Maternity health insurance plans allow you to enjoy your parenthood journey. Having health insurance with maternity coverage can help you deal with the financial cost of delivery, IVF, Surrogacy, and other services that you might require during the pregnancy.
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Parenthood is a beautiful moment for every couple. But, do you know family planning is also very important? It is one of your most vital responsibilities as a soon-to-be parent to have great maternity health insurance. It is the mature way to ensure an expecting couple's physical, psychological, and financial well-being. There are many plans of health coverage for maternity which allows you to enjoy this precious moment of life without being worried about finances related to delivery and healthcare of the newborn baby. Plans like Niva Bupa Aspire Start Young and Star Health Women Care cover surrogacy as well.
This article will enlighten you with the types of maternity plans available in India, their benefits and why you need them to be a part of your parenthood journey.
Radhika recently got to know that she was expecting and told her husband Akash. They both got tense as it wasn't a planned one and they haven't done their financial planning associated with it. Having good maternity health insurance could have saved them from this worry. But there are health insurance plans that can give secured parenthood experience in a very short waiting period such as Care Joy Plan.
Although a doctor can help you with the initial steps of being a parent, you will also require some financial support. We already know very well how medical costs are rising day by day. That is when your health insurance for pregnancy comes into the picture. It will give coverage during the time of delivery whether it is a C-section or normal delivery. You can use maternity health insurance for:
| Plan Name | Sum Insured | Waiting Period | Network Hospital | View Plan |
|---|---|---|---|---|
| Care Joy Maternity Plan | Up to Rs 5 Lakh | 9 months | 22900+ | |
| Star Women Care Plan | Up to Rs 1 Crore | 24 months | 14000+ | |
| Niva Bupa Aspire Plan | Up to Rs 1 Crore | 9 months | 10000+ | |
| Aditya Birla Activ Fit Plan | Up to Rs 1 Crore | 36 months | 10500+ | |
| Star Assure Plan | Up to Rs 2 Crore | 24 months | 14000+ | |
| Magma HDI OneHealth Plan | Up to Rs 1 Crore | 36 Months | 7200+ | |
| Kotak Health Premier | Up to Rs 25 Lakh | 24 months | 7000+ | |
| Niva Bupa Health Premia | Up to Rs 1 Lakh | 24 months | 10000+ | |
| United India Family Medicare | Up to Rs 25 Lakh | 24 months | 14000+ | |
| Future Generali Health Total Policy | Up to Rs 10 Lakh | 48 months | 6300+ |
Sum insured is the maximum monetary coverage that a health insurance policy provides you. You should decide your sum insured based on the cost of medical treatments, your health, income, and lifestyle habits.
It is the time just after the purchase of a policy when the policyholder has to wait before getting any benefits.
All the hospitals that have a tie-up with an insurance company where the policyholders of that company can get cashless treatments are known as the network hospitals.
To know about the top 5 maternity insurance plans. Click Here.
There might be many medical emergencies in our lives, but pregnancy care is something that we can predict since most of the time couples plan it. Which is why having medical insurance is important. There are many other reasons why you should consider getting health insurance:
The maternity health insurance plans cover both normal and caesarean deliveries.
The insurance covers expenses related to medical services related to care before the birth of the baby and after the birth of the baby.
It provides Medicare to the newborn child. All the expenses are covered from day 1 to 90 days.
The expenses incurred for vaccination will also be covered, whether it is for mom-to-be or the newborn baby.
Sometimes, due to complications, doctors ask the mother and baby to stay in the hospital for extra care. In such cases, the healthcare expenses incurred will also be covered.
The insurance covers specialised medical procedures or care that only requires 24 hours or less.
The cost of the emergency ambulance will also be included in your maternity health insurance policy.
The care you need 30 days before the birth of your baby and 60 days after the birth of the baby will be covered in your health insurance policy.
Looking up to the recent increase in demand for IVF, some of the insurers have launched new products that cover the cost of in-vitro fertilization cost.
Nowadays, insurers want everyone to celebrate parenthood. Thus, many insurers include the cost of the surrogacy method in their new-age maternity policies.
