Health Insurance 183 views August 21, 2021

Parenthood is the most beautiful phase of life, and a health insurance policy will help you manage maternity expenses and keep your finances intact. But the question is – what is an ideal health insurance policy for maternity expenses?

Health Insurance

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Yes, maternity covers are available through regular plans and dedicated maternity insurance plans. So, you need to analyze these plans and check which offers the maximum coverage for least premium with easy-to-meet terms and conditions. We can help you choose the best health insurance plan for maternity expenses by highlighting the necessary points in this article. Let’s read the same.

Points to Consider When Choosing the Health Insurance Planfor Maternity Expenses

You should focus on the following factors while choosing a health insurance plan for maternity expenses.

Policy Coverage – The policy should provide coverage for all the necessary medical expenses incurred during pre & post-hospitalization, pre & post-natal stages, normal and cesarean delivery, besides offering newborn baby cover, etc.

Waiting Period – As you may know there is a waiting period in health insurance, so do not forget to check it while choosing the plan. Regular health insurance plans have a waiting period of 3 to 4 years for maternity cover. While dedicated maternity insurance plans come with a waiting period of 9-24 months.

Exclusions – Check the list of exclusions regarding maternity cover in regular as well as dedicated maternity insurance plans.

Regular health insurance plan won’t cover pregnancy complications due to pre-existing diseases, ectopic pregnancy, congenital disorders, voluntary termination of pregnancy or abortion, infertility treatment, expenses for reproductive medicines, costs of vitamins and tonics, etc.

Under the dedicated maternity insurance plan, the following exclusions may apply – treatment of AIDS, maternity complications other than the covered conditions, sterility for the treatment of infertility and fertility, subfertility, assisted conception procedure like surrogate, vicarious pregnancy, birth control, contraceptive supplies or its complications.

Sub-Limits – Health insurance policies with maternity cover often come with the sub-limit. So, compare the plan with others and see if your plan offers sufficient coverage for maternity expenses.

Which is the Best Health Insurance Plan for Maternity Expenses?

Now that you know what are the prime elements to look for before buying a maternity cover, check out the following plans.

Care Maternity Insurance Plan

Care Health Insurance covers the maternity expenses under this plan, so you don’t need to worry about the medical cost. Thi plan comes in two variants Joy Today & Joy Tomorrow. Let’s check out the policy coverage in the table below:

Joy TodayJoy Tomorrow
Coverage for in-patient hospitalization and daycare treatmentCoverage for in-patient hospitalization and daycare treatment
Pre and post-hospitalization cover up to 30 and 60 days, respectively Pre and post-hospitalization cover up to 30 and 60 days, respectively 
Ambulance cover up to INR 1,000 per claimAmbulance cover up to INR 1,000 per claim
Maternity cover up to INR 35,000 (for Sum Insured of INR 3 Lakh) and INR 50,000 (for sum insured of INR 5 Lakh)Maternity cover up to INR 35,000 (for Sum Insured of INR 3 Lakh) and INR 50,000 (for sum insured of INR 5 Lakh)
Newborn baby cover up to INR 35,000 (for Sum Insured of INR 3 Lakh) and INR 50,000 (for sum insured of INR 5 Lakh)Newborn baby cover up to INR 35,000 (for Sum Insured of INR 3 Lakh) and INR 50,000 (for sum insured of INR 5 Lakh)
Newborn baby defects cover of INR 50,000

Note: The maternity cover waiting period is 9 months in Joy Today and 24 months in Joy Tomorrow variant.

HDFC ERGO my:health Suraksha

HDFC ERGO my:health Suraksha comes with an optional ‘Parent and Child Care Cover’ where the insurer will cover the following maternity expenses:

  • 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.

Edelweiss Complete Health Insurance

This maternity insurance plan covers any medical treatment traceable to childbirth including complicated delivery and cesarean sections under hospitalization expenses. Under this policy, you’ll also get coverage for lawfully medical termination of pregnancy, during the first 12 weeks from the date of its conception. You can maximize the policy benefit by INR 50,000 to INR 3 Lakh if you opt for Gold or Platinum Edelweiss Complete health insurance with maternity cover.

Bharti AXA Smart Super Health Insurance

Bharti AXA Smart Super Health Insurance covers the expenses of delivery, childbirth, etc. You can avail of this health insurance with maternity cover from INR 3 to 7.5 lakhs. Under the policy up to 2 deliveries and 2 pregnancy terminations are covered. Also, the newborn cover for the first 90 days is available since the child’s birth.

TATA AIG Maternal Care Micro Insurance Plan

TATA AIG Maternal Care Micro Insurance Plan takes care of your medical expenses arising due to pregnancy or its complications. The insurer will pay a fixed amount in case you are hospitalized due to any of 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 – An additional 10% of the in-patient hospitalization benefit is paid in case of birth of a girl child. The policy shall automatically cease to exist if you have filed a claim for up to 2 deliveries.

Institutional Delivery Benefit: You’ll get a fixed benefit of INR 1,000 per delivery if the child is delivered to a hospital. In the case of a girl child, the institutional delivery benefit is INR 2,000 per delivery.

Family Transportation Benefit: The insurer will pay INR 500 transportation expenses per delivery, provided the hospital is 10KM away from your residence. In the case of a girl child INR, 1,500 per delivery will be paid under this benefit.

ICU Daily Cash Benefit: In case of ICU admission, the insurer will pay 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 will pay INR 200 per consultation for the following maternity complications, subject to a maximum of 5 consultations –

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

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