Health Insurance 320 views September 30, 2021

A maternity cover helps you manage expenses related to pregnancy and its complications. You might get maternity cover in a regular health insurance plan as a base benefit. Or if it’s not the case, purchase an add-on cover. But if you want coverage specifically for maternity expenses, you should purchase a dedicated maternity insurance plan. Here, the insurer provides you coverage against pre and post-natal expenses, follow-up visits, cesarean/normal delivery and newborn baby cover. If you have a regular health insurance plan, you can include the maternity cover for your spouse and get coverage for expenses towards the delivery of a baby and treatment related to any complications in pregnancy or termination. So as a buyer, which should you choose between  Regular Health Insurance vs Maternity Insurance? Read this page below and compare the benefits of regular and maternity insurance plans.

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Why Do You Need a Maternity Cover?

The expenses arising out of fertility issues, pregnancy and the newborn baby’s hospitalization charges can impact your finances. But if you have a maternity cover whether as a standalone cover or add-on, the cost involved in delivering a baby, C Section gets covered.

Compare Regular Health Insurance vs Maternity Insurance

Comparison of Regular Health Insurance Vs Maternity Insurance based on coverage, waiting period and other features guide you towards the plan best suited for your purpose. Let’s start comparing to find the same.

Coverage

In a regular health insurance plan, the insurer provides coverage for delivery expenses only. And in maternity insurance, you’ll get coverage for delivery, pre and post-natal, C-section, complications after delivery, etc. The policy coverage is limited to the base sum insured in a health insurance plan, whereas maternity insurance has a specified limit for each expense.

Waiting Period

You won’t get covered for maternity expenses in a regular health insurance plan. You need to either wait for it 2-3 years from the date of policy inception. And if your base policy doesn’t provide the maternity benefit, you need to get an add-on cover for it. A waiting period also exists in a dedicated maternity plan, but it is significantly lower (9 months).

No Claim Benefit

As you know, the insurer provides you a no claim bonus (NCB) in regular health insurance if you don’t file a claim. This benefit could be 10, 15 or 20% in a regular plan, whereas in maternity insurance, you’ll get a no claim benefit of 100% of the sum insured. Care Maternity Insurance Plan is an example of this that offers no claim bonus to the insured after continuous no claim for three years. You can avail of this benefit under Care Joy or Joy Tomorrow variant. In case a claim arises after the no claim bonus, the same won’t be utilized for a claim, but your sum insured won’t get reduced.

Details of Plans Covering Maternity Expenses

The following are some of the health insurance plans that will help cover maternity expenses. If you see the below list, you’ll notice some of them are dedicated maternity plans while some are add-on covers to the regular health insurance plan. This way, you can make a calculated decision about the maternity plan.

HDFC ERGO Maternity Add-On Cover

HDFC ERGO provides you coverage against maternity expenses from INR 50,000 to 5 lakh. You can get the advantage after 2-3 years of the policy inception. You can include a maternity add-on in your base medical insurance policy. If you opt for this cover, you’ll get coverage against the following

  • Delivery including cesarean section
  • OPD treatment in the pre-and post-natal period
  • Infertility treatment like IVF
  • Childcare expenses such as newborn baby cover
  • Vaccination charges

Care Maternity Insurance Plan

Care Maternity Insurance comes in two variants Joy Today & Joy Tomorrow. If you choose the option of Jo Today, you’ll get the following benefits –

  • Coverage for in-patient hospitalization and daycare treatment
  • Pre and post-hospitalization cover up to 30 and 60 days, respectively
  • Ambulance cover up to INR 1,000 per claim
  • Maternity cover up to INR 35,000 if the Sum Insured is of INR 3 Lakh and INR 50,000 for sum insured of INR 5 Lakh
  • Newborn baby cover up to INR 35,000 if the Sum Insured is INR 3 Lakh and INR 50,000 for sum insured of INR 5 Lakh

Whereas, if you choose the Joy Tomorrow option, the insurer provides you the following –

  • Coverage for in-patient hospitalization and daycare treatment
  • Pre and post-hospitalization cover up to 30 and 60 days, respectively
  • Ambulance cover up to INR 1,000 per claim
  • Maternity cover up to INR 35,000 if the Sum Insured is of INR 3 Lakh and INR 50,000 for sum insured of INR 5 Lakh
  • Newborn baby cover up to INR 35,000 if the Sum Insured is of INR 3 Lakh and INR 50,000 or sum insured of INR 5 Lakh
  • Newborn baby defects cover of INR 50,000

Note: The maternity coverage has a waiting period of 9 months in Joy Today and 24 months in the Joy Tomorrow variant.

ICICI Lombard Maternity Add-On Cover

You can add on the maternity cover to your ICICI Lombard Health Insurance by paying an extra premium for it. And if you do so, you’ll get the following –

  • Normal + Cesarean delivery
  • Pre-Post Natal Cover of INR 2,000 each
  • New Born Baby Cover of INR 10,000

Note – The coverage is available after a waiting period of 3 years.
Your coverage may vary based on your sum insured, such as –

  • For sum insured of INR 1 and 2 Lakh, you’ll get coverage for normal delivery up to INR 10,000 & INR 15,000 for cesarean
  • For sum insured of INR 3, 4 and 5 Lakh, you’ll get coverage for normal delivery up to INR 15,000 & INR 25,000 for cesarean
  • For sum insured of INR 7, 10, 15, 20, 30 and 50 Lakh, you’ll get coverage for normal delivery up to INR 25,000 & INR 50,000 for cesarean

SAKHI – TATA AIG Maternal Care Micro Insurance Plan

The insurer pays for the listed maternal complications:

  • Intravascular Coagulation
  • Septic Shock
  • Intermediate Eclampsia
  • Embolism (pulmonary/amniotic)
  • Pre-Eclampsia
  • Rheumatic Heart Disease
  • Epilepsy
  • Postpartum renal failure
  • Hysterectomy
  • Ectopic pregnancy
  • Intermediate Post-Partum Haemorrhage
  • Abruptio Placentae (premature separation of the placenta)
  • Placenta Previa (low lying placenta)
  • Uterine Rupture
  • Inversion of Uterus
  • Obstructed labor
  • Tear of bladder or rectum

Note – You’ll receive an additional 10% in-patient hospitalization benefit in case of birth of a girl child. If you have filed a claim for up to 2 deliveries, the policy shall automatically cease to exist.

Other benefits available under TATA AIG Maternal Care Micro Insurance Plan include

  • A fixed amount of INR 1,000 is payable per delivery if the child is delivered in a hospital. If a girl child is born, the payable institutional delivery benefit will be INR 2,000 per delivery.
  • You’ll get INR 500 for transportation expenses per delivery if the hospital is 10 KM away from your residence. If a girl child is born, the benefit will be INR, 1,500 per delivery.
  • In case of ICU admission, you’ll get a fixed amount of INR 500 per day for up to 10 days, subject to a deductible of 4 days.

High-Risk Pregnancy Check-up Benefit

The insurer pays INR 200 per consultation in case of the following maternity complications –

  • Pre-eclampsia
  • Eclampsia
  • Gestational Diabetes
  • Cardiac disease
  • Epilepsy
  • Intrauterine growth retardation
  • Elderly primi (> 30 years)
  • If the newborn child is diagnosed with any congenital anomalies, you’ll get a fixed benefit of INR 2,000 per child.

Note – You can get up to five consultations.

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