Maternity Health Insurance - Buy a Pregnancy Plan
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Health insurance just got 18% cheaper – no GST applicable!

Maternity health insurance

Extensive coverage for you and your family

Covers pre- and post-hospitalisation expenses

Protects against high medical costs

0% GST on health insurance AO

Health Insurance Plans

What is a Maternity Insurance Plan?

A maternity insurance plan is a type of health insurance plan that helps cover expenses related to pregnancy and childbirth. Note that Health insurance usually doesn’t cover these costs, and they often come with a waiting period. However, a maternity insurance policy helps you meet various pre- and post-natal expenses and delivery charges, among others. Some policies can also cover the newborn's vaccination expenses depending on the policy’s terms and conditions.

Why Do You Need Maternity Insurance?

Maternity insurance is needed to:

1. Cover childbirth expenses

Childbirth expenses can easily run into several thousand rupees. A maternity insurance policy helps you meet the high costs with ease. It reduces out-of-pocket expenses.

2. Avail cashless facility

Several maternity insurance policies allow cashless hospitalisation. This ensures you don’t have to worry about making upfront payments, and that your spouse and child have access to quality care without delay.

3. Meet pre-and post-natal expenses

Childbirth comes with various pre-and post-natal expenses that can significantly push your expenses. A maternity insurance policy helps you meet them with ease, ensuring top-quality care for the child and mother.

4. Coverage for newborn

This is another major benefit. A maternity insurance plan may also cover the medical expenses of your newborn child up to a certain period. This may include vaccination costs.

Maternity Health Insurance - Eligibility Criteria

While the specifics may differ across policies, to buy the policy:

  • You must be within a certain age bracket, which can range from 18 to 50 years
  • You need to complete a certain waiting period before the coverage kicks in (generally 24 months)
  • You will covered only for a fixed number of deliveries in your lifetime (max 3 in most cases)

Talk to your insurer before buying the policy to know the specific eligibility criteria.

Maternity & Newborn Cover With Health Insurance

When you buy health insurance, you can opt for maternity and newborn coverage as an add-on. If you do so, you need to pay an additional premium. Generally, there's a waiting period for maternity and newborn coverage in a health insurance policy. However, you can reduce this waiting period with an add-on. For example, maternity health insurance generally has a waiting period of 24 months – and this can be reduced to 12 months by opting for add-ons or optional covers.

Health Insurance Plans

Features of Maternity Insurance Plan

Some key features of a maternity health insurance plan are as follows:

Comprehensive coverage

Maternity insurance offers comprehensive coverage, including pre-and-postnatal expenses, costs for vaccination, etc.

Easy application

You can buy maternity health insurance online in a few clicks, hassle-free.

Reduces your tax outgo

The premiums paid towards a maternity health insurance plan qualify for tax exemption under section 80D of the Income Tax Act under the old tax regime.

Advantages of Maternity Insurance Plan

The advantages of maternity health insurance are multi-fold. These include:

  • Financial preparedness before childbirth
  • A cashless facility ensures no waiting for reimbursement
  • Ensures funds are not a paucity during delivery

Inclusions in Maternity Insurance

  • Inclusions
  • Exclusions

Though specifics may differ across policies, here are some inclusions of a maternity insurance plan:

  • Pays for maternity expenses

    This insurance policy covers maternity expenses incurred during childbirth. This could be a flat sum insured or a certain percentage of the annual sum insured by a health policy offering maternity cover. The policy also covers expenses related to the medically recommended lawful termination of pregnancy only for life-threatening situations, subject to a maximum of 3 terminations.

  • Pays for prenatal and postnatal expenses

    The policy covers prenatal (from conception until baby delivery) and postnatal (after childbirth) expenses. Generally, postnatal expenses incurred on an inpatient basis up to 30 days from the date of baby delivery are covered.

  • Newborn baby cover

    A maternity health insurance plan covers medical expenses incurred on hospitalisation (for a minimum consecutive 24 hours) of a newborn baby. Note that costs are covered for a specific period - a maximum of 90 days from the baby’s birth.

  • Vaccination for the new born baby in the first year

    A maternity insurance plan covers vaccination expenses for newborn babies until they are one year old during the policy period, subject to a maximum limit as per the policy’s terms and conditions (₹10,000 max).

Maternity insurance has certain exclusions. Exclusions are events under which you will not be covered under a maternity health insurance plan. These include:

  • Unlawful termination of pregnancy
  • Any medical expenses incurred for the management of Ectopic pregnancy
  • Medical treatment expenses traceable to childbirth, including complicated deliveries and caesarean sections incurred during hospitalisation
  • Expenses incurred during the waiting period
  • Maternity benefits availed outside the geographical boundaries of India
  • Expenses towards miscarriage, unless due to an accident

When to Purchase Maternity Health Insurance?

As maternity health insurance has a waiting period, it’s best to purchase it a couple of years before family planning. This ensures you meet the waiting period clause and get coverage during pregnancy and childbirth. Compare different plans and choose the best that fits your needs.

Documents Required to Apply for Maternity Health Insurance

You need to provide basic documents related to identity and address to buy maternity health insurance. These could be:

  • Aadhaar card
  • PAN card
  • Voter card
  • Passport
  • Driving licence

Your insurer will inform you if you need to produce any additional documents to buy this plan, which could be medical reports in certain cases.

Frequently Asked Questions on Maternity Health Insurances

Can I purchase maternity insurance if I’m already pregnant?

While you can purchase maternity insurance if you are pregnant, note that coverage kicks-in only after the waiting period.

Can I claim maternity benefits from two insurance policies?

While you can purchase maternity insurance if you are pregnant, coverage kicks in only after the waiting period.

Can both husband and wife claim maternity insurance?

If both husband and wife have separate policies, they can claim maternity insurance from their respective policies.

Why should I consider buying maternity insurance?

Maternity health insurance provides holistic coverage during pregnancy and childbirth. It eases financial burden and also covers pre- and post-natal expenses.

Is coverage available for a third childbirth under maternity insurance plans?

It differs across policies. While most maternity insurance policies do cover the third childbirth, it’s advisable to read the policy wording for it. This will ensure you don’t get caught off guard.

What factors should I consider before purchasing maternity insurance?

Waiting period, sum insured on offer, inclusions and exclusions, insurer’s claim settlement ratio, quality of service, etc. are some factors to consider before buying maternity insurance.

How does the maternity insurance claims process work?

Inform your insurer about hospitalisation and fill out the claims forms along with the required documents, including original bills, receipts, discharge certificates, original investigation reports, etc.

Is there a maximum claim limit for maternity insurance?

Yes. Generally, insurers cap the maximum claim limit under maternity insurance up to a certain percentage of the sum insured of your plan. That said, go through the policy wordings to know the maximum claim limit offered under maternity insurance.

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