maternity health insurance plan, you must have valid proof of certain documents, without which the claim cannot be processed. Here is a list of important documents that are required during maternity claim:
- Identification Proof: Adhar Card, PAN Card, Passport, etc.
- Policy Document: Keep a copy of your policy document handy.
- Claim Form: Fill in all the details of your claim form and submit it.
- Invoices and Medical Records: Keep all the invoices, consultation fees and other documents handy.
- Maternity Certificate: Ask your doctor or hospital for a pregnancy certificate.
What makes Maternity Benefit so Important for Young Couples?
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:
Every parent's journey must begin with confidence and care, not the financial burden of having a child. And, maternity coverage in health insurance is the best way you can do so. By understanding the benefits, limitations, and eligibility criteria of maternity cover, you can make an informed decision that aligns with your needs.
As you prepare for this beautiful new chapter of life, let your health insurance be your silent partner, providing the support and peace of mind you deserve.