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Maternity Insurance: Covering Hospitalisation and Delivery Costs

Home - Finance - Maternity Insurance: Covering Hospitalisation and Delivery Costs

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Pregnancy is one of the most life-changing journeys, bringing excitement, joy, and responsibilities. While the focus often remains on preparing for the arrival of the baby, expecting parents must also plan for the financial aspects of maternity, particularly the medical costs associated with prenatal care, hospitalisation, and delivery. Maternity expenses can be substantial, and that’s where maternity insurance comes into play. In this article, we explore the key aspects of this insurance, its benefits and coverage, and how it fits into broader family health insurance plans to ensure a stress

and financially secure pregnancy experience.

What is Maternity Insurance?

This insurance is a type of medical insurance plans that specifically covers expenses related to pregnancy, including hospitalisation, delivery (normal or C-section), and postnatal care. Many health insurance providers offer maternity coverage as an add-on or as part of comprehensive family health insurance plans. Given the rising cost of maternity services in India, having insurance for pregnancy can help alleviate the financial burden on expecting parents.

Below are some of the key benefits of investing in maternity insurance: 

1. Coverage for Delivery Expenses

One of the primary benefits of insurance for pregnancy is coverage for delivery costs. Whether you opt for a normal delivery or a C-section, this insurance can significantly reduce out-of-pocket expenses. This coverage usually includes hospital room charges, nursing charges, doctor’s consultation fees, and surgical expenses.

2. Prenatal and Postnatal Care

Pregnancy requires regular prenatal check-ups, diagnostic tests, and medication, all of which can add to the overall cost. Insurance for pregnancy often covers prenatal expenses leading up to the delivery. Postnatal care, including follow-up check-ups and vaccinations for the newborn baby, may also be covered, depending on the policy.

3. Coverage for Newborn- Baby

Many maternity policies extend coverage to the newborn baby for a specified period, usually the first 90 days after birth. This can include expenses related to any medical conditions the baby may develop during this period.

4. Cashless Hospitalisation

Most maternity policies offer the benefit of cashless hospitalisation, allowing you to access treatment at network hospitals without worrying about upfront payments. This can be especially helpful during labour and delivery when immediate hospitalisation is required.

Who Should Consider Maternity Insurance?

1. Newly Married Couples

Couples who are planning to start a family in the near future should consider purchasing a health insurance policy with maternity coverage as early as possible. This is because most insurance for pregnancy come with a waiting period of 2 to 4 years, meaning the coverage will only kick in after this period.

2. Families Planning a Second Child

If you already have a family health insurance plan but are planning for a second child, check whether your policy includes maternity coverage. If not, consider upgrading to a plan that offers this benefit.

3. Working Women

Many employers offer group health insurance plans with maternity benefits. However, these plans may not provide comprehensive coverage. Working women can supplement their employer-provided coverage with an individual or family health insurance plan that includes maternity benefits.

Maternity Insurance Coverage: What’s Included?

Although the exact benefits may vary depending on the policy, most insurance for pregnancy cover the following:

  • Delivery Expenses: Coverage for normal or C-section delivery, including hospital room charges, doctor’s fees, and surgical costs.
  • Pre- and Post-Hospitalisation: Coverage for expenses incurred before and after hospitalisation (usually 30 days before and 60 days after).
  • Prenatal and Postnatal Care: Coverage for prenatal check-ups, diagnostic tests, and postnatal care.
  • Newborn Baby Cover: Coverage for the baby’s medical expenses for a specified period after birth.
  • Ambulance Charges: Coverage for ambulance services in case of emergency hospitalisation.

Things to Keep in Mind

Here’s what you should remember: 

1. Waiting Period

This insurance plans usually have a waiting period of 2 to 4 years, which means you won’t be able to claim maternity benefits immediately after purchasing the policy. To avoid this, it’s advisable to buy insurance well in advance if you’re planning to start a family.

2. Sub-Limits

Some policies have sub-limits on maternity benefits, which cap the amount you can claim for delivery expenses. For example, the policy may offer a maximum of ₹50,000 for normal delivery and ₹1 lakh for a C-section. Make sure to review the sub-limits before purchasing the policy.

3. Premiums

This insurance often comes with higher premiums due to the increased risk for the insurer. However, the benefits provided can far outweigh the cost, especially if you’re covered for expensive treatments like C-sections and neonatal care.

How to Choose the Best Maternity Insurance Plan

1. Look for Comprehensive Coverage

Choose a plan that covers all aspects of maternity care, including delivery expenses, prenatal and postnatal care, and new-born baby cover.

2. Check the Waiting Period

If you’re planning to start a family soon, opt for a policy with a shorter waiting period. Some insurers may offer maternity coverage with a waiting period as short as 9 months.

3. Compare Premiums and Benefits

Compare the premiums and benefits of different insurance for pregnancy to find one that offers the best value for money.

4. Consider Family Floater Plans

If you’re looking for coverage for your entire family, consider a family health insurance plan that includes maternity benefits. This can be more cost-effective than buying individual policies for each family member.

Conclusion

Maternity insurance is an essential financial tool that can help expecting parents manage the rising cost of maternity care. By choosing a policy that offers comprehensive coverage and fits your budget, you can ensure a stress and financially secure pregnancy experience.

With Niva Bupa Health Insurance, you get access to maternity coverage that includes prenatal and postnatal care, delivery expenses, and newborn coverage, ensuring complete protection for both mother and baby. As a trusted health insurance provider, Niva Bupa offers cashless hospitalisation at an extensive network of hospitals, hassle claim settlements, and 24/7 customer support. Whether planning your first child or expanding your family, Niva Bupa’s insurance for pregnancy provide the financial security and quality healthcare you deserve, so you can focus on what truly matters—welcoming your little one with joy and peace of mind.