Best Maternity Health Insurance Plans in India 2025
Parenthood is a beautiful moment for every couple. It is one of the most vital responsibilities of soon-to-be parents to have a comprehensive maternity health insurance plan. A maternity health insurance plan in India is a mature way to ensure an expecting couple’s physical, psychological, and financial well-being. Many health insurance plans for maternity allow you to enjoy this precious moment without worrying about finances related to delivery and healthcare of the newborn baby. Plans like Niva Bupa Aspire and Star Health Women Care also cover surrogacy.
This article will enlighten you on the types of maternity plans available in India, their benefits, and why you need them to be part of your parenthood journey.
Best Health Insurance Plans for Childbirth
Radhika recently discovered she was expecting and informed her husband, Akash. They both felt anxious as it wasn’t planned, and they hadn't completed their financial planning for it. Having good maternity health insurance could have saved them this worry. However, some health insurance plans can provide a secure parenthood experience with a short waiting period, such as the Care Joy Plan.
Advantages of Maternity Health Insurance Plans
- Healthcare of the Mom-to-be
- Well-being of the Baby
- Delivery Procedures
- Prenatal Care
- Newborn Treatment
- IVF
- Surrogacy
- Legal Adoption Process
What is Maternity Health Insurance and When Do You Need It?
While a doctor can guide you through the initial steps of parenthood, financial support is also crucial. Medical costs are rising day by day, which is where health insurance for pregnancy becomes essential. It provides coverage for both C-section and normal deliveries. You can use maternity health insurance for:
- Pre and post-natal care expenses
- Medical care costs for a newborn baby
- Stem cell preservation
- Expenses for pregnancy-related complications
- Expenses for medically necessary pregnancy termination
- Vaccination expenses for mother and baby
- Cost of delivery (normal and C-section)
List of Top Maternity Health Insurance Plans
| Plan Name | Sum Insured | Waiting Period | Network Hospital | View Plan |
|---|---|---|---|---|
| Care Joy Maternity Plan | Up to Rs 5 Lakh | 9 months | 22900+ | View Plan |
| Star Women Care Plan | Up to Rs 1 Crore | 24 months | 14000+ | View Plan |
| Niva Bupa Aspire Plan | Up to Rs 1 Crore | 9 months | 10000+ | View Plan |
| Aditya Birla Activ Fit Plan | Up to Rs 1 Crore | 36 months | 10500+ | View Plan |
| Star Assure Plan | Up to Rs 2 Crore | 24 months | 14000+ | View Plan |
| Magma HDI OneHealth Plan | Up to Rs 1 Crore | 36 Months | 7200+ | View Plan |
| Kotak Health Premier | Up to Rs 25 Lakh | 24 months | 7000+ | View Plan |
| Niva Bupa Health Premia | Up to Rs 1 Lakh | 24 months | 10000+ | View Plan |
| United India Family Medicare | Up to Rs 25 Lakh | 24 months | 14000+ | View Plan |
| Future Generali Health Total Policy | Up to Rs 10 Lakh | 48 months | 6300+ | View Plan |
To know about the top 5 maternity insurance plans, click here.
Key Features of Maternity Health Insurance Plans
Comprehensive Coverage
An effective maternity health insurance policy covers expenses incurred during delivery and post-delivery. It also covers your newborn baby.
Pre and Post-natal Care
Prenatal care refers to medical attention before the baby's birth, while postnatal care is for after the birth. Maternity health insurance covers medical check-ups, ultrasounds, tests, medicines, and more. This coverage ensures a smooth journey during and after pregnancy.
Cashless Services
To ease financial hassle during this joyous but crucial time, maternity health insurance offers cashless facilities at network hospitals.
Claim-free Bonus
If no maternity claim is raised during the policy year, you may receive discounts on your next premiums.
Hassle-free Online Applications
Purchasing and claiming a maternity insurance plan online is easy and hassle-free, often completed in just a few clicks.
Tax Benefit
Maternity health insurance offers tax benefits under Section 80D of the Income Tax Act, 1961.
Newborn Baby Cover
Maternity health insurance provides comprehensive coverage for the expecting mother and the newborn baby.
Single Private Room with AC
Childbirth is a beautiful moment that also requires privacy. Maternity health insurance often ensures the best possible accommodation, such as a single private room with air conditioning post-delivery.
Delivery Cost
Delivery procedures, especially C-sections due to complications, can be costly. Having insurance can cover these costs. By paying premiums on time and raising a claim, bills can be settled quickly.
Why Should You Buy Maternity Health Insurance?
While many medical emergencies are unpredictable, pregnancy care is often planned. This is why having medical insurance is important. Here are more reasons why you should consider getting maternity health insurance:
Provides Financial Backup
Maternity health insurance acts as a backup when needed. It can prevent you from draining your savings on maternity care, including surgery, prenatal, and postnatal healthcare.
Prepares you for any complicated situations
Childbirth can sometimes lead to complications. If the newborn needs urgent care or if the mother experiences premature birth complications, maternity cover in health insurance can be invaluable. Thus, maternity health insurance covers both planned and unplanned situations.
Extended Coverage for Your Newborn
Most maternity health insurance plans provide coverage for newborn babies. It typically covers the child for up to 90 days or more from the date of delivery. Expenses related to medicinal prescriptions, incubations, vaccinations, and complicated medical treatments are covered.
High-Quality Care at an Affordable Price
Maternity health insurance provides access to high-quality medical services at affordable prices, as most plans include a wide network of quality hospitals. It helps curb medical inflation costs and protects your savings, which can be used for other vital life events.
