What is Maternity Insurance?
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Life Insurance

What is Maternity Insurance?

What is Maternity Insurance?

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Wondering what is maternity insurance? It is a specific health insurance with maternity cover plan that offers coverage for expecting and pregnant mothers and couples planning to start a family soon. It can be summed up as insurance for pregnancy, which covers various expenditures associated with childbirth that are not otherwise covered by regular health insurance policies. Sometimes, it can also be an add-on coverage with a family health policy, which helps families prepare for this major milestone without any financial worries.

When purchasing maternity insurance, you should closely look at the waiting period, which will vary between 6 months and 2 years in most cases. You can file claims under this policy for the costs that are covered after the expiry of this waiting period. Some insurance companies may offer insurance for pregnant women, although it will be costlier if you wish to waive this waiting period.

Why Do You Need Maternity Insurance?

Why Do You Need Maternity Insurance?

Maternity insurance plans can be advantageous for newly-wed couples and those planning to start a family down the line. It offers the following benefits:

These plans ensure higher financial security, especially with the increase in healthcare and treatment costs. It is always important to safeguard your family with not just life insurance but also adequate maternity insurance. These plans can cover the costs of welcoming your baby, thereby helping you avoid dipping into your savings and investments.

They also enable higher mental peace since a financial crisis or depleting funds may be problematic when you’re bringing your baby home.

You can easily file cashless claims across network hospitals, which makes the whole process simpler, enabling you to avoid lengthy and complicated paperwork. You can enjoy the birth of your little one without worrying about all these aspects.

There are tax benefits on the premiums you pay for pregnancy insurance under Section 80D of the Income Tax Act, 1961.

What Is Not Included Under Maternity Insurance Plans?

What Is Not Included Under Maternity Insurance Plans?

Here are the exclusions under pregnancy insurance policies:

  • Health supplements purchased by the expecting mother
  • Costs for infertility treatments
  • Costs of storing and harvesting stem cells
  • Expenditure on pre-delivery medical testing and consultation in some cases
  • Ectopic pregnancy-related costs
  • Hospital cash benefits
  • Post-hospitalisation costs in some cases
  • Regular medical checkup costs
  • Pre-hospitalisation costs in some cases
  • Surrogacy expenditure

When to Purchase Maternity Insurance?

When to Purchase Maternity Insurance?

It is important to buy maternity insurance at the right time to harness its benefits more effectively. You should ideally purchase this coverage well ahead of expected delivery in case of a planned pregnancy. This is because most pregnancy health insurance policies have waiting periods. In an ideal scenario, you should buy it at an early stage after you get married or anytime you both choose to start a family in the future. This will help you get coverage for pre-existing medical conditions like diabetes and high blood pressure, which may require treatment during delivery. Getting this coverage at least two years before starting a family will help you cross the waiting period in most cases.

Importance of Maternity Plan

Importance of Maternity Plan

Maternity insurance plans are immensely important, considering how they offer financial safety to those starting a new family. Healthcare costs are rising steadily and may go up even more in the future, so this plan matters because it offers coverage for almost all kinds of maternity-linked hospitalisation and other costs.

It also ensures financial coverage for newborn babies for up to 90 days from birth. This helps meet the necessary expenses in case of any congenital or critical ailments. The expenditure of both normal and Caesarean deliveries will be covered seamlessly, along with post-delivery complications, if any. These policies help you avoid breaking investments or depleting your savings to meet such expenses. You can focus on the birth of your baby without worrying about your finances. This brings higher mental peace, which matters a lot.

Features of Maternity Plan

Features of Maternity Plan

Here are some of the expected features of maternity insurance policies (which may vary across insurers):

  • Coverage for daycare treatments
  • Ambulance coverage
  • Hospitalisation coverage (operation theatre, room rent, anaesthetist, doctor fees, C-section delivery, normal delivery)
  • 9-36 months in waiting periods
  • Cashless claims in network hospitals
  • Post- and pre-hospitalisation up to 60 days and 30 days, respectively
  • Newborn cover (vaccination, medical treatments)

What Factors Should You Consider While Buying a Maternity Insurance Policy?

What Factors Should You Consider While Buying a Maternity Insurance Policy?

Here are a few crucial factors that you should remember while purchasing health insurance with maternity cover plans:

  • Waiting periods: You must complete these periods before you can claim benefits under these policies. Look for policies with shorter waiting periods in this case.
  • Eligibility: Some plans may have specific age limits and other eligibility factors. Narrow down your search by shortlisting policies for which you are easily eligible.
  • Newborn benefits: Intensive care may be necessary for an infant's first few months of life. Hence, look for newborn baby coverage and benefits, including vaccination coverage.
  • Number of kids: Most of these policies offer coverage for up to two children.
  • Additional advantages: Look for coverage for expenditures arising due to medical complications and other aspects.
  • Medically-necessary abortion: Doctors may sometimes advise the termination of a pregnancy owing to severe complications. Look for plans that cover the costs of the same.

Documents Required to Claim Pregnancy Insurance

Documents Necessary to Purchase Pregnancy Insurance

The applicant's age is usually between 18 and 45, although it may vary. Maternity coverage may also be offered for up to two deliveries. On that note, here are the documents that are usually necessary to purchase pregnancy insurance:

  • Pre-authorisation/insurance claim form, which is filled up
  • Policy documents
  • Original medical treatment reports/bills/receipts
  • Discharge details from the hospital
  • Passport-sized photograph
  • Doctor’s consultation bills and prescriptions
  • KYC documentation

Frequently Asked Questions

Maternity insurance is a type of pregnancy insurance designed to cover expenses related to pregnancy, childbirth, and postnatal care, providing financial protection for expecting mothers and their newborns.

Generally, buying maternity insurance while already pregnant is difficult, as most policies have waiting periods and do not cover pre-existing conditions or ongoing pregnancies. However, some insurers may offer limited options or higher premiums for insurance for pregnant women.

Most health insurance with maternity cover policies cover costs including prenatal checkups, delivery (normal or C-section), postnatal care, and newborn medical expenses up to a certain period, typically up to 90 days after birth. Coverage specifics depend on the insurer and the chosen plan.

Pregnancy insurance is the best insurance plan for pregnancy. You should take it when you are starting a family or planning to start one. It will cover all costs related to delivery and medical treatments linked to childbirth, making it the ideal pregnancy health insurance.

Maternity insurance is always worth it since it covers the costs of hospitalisation and delivery while also offering coverage for the newborn until a certain time in most cases. It helps you stay financially secure in terms of meeting these costs and is a reliable form of pregnancy insurance.

You can get cashless claims from network hospitals if you inform your insurer within 24 hours. Then, you will need to fill up a pre-authorisation form, get the request verified, and your claim will be sanctioned. The payment will be settled directly with the hospital thereafter. For reimbursement claims, you pay the bills and keep all receipts and documents securely. You then register your claim with the insurer, submitting all these documents as proof. The insurer will verify and then approve or reject the claim based on its guidelines.

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