If the policyholder gets pregnant during the waiting period
Expenditure on tonics and vitamins
Any kind of diagnostic test or consultation charges
Any pregnancy-related cost during the waiting period
Before you buy maternity health insurance, it is important to keep a few things in mind. These are:
The eligibility criteria for maternity health insurance are as follows-
There are two ways of purchasing a health insurance policy for pregnancy. You can directly buy it from the insurer OR you can call PolicyX for the buying process. Buying your policy from PolicyX is straightforward, just call or click here.
Here is a step-by-step guide for the buying process of maternity health insurance directly from the company-
Visit the insurer's website.
Check for the health insurance plans.
Choose your plan wisely and click on 'Get Quotes'.
Then you need to fill up the required details, such as age, DOB, address, and other required details.
Verify the previously filled details and click on the 'Proceed' button.
Make the payment through UPI, Net banking, credit card, or debit card to buy the policy.
You need to understand the steps you need to follow to raise the claim:
Once you are taken and admitted to the hospital, the first step involves informing your insurer about your admission to the hospital. Tell them every detail of the hospitalisation.
Fill in the claim form for settlement and sign it. Complete all the information that requires your approval and submit it to the TPA present at the hospital of the respective insurer.
Once you've submitted the claim form, you need to submit all the required documents for verification. These documents include your personal information like address proofs, Identity proofs, policy documents, etc.
Apart from the requested documents, you need to submit medical bills, and all the invoices related to hospitalisation, consultation, treatment, etc. In case, you've received treatment from a non-network hospital, these bills will get a reimbursement from the insurer.
Your insurer will probably send one of their agents to verify if the claim made by you is correct or wrong. Once you pass this verification procedure, you are one step ahead of getting your claim accepted.
If the claim is proven true, you'll receive the claim amount in the form of cashless treatment in networking hospitals or reimbursement in non-networking hospitals.
The documents that are required for claiming your maternity healthcare coverage are listed below:-
Having maternity health insurance can enhance your parenthood experience. You do not need to worry about expenses like hospital charges, delivery charges, charges for any medical emergency to the baby, and all other medical charges during the pregnancy. Parenthood is the moment to celebrate. But securing this moment financially and mentally is very important. Maternity health insurance brings this satisfaction to life. However, you need to keep your requirements and needs in mind while purchasing maternity health insurance.
In case of any questions or doubts, you can reach out to us.
Most health plans for maternity care come with a specific waiting period because insurance companies treat this criteria as a pre-existing condition. You can buy the health plan while pregnant, according to the rules of IRDAI. But your policy cannot cover your maternity care expenses in such conditions.
No, there are no implications of a zero waiting period in health plans for pregnancy. Note the fact that not even a standard health plan provides maternity health coverage without a waiting period until now. However, some plans come with a minimum waiting period of up to 90 days in certain conditions.
The waiting period for a maternity insurance policy usually ranges from 90 days to 3 years.
Yes, your spouse can claim maternity benefits on your behalf or for themselves. Given that they must have a new or an existing health insurance plan for pregnancy.
As per the rules of IRDAI, anyone can buy a policy and claim their policy coverage.
Maternity plans are generally in-built features of a health insurance policy such as health insurance for women or it comes as separate plans. The maternity coverage depends upon the plan that you're buying.
Since most of the maternity insurance plans in health policies come with a waiting period, it's suggested that you buy 3-6 months before you're planning a baby or, just after getting married. In this condition, you'll have ample amount of time to plan your parenthood. planning a baby.
Since most of the maternity insurance plans in health policies come with a waiting period, it's suggested that you buy 3-6 months before you're planning a baby or, just after getting married. In this condition, you'll have ample amount of time to plan your parenthood. planning a baby.
The best maternity plan is the one that gives you and your newborn complete coverage.
Yes, both husband and wife can claim maternity health insurance in India.
Yes, Niva Bupa Aspire and Star Women Care plan offers maternity health insurance plans that cover the cost of IVF.
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An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Traveling and writing is her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and solves the reader’s query seamlessly.
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