1. What is Maternity Health Insurance?
2. Why You should Have Maternity Health Insurance?
3. Best Maternity Health Insurance Plans?
4. Benefits of Maternity Health Insurance ?
5. What’s Covered in Maternity Health Insurance?
6. What is NOT COVERED IN MATERNITY HEALTH INSURANCE?
7. Remember these things While Buying Maternity Health Insurance?
8. Documents Required for Appling Pregnancy Insurance?
9. Process to claim Maternity Insurance?
1. What is Maternity Health Insurance?
A
maternity health insurance is a policy which pays for your hospital expenses
related to hospitalization, delivery, tests & medicines during the period
of pregnancy and after the delivery of the new born baby.
2. Why
you should Have Maternity Health Insurance?
Maternity health insurance pays for the following
expenses for a pre-specified amount. These benefits vary from plan to plan. You
need to connect with an expert to understand the exact benefits & their
pricing.
- Hospital Bill – Payments for hospitalization, delivery, tests &
medicines. - Delivery Cost – Payments for expenses related both normal deliveries and C-section
deliveries. - Termination – Some health policies may also pay for the termination
expenses caused due to complications. - Pre-Natal & Post Natal – Some insurance companies pay for pre-natal & post-natal
expenses. - New Born Cover – Some health
insurance plans also cover the new
born baby.
3. Best Maternity Health Insurance Plans
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HEALTH |
MATERNITY INSURANCE PLANS |
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HDFC ERGO Health |
Easy Health Young Family |
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Lifeline Elite |
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Wedding Gift Insurance Plan |
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Health Suraksha Gold |
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4. Benefits of Maternity Health Insurance
Comprehensive
Coverage
- Maternity Cover
- New born cover up to sum insured
- Home Hospitalization
- Emergency Ambulance Services
- Discount on Renewal Premium
- Organ donor cover for the individual donating the organ
- International Coverage
- Complimentary Health Check-ups
Ambulance Charges
- Ambulance cover as a fixed amount or percentage based on the sum
insured.
Hospitalization Coverage
- Daily hospital allowance
- Room rent/ICU charges
Cashless Facilities
- Are available at Network Listed Hospitals Only
Tax Benefit
- Tax benefit of up to Rs. 75,000 on annual premium payments as per
Section 80D of the Income Tax Act, 1961
Premium Payment
- Discount on premium
- Reward program on premium paid
Pre & Post-Natal Expenses
- Cover for normal as well as caesarean delivery
- Pre and post-natal expenses
- May cover post-delivery complications for the mother after childbirth.
Emergencies
- Emergency medical evacuation of the insured at foreign locations.
- Emergency medical evacuation in India through air ambulance or
flight.
5. What’s Covered in
Maternity Health Insurance?
These benefits may vary from plan to plan. You must
connect with an expert to understand the exact benefits & their pricing.
- Delivery Cost – Covers delivery expenses for both normal & caesarean.
- Pre-natal & Postnatal – Costs related to medicines, doctor’s fee, check-ups &
ultrasound. - New-born Cover – Provides cover for the new born baby up to the expiry of
the policy. - Vaccinations – The new-born cover includes vaccinations as well.
- Pre & Post
Hospitalization – Pays for expenses
30 days before hospitalization & 60 days after discharge. - ICU & Room Rent – Pays for both ICU & normal bed charges.
- Day Care – Pays for specific treatments requiring less than 24 hrs. of
hospitalization - Cashless Treatment – Cashless Facility at network hospitals.
- Ambulance Charges – Pays for emergency ambulance charges.
- Home Treatment – Cover for domiciliary hospitalization & international
coverage.
6.
What is not covered in the Maternity Health
Insurance?
·
Diagnostic tests, doctor’s consultation, follow
ups & regular check-ups during the gestation period
·
Expenses on vitamins or supplements which are
not covered under the treatment plan.
7.
Remember these things While Buying Maternity Health
Insurance?
- Waiting Periods – All plans come
with a waiting period ranging from 36 to 72 months of continuous renewals. - Maternity Spend Limits – Maternity cover
may not be more than Rs. 50,000/-. There are few exceptional policies
though. - Policy Wordings – Read all the terms
& conditions about what’s covered & not covered in your plan.
8.
Documents Required for Appling Pregnancy Insurance?
- Proof of Age – Aadhaar Card,
Certificate of Birth, Passport, Passing Certificate for Standard 10th or
12th, etc. - Proof of Identity – Aadhaar Card,
Passport, Driving License - Proof of Address
- Electricity Bill, Driving License, Ration Card, etc.
- Medical check-up reports for policyholders above the age of 45
years - Passport size photographs
9.
Process to claim Maternity Insurance?
CASHLESS CLAIMS
·
Submit the filled up claim form that your
hospital provides you at the time of hospitalization
·
The hospital authorities sends the claims
form to your insurance company, along with your doctor’s reports
· The Claim Experts of your insurer may raise queries, which
the hospital/you have to reply to. If your claim is approved, your insurer will
pay your hospital directly as per the sum insured that you are eligible for
REIMBURSEMENT OF CLAIM
·
Submit the filled up claims form
post-hospitalization to your insurance company along with the required
documents like receipts and bills of reports and medical treatments, etc.
·
The Claim Experts of your insurer may raise
queries, which you have to reply to and submit the additional information or
documents, if required.
·
If your claim is approved, your insurance
company will reimburse you as per your eligible sum insured.