Which Insurance Covers Pregnancy?

Factors to Consider When Selecting Pregnancy Health Insurance

Which Insurance Covers Pregnancy?

Various types of health insurance plans cover pregnancy-related expenses, be it a comprehensive health policy or maternity-specific plan. The rules for claiming maternity benefits rely on the type of policy and its provider.  

Take a look at all the plan options that you may consider opting to get maternity coverage: 

●Individual Health Insurance Policy  
As the name goes, individual health insurance plans focus on one person's health needs.  Certain individual plans provide maternity benefits. However, there is a waiting period before you can claim maternity benefits. 

●Family Floater Plan  
Family floater insurance plans cover multiple family members under one policy, including the policyholder, spouse, children, and sometimes parents or in-laws. These plans also cover maternity expenses for the policyholder and their spouse.  
Please note: Both individual and family plans do not include maternity expenses in the basic coverage options. However, you can opt for a maternity cover add-on to stay safe from all the pregnancy costs without buying an additional policy. 

●Maternity Health Insurance Plan  
This health insurance policy is specifically designed to cover medical expenses related to pregnancy and childbirth. It offers essential financial protection for expectant mothers during their journey.

Here are all the expenses that are covered under maternity health insurance plans:   

●Normal and caesarean delivery costs 
●Ante, pre and post-natal expenses 
●Nursing and boarding expenses up to a certain limit 
●Room rent and ambulance charges 
●New-born baby care 
●In-utero foetal surgery/repair 
●Domiciliary hospitalisation expenses up to certain limits  
●Internal congenital disorders 
●Paediatrician consultation  
Here is a list of expenses that are excluded from maternity health policies: 
●Pre and post-hospitalisation 
●External congenital anomalies 
●Dietary supplements and substances 
●Intentional self-injuries or suicide 
●Non-medical expenses 
●Treatment for addiction to intoxicating substances 
●Injuries related to nuclear weapons. 

Top Health Insurance Plans for Pregnancy  

Have a look at the most-demand health policies that cover pregnancy: 

●Star Women Care Insurance Policy 
●Star Comprehensive Insurance Policy 
●Young Star Insurance Policy 
●Super Surplus Insurance Policy   

Key Considerations When Choosing Maternity Insurance

When selecting insurance coverage for pregnancy-related expenses in India, it is important to consider the following factors:

●Eligibility: Eligibility for a maternity plan typically depends on age, health conditions, and other factors. The criteria will vary from insurers. So, before comparing plans you must check your eligibility. 

●Waiting Period: The waiting period for maternity coverage can range from 12 months to 36 months. So, it is essential to plan and choose a policy that aligns with your pregnancy timeline.

●Coverage Limits: Be sure to check if there are any caps on maternity coverage and whether newborn baby care is included.

●Exclusions: Review exclusions related to high-risk pregnancies, pre-existing conditions, or elective procedures that may not be covered.

●Medically necessary abortion: In case of any kind of complication that can affect you or your child, you might need to terminate the pregnancy as per your doctor’s suggestion. Most insurers cover lawful medical termination of a pregnancy, and there are no restrictions. 

●Premium Costs: The premium for policies with maternity coverage is often higher than for basic health insurance policies. Therefore, be sure to consider the cost of premiums when selecting a plan. 

When you are all set to embark on the journey of motherhood, costs should be the last thing to worry about. As mentioned above, you can buy a maternity plan or simply opt for an add-on depending on your needs and your current health coverage options and enjoy this blissful journey stress-freely. 

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