Comprehensive Coverage
Maternity care plans cover expenses related to hospitalizations, medications, delivery, operations, and ambulance services.
Cashless Facility at Network Hospital
Your insurer will directly settle all medical bills on your behalf. This allows you to be mentally free and concentrate on the joy of parenthood.
What is Covered in Maternity Health Insurance? - Inclusions
Delivery Cost
Maternity health insurance plans cover both normal and caesarean deliveries.
Prenatal and Postnatal Care
The insurance covers expenses related to medical services for care before and after the baby's birth.
Newborn Coverage
It provides medical care to the newborn child. All expenses are covered from day 1 up to 90 days.
Vaccinations
Expenses incurred for vaccinations will also be covered, for both the mother-to-be and the newborn baby.
Hospitalization Charges
Sometimes, due to complications, doctors recommend the mother and baby stay in the hospital for extra care. In such cases, the incurred healthcare expenses will also be covered.
Daycare Procedure
The insurance covers specialized medical procedures or care requiring 24 hours or less of hospitalization.
Ambulance Charges
Emergency ambulance charges are also included in your maternity health insurance policy.
Maternity Care
Care required 30 days before and 60 days after the baby's birth is covered by your health insurance policy.
IVF
Given the recent increase in demand for IVF, some insurers have launched new products that cover in-vitro fertilization costs.
Surrogacy
Many insurers now include surrogacy costs in their modern maternity policies.
What is Not Covered? - Exclusions
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
Things to Look for in a Maternity Insurance Plan
Check what expenses are covered under your maternity health insurance
Before purchasing maternity health insurance, carefully review all the coverage options offered by the plan.
Waiting Period
Maternity cover comes with a waiting period. Some maternity plans have a waiting period of 9 months, while others may have up to 48 months. Therefore, it's crucial to confirm the policy's waiting period before buying.
Coverage Limit
Each maternity plan has a different coverage limit, ranging from INR 25,000 to INR 1 crore. Choose the coverage that best suits your needs.
Check the Limit on Deliveries Covered
When opting for maternity health insurance, be aware that companies may restrict the number of deliveries covered. For example, some insurance companies only cover up to two deliveries under their maternity benefits. Always check the number of deliveries covered before purchasing the policy.
Check Whether the Plan Covers Newborn Baby or Not
Some maternity health insurance plans cover newborn babies from day 1 up to 90 days. However, this varies by plan, and some plans may not cover newborn babies. Always check the policy wording carefully before buying.
Premiums and Budget
It's essential to consider your budget before buying any insurance. Maternity health insurance typically comes with higher premiums but offers maximum coverage. Therefore, review the premiums you need to pay before choosing the right maternity health insurance policy.
Eligibility Criteria for Maternity Health Insurance
- Aged between 18-45 years.
- Indian Citizen.
- Some insurers include only 2 deliveries in a lifetime.
How to Buy a Maternity Health Insurance Plan?
There are two ways to purchase a maternity health insurance policy. You can buy it directly from the insurer or contact PolicyX for assistance. Purchasing your policy through PolicyX is straightforward.
Here is a step-by-step guide for purchasing maternity health insurance directly from the company:
- Step 1
Visit the insurer’s website.
- Step 2
Check for the health insurance plans.
- Step 3
Choose your plan wisely and click on ’Get Quotes’.
- Step 4
Then you need to fill up the required details, such as age, DOB, address, and other required details.
- Step 5
Verify the previously filled details and click on the ’Proceed’ button.
- Step 6
Make the payment through UPI, Net banking, credit card, or debit card to buy the policy.
How to Claim Maternity Health Insurance?
Here are the steps to follow when raising a claim for maternity health insurance:
- Step 1: Inform your insurer
Once admitted to the hospital, the first step is to inform your insurer about your hospitalization. Provide them with all hospitalization details.
- Step 2: Fill in the claim form
Fill out and sign the claim form for settlement. Complete all required information and submit it to the TPA (Third-Party Administrator) at the hospital, or directly to the insurer.
- Step 3: Submit requested documents
After submitting the claim form, you need to submit all required documents for verification. These documents include personal information such as address proofs, identity proofs, and policy documents.
- Step 4: Submit the medical bills
In addition to the requested documents, you need to submit medical bills and all invoices related to hospitalization, consultation, and treatment. If you received treatment from a non-network hospital, these bills will be reimbursed by the insurer.
- Step 5: Going through the enquiry of the claim
Your insurer may send an agent to verify the claim. Once this verification is complete, your claim is one step closer to acceptance.
- Step 6: Receiving the claim amount
If the claim is approved, you’ll receive the claim amount either through cashless treatment at network hospitals or as reimbursement for non-network hospitals.
Documents Required for Maternity Insurance Claim Settlement:
The documents required for claiming your maternity healthcare coverage are listed below:
- Filled out and signed claim form
- Copy of policy documents
- Doctor’s advice for hospital admission
- Hospital discharge summary
- KYC documents
- Doctor’s fitness certificate
- Consultation bills
- Original hospital bill
- Prescription and pharmacy bills
- Other documents requested by the insurer
Summing It Up
Having good maternity health insurance can enhance your parenthood experience. You won't need to worry about expenses like hospital charges, delivery charges, medical emergencies for the baby, and other medical costs during pregnancy. Parenthood is a moment to celebrate, and securing it financially and mentally is crucial. Maternity health insurance provides this peace of mind. However, it's essential to keep your specific requirements and needs in mind when purchasing maternity health insurance.
In case of any questions or doubts, please reach out to us.
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