Getting pregnant and embracing motherhood is the greatest joy that a woman can experience. The phase of a nine-month pregnancy of a woman is like a roller-coaster ride when she undergoes a wave of emotions along with several changes in her physical and hormonal self. On one hand, there is this immense joy of being a parent and on the other there is also the fear of the impending associated expenses.
All this makes it inevitable for would-be parents to be well prepared financially. A maternity health insurance is a plan that helps in handling the soaring costs of medical treatment during pregnancy and after the birth of the new-born. Let’s delve more into this topic in this post.
Maternity health insurance is a health plan crafted to cover the maternity expenses of pregnant and expecting mothers along with their newly born child. A maternity insurance plan can be bought as a full-fledged insurance policy or as a rider with your existing health plan. It covers the expenses of both normal and cesarean delivery. Such a plan covers everything starting from pre-and post-hospitalization, room rent, consultation, surgeon fee, delivery cost, medications, tests, anaesthetist etc.
Here are some key features of maternity health insurance plans:
Features | Specifications |
Cashless reimbursement in network hospital | Available |
Sum insured | Up to INR 50 lakh |
Newborn Care | Covered |
Tax benefits | Available |
Ambulance charges | Covered |
OPD Cover | Covered |
Daycare Procedures | Covered |
Pre-and Postnatal Care | Covered |
Parenthood does bring great joys. However, it also brings associated expenses and large medical bills throughout the term of pregnancy. Hence, it is important to stay prepared with appropriate health insurance.
The criteria of eligibility to avail a maternity health plan differs as per the insurance companies. 18 years is the minimum age at which a woman can buy maternity insurance, while the maximum limit of age is 45 years. You must also note that maternity insurance comes with a waiting period of 9 months to 6 years before the insured could avail the benefits.
Below are the documents needed while buying a maternity health insurance plan:
Here are the steps to follow:
The inclusions of maternity health insurance might vary as per the insurance company. Here are some common inclusions:
Like inclusions, the exclusions might also vary from insurer to insurer. Here are some common exclusions of pregnancy health insurance:
There are several insurance companies offering health insurance with maternity cover as an in-built feature of their plan or as an add-on benefit. Here are some popular maternity insurance plans mentioned in the table below:
Name of the Insurance Company | Name of the Health Insurance Plan | Waiting period | Entry age | Sum insured | Benefits of the Plan |
Aditya Birla Health Insurance | Activ Health Platinum Enhanced Plan | 48 months | 18 - 45 years | INR 2 lakh - 2 Crore | Organ Donor Expenses Pre-Hospitalisation Post-Hospitalisation Expenses In-Patient Hospitalisation |
ManipalCigna Health Insurance | ProHealth Insurance Plan | 48 months | 18 - 45 years | INR 4.5 lakh – 1 crore | In-Patient Hospitalisation Daycare Expenses Domiciliary Hospitalisation |
Royal Sundaram General Insurance | Total Health Plus Plan | 36 months | 18 - 65 years | INR 3 lakh - 10 lakh | In-Patient Hospitalisation Maternity Expenses Pre-Hospitalisation Post-Hospitalisation |
Care Health Insurance | Joy Plan | 48 months | 18 - 65 years | INR 3 lakh -5 lakh | Pre-Hospitalisation Post-Hospitalisation In-Patient Hospitalisation Daycare Procedures |
Bajaj Allianz General Insurance | Health Guard Family Floater Plan | 72 months | 18 - 65 years | INR 3 lakh – 1 crore | Pre-Hospitalisation Post-Hospitalisation Ambulance Expenses Daycare Treatments |
A maternity or pregnancy insurance is an important coverage for a family to embrace parenthood. However, it is important to consider the maternity plan well before purchasing a health insurance that covers pregnancy so that you can get maximum benefit from it. Along with waiting periods, new-born care and number of child births, one should also check if the policy covers abortion or termination of pregnancy.
No. Maternity insurance coverage is not available without a waiting period in India. There is a waiting period of 9 months to 6 years on all maternity plans offered in the country.
No. Maternity insurance policies cannot be bought if the female is already pregnant as these plans are available with a compulsory waiting period.
Yes. They are beneficial and women who are planning to start a family soon must opt for a maternity insurance plan. These plans cover the medical expenses incurred during the pregnancy period as well as the expenses of the new-born baby.
Here are the things to consider:
Though most policies allow coverage for two children only. But there might be some plan allowing coverage to the third child.
* Rs. 245/month is the starting price for a 5 lac health insurance for an 25-year-old male, with no pre-existing diseases.
*! Rs. 334/month is the starting price for a 10 lac health insurance for an 25-year-old male, with no pre-existing diseases.
*@ Rs. 12/day is the starting price for a 5 lac family health insurance for an 25-year-old male and 22-year-old female, with no pre-existing diseases.
*# Rs. 12/day is the starting price for a 5 lac health insurance for an 25-year-old male, with no pre-existing diseases.
*$ Rs. 600/month is the starting price for a 20 lac health insurance for an 25-year-old male, with no pre-existing diseases.
*^ Rs. 12/day is the starting price for a health insurance that covers coronavirus for an 25-year-old male, with no pre-existing diseases.