Maternity Cover Health Insurance

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Maternity Cover Health Insurance is a policy that covers the cost of delivery and other medical expenses during pregnancy. It is an important health insurance policy for women as it ensures financial security during this period. SMC Insurance provides information about the best maternity cover health insurance policies in India. This article will discuss the , benefits, and policy options.

What is Maternity Cover Health Insurance?

If you are planning for extending your family, it’s important to prepare yourself from all eventualities by purchasing maternity cover health insurance which covers the cost of medical care related to pregnancy and childbirth. This can include prenatal and postnatal care, as well as delivery costs. Some policies will also cover complications arising from pregnancy, such as ectopic pregnancies or premature births. One can opt for a standalone maternity policy or add it on as a rider to an existing health insurance policy.ia. This article will discuss the features, benefits, and policy options.

Who Should Opt For It?

Pregnant women in India should opt for a maternity cover health insurance plan to ensure that they and their baby are covered in case of any unforeseen medical expenses. One can never predict when a health emergency might occur, and having a good health insurance plan will reduce your stress, and provides you financial security.

If you already have a health insurance policy, it's important to check whether it includes maternity cover or not. You can also add-on to your existing health insurance policy with a sum insured up to Rs. 50 thousand or more.

For those who don't have a health insurance policy, standalone maternity insurance can be a good option. It's important to compare different policies and make sure you understand the coverage and exclusions of the policy.

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Why to Opt for Maternity Insurance?

Maternity Insurance is beneficial for those who want to be financially prepared for the costs associated with pregnancy and childbirth. The policy can also give you peace of mind, knowing that you and your partner will have access to good quality medical treatment if needed. For instance, if you have a history of complications during pregnancy or you are expecting twins or triplets, a maternity insurance policy can give you the financial protection.

How SMC Helps in Buying Maternity Cover Health Insurance?

SMC Insurance helps you in buying Maternity Cover Health Insurance by providing you with a platform to compare and choose different policies that best suit your needs. We understand the need of having access to quality medical care during pregnancy, and our team is always there to help you make an informed decision about your maternity cover.

We also offer a hassle-free online application process to get your maternity cover without any delays.

How Does Maternity Cover Health Insurance Work?

Maternity Cover Health Insurance works by financially protecting pregnant women and their children in the event of complications during pregnancy or childbirth. It can help pay for medical expenses related to prenatal care, delivery, and postnatal care. Some policies also cover breastfeeding support and new-born care.

Maternity cover can also be bought as an add-on to a standard health insurance policy or as a standalone policy. Some insurers also offer comprehensive maternity packages that include coverage for fertility treatments, miscarriage, and other complications related to pregnancy.

No matter what type of Maternity Cover Health Insurance plan you have, it is important to know and understand about how your plan works and what it covers. This will help you avail the most of your coverage and avoid any surprises down the road.

Maternity Insurance Benefits

Maternity Insurance Benefits are designed to help pregnant women and their families with pregnancy and childbirth costs. Some of the benefits that may be included in a Maternity Insurance policy are:

  • Financial Aid for Prenatal Care

Maternity Insurance can help you cover the costs of prenatal care, including doctor's visits, ultrasounds, and blood tests which is essential for healthy pregnancy.

  • Fertility Treatment Coverage

If you are struggling to get pregnant, some Maternity Insurance policies will cover the costs of fertility treatments, such as in-vitro fertilisation (IVF).

  • Miscarriage Coverage

If you have a miscarriage, some Maternity Insurance plans will cover the costs of your medical care and provide financial assistance for lost wages.

  • Maternity Cover for a New-born Baby

Your Maternity Insurance policy may also cover the costs of your new-born baby's care, including hospital stays, immunisations, and prescriptions.

  •  Tax Benefits

Premiums paid for maternity-specific health insurance plans are also eligible for a tax deduction of up to INR 25,000 per year under section 80D of the Income Tax Act, 1961.

Features of Maternity Cover Health Insurance

There are several health insurance firms in existence today that provide maternity coverage. Despite many different advantages and services provided by various firms, their fundamental characteristics remain the same. Before you purchase a plan, it's vital to understand them in detail. Below are the key features of maternity cover health insurance:

  • Waiting Period

There is a waiting period associated with maternity coverage. You will be able to collect the benefits only when this waiting period has passed. Some health insurance companies have a 9-month waiting period; others have a waiting period of up to 6 years.

  • Complication from Pregnancy

Your maternity insurance policy will also pay out a benefit if you suffer from any complications arising from your pregnancy. This could include premature births, ectopic pregnancies, or even miscarriages.

 Delivery Costs

Your maternity insurance policy will cover the costs associated with your delivery, like hospital stay, medication, and any other necessary medical treatment.

  •  Ancillary Expenses

A maternity insurance policy may also cover some ancillary expenses, such as ambulance charges and nursing care.


Eligibility for Maternity Cover Health Insurance

The eligibility criteria for maternity cover health insurance plans vary from one insurer to another. However, some general conditions must be met in order to qualify for this type of coverage. Your age must be at least 18 years when taking the policy. You will also need to provide proof of your identity and pregnancy. In some cases, you may also be required to undergo a medical examination.One can always check with the insurer to see if they have any specific requirements.

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What is covered under Maternity Cover Health Insurance?

Following are some of the essential things that are covered under maternity cover health insurance plans:

  • Cost of Delivery and Labour

Maternity insurance reimburses all out-of-pocket costs during delivery up to the amount of the sum insured.

  • Caesarean Delivery

Caesarean delivery is an operation that is carried out to deliver the baby when a vaginal birth is not feasible for the mother or the kid. It will be covered by maternity insurance.

  • Complications during Pregnancy

Some women develop medical problems during their pregnancy, which may need treatment. Your insurance will cover any pregnancy-related issues.

  • Infertility Treatment

The insurer will reimburse the cost of infertility treatment if you or your partner is experiencing infertility problems

  •  Terminations

Some medical problems may necessitate the termination of a pregnancy. The fees you incur for lawful terminations will be reimbursed.

What Is Not Covered Under Maternity Cover Health Insurance?

Exclusions are services that your maternity insurance will not cover. Some of the most common exclusions are:

  • Ectopic pregnancy
  • Consultation fees
  • The cost of obtaining and preserving stem cells
  • Birth control procedures
  • Infertility treatments
  • Hormone replacement therapy
  • The costs of medical care resulting from an assisted conception complication
  • Regular check-ups
  • Termination of pregnancy before 12 weeks
  • Non-allopathic therapy fees
  • Voluntary termination of pregnancy
  • Surrogate or vicarious pregnancy


Maternity Insurance Claim Process

When you file a claim, the following documents will be required:

  • Health/Policy Card
  • Policy Papers
  • Documents Related to Pregnancy
  • Claim settlement form fully completed and signed
  • KYC Documents, as asked by the insurance company

There are two methods for filing a claim

  • Reimbursement Claims

    If you choose a non-network hospital in an emergency, notify your insurance company within the first 24 hours of your stay. The hospital and TPA will review the paperwork, and if everything appears to be in order, your claim will be settled quickly, and you will get reimbursement for the amount you paid for treatment.

  • Cashless Claims

    If your delivery is at one of the network hospitals, you may make a cashless claim request by simply presenting your Health/Policy Card to the Helpdesk. After completing your claim application, submit the signed form and any other required documents to the hospital along with TPA-Third-Party Association, and they will handle it from there. Your forms and papers will be verified, and if everything is in order, your claim will be approved.