Related Articles
.png)
Jan 08, 2025
Is Varicose Vein surgery covered under the health insurance policy in India
Health Insurance
.png)
Maternity Health Insurance: Things You Must Know About
Motherhood is a joyous feeling. The delight of bringing a new life into the world, the maturity of taking on a responsibility of a child, watching the child grow, all these joys can only be experienced by parents. But what about the associated costs? Aren’t the costs a nightmare?
Right from the time you get pregnant till the time your child becomes financially independent, there are huge expenses involved. What if some of these expenses are handled?
Yes, you heard me right. There are health insurance policies which provide coverage for maternity. Maternity insurance cover is either inbuilt in the plan itself or you can take it by paying an additional premium. In most cases you find maternity cover inbuilt in the plan benefits.
Salient features of maternity insurance in health insurance plans
Coverage extended
Under maternity cover you would find that health insurance plans specify a limit on the amount of coverage extended. These limits vary for normal delivery and Cesarean delivery. There is a higher limit for Cesarean delivery compared to normal one. Moreover, the limits depend on the Sum Insured. The higher the Sum Insured the higher would be the limit on maternity coverage. Under maternity insurance, only hospitalization expenses incurred at the time of maternity and delivery are covered. For instance, say the limit on Cesarean delivery under the plan is Rs.50, 000. During your pregnancy you get hospitalized for maternity related complications twice and incur a bill of Rs.10, 000. At the time of delivery, the allowed limit of health insurance would be Rs.40, 000 since you already claimed Rs.10, 000 earlier.
Exclusions
Maternity coverage also has some common exclusions although the coverage varies between different plans. These common exclusions include the following:
- Fertility related treatments
- Abortion or termination of pregnancy
- Premature birth defects in the baby
- Expenses incurred on the child. You might find some of these exclusions covered in some plans but in most plans these exclusions are common. So, when you are considering maternity insurance keep an eye out for these exclusions.
Group insurance vis-à-vis individual insurance
There is a difference between group insurance plans and individual insurance plans when it comes to maternity coverage. Many group insurance plans do not provide coverage for maternity. If you are enrolled in a group plan, check for maternity coverage. If there is no coverage, you would have to opt for an individual plan. Other group plans which provide maternity coverage cover new born babies either from Day 1 or after the baby has completed 3 months. So, you would have to check for the coverage of the new born baby in your group insurance plan.
Waiting Period
A very common and important feature of maternity cover is the inherent waiting period. Any health insurance plan which covers maternity provides coverage only after a specified waiting period. This waiting period usually ranges from 2 years to 6 years and it varies between different health insurance plans. Considering this waiting period is very important if you are thinking of starting a family soon. That is why it is always advised to buy maternity insurance at the earliest so that when you would start a family the applicable waiting period would be over.
Claiming maternity cover
As stated earlier, there is a limit on maternity coverage provided by a health insurance plan. When you incur maternity related expenses and are making a claim, remember that claims would be admissible only up to the specified limit. Moreover, your hospital bill should present clubbed charges for the mother and the new-born baby. If the baby’s charges are billed separately your health insurance policy would not pay for such separate charges. Maternity insurance comes in handy in shouldering the huge expenses involved with pregnancy and child birth. However, before you buy a health insurance plan covering maternity you should be aware of the above-mentioned features. Compare between the different maternity coverage plans and choose a plan which has the highest limit on coverage, has a low waiting period and has minimum exclusions. Motherhood is a joyful feeling. Don’t let the expenses weigh you down. Buy a maternity insurance plan.
Choose wisely!
FAQs: Things You Must Know about Maternity Health Insurance Plans
A maternity insurance policy is a type of health insurance policy that covers the medical expenses for delivery, hospitalisation, and medicines. Parenthood is one of the most significant life experiences for a couple.
What is Not Covered under Maternity Insurance Plan? Pre-existing diseases affecting pregnancy. Congenital Diseases. Treatment expenses related to infertility.
Most insurance companies do not provide maternity insurance if you are already pregnant. This is because they consider your pregnancy as a pre-existing condition and is beyond the policy cover.
Author Bio
Paybima Team
Paybima is an Indian insurance aggregator on a mission to make insurance simple for people. Paybima is the Digital arm of the already established and trusted Mahindra Insurance Brokers Ltd., a reputed name in the insurance broking industry with 17 years of experience. Paybima promises you the easy-to-access online platform to buy insurance policies, and also extend their unrelented assistance with all your policy related queries and services.
Other Health Insurance Products
Jan 08, 2025
Health Insurance
Latest Post
Your health insurance policy gives you a No Claim Bonus when you fulfil your policy term without needing to make a claim. Your premium payments will decrease step by step through this feature. The bonus system benefits everyone involved in the insurance process. It helps customers to practice better healthcare habits and brings savings on insurance expenses.
There is no question, in fact, that daughters bring a special kind of sparkle into our lives – along with an endless list of questions, a closet full of dresses, and some very specific birthday party themes. But beyond the laughter and everyday chaos, we need to understand that there is a real responsibility on our shoulders: making sure they grow to be healthy, strong, and ready to take on the world.
Marriage is built on shared dreams, countless compromises, and a commitment to protect each other through thick and thin. While love, trust, and communication form the emotional foundation of marriage, a little bit of financial planning doesn’t hurt either. This is exactly where spouse term insurance steps in — a simple yet powerful way to safeguard your future together.
When managing insurance policies, one term that often comes up is the “Grace Period.” It’s a window of opportunity provided after the premium due date, allowing policyholders to renew their insurance without losing accumulated benefits. However, this grace period does not work the same way across all types of insurance. Understanding how it differs between health, life, and car insurance is crucial for avoiding lapses and ensuring continuous protection.
In a world where flexibility and better service are increasingly expected, health insurance portability allows policyholders to move from one insurer to another without losing the benefits they’ve already earned. Introduced by the Insurance Regulatory and Development Authority of India (IRDAI), this provision empowers individuals to seek better coverage, improved customer service, or lower premiums without the fear of starting from scratch.
Speak to our Advisor
+91
