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Home / News / Business News / Essential guide to maternity coverage in health insurance
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Essential guide to maternity coverage in health insurance
Maternity benefits in health plans

Essential guide to maternity coverage in health insurance

By Anujj Trehaan
Sep 05, 2024
12:13 pm

What's the story

When planning to start a family, it's crucial to consider the financial aspects involved.

Maternity coverage in health insurance significantly aids in managing expenses related to childbirth and prenatal care.

This article is designed to guide Indian families through the process of evaluating maternity benefits in their health insurance plans.

It ensures they are well-informed and can make decisions that best suit their needs.

Waiting period

Check the waiting period

Most health insurance policies include a waiting period for maternity benefits, which typically range from two to four years.

This stipulation means that policyholders cannot claim maternity-related expenses immediately after policy purchase.

Planning ahead is essential for those considering starting a family in the near future.

Choosing a policy early can ensure that maternity benefits are available when needed, avoiding unexpected out-of-pocket expenses.

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Coverage limits

Understand coverage limits

Maternity coverage in health insurance includes a cap, the maximum claimable amount for childbirth and related expenses.

These limits vary significantly across policies, usually from ₹15,000 to ₹200,000.

Assessing personal needs and comparing these limits across plans is crucial for optimal financial planning.

This ensures families choose a plan that aligns with their specific requirements, facilitating better financial preparedness.

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Additional benefits

Look for additional benefits

Some health insurance policies offer extra benefits, including coverage for newborn baby expenses, vaccination costs, and postnatal care.

These additional features can provide comprehensive support during and after pregnancy, although they might come at a higher premium.

Evaluating these benefits against your potential needs is crucial in selecting the most suitable plan for your family's requirements.

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Network hospitals

Consider network hospitals

Choosing a health insurance provider involves scrutinizing their network hospitals, especially for maternity care.

It's vital to ensure these hospitals, ideally located near your residence, offer excellent maternity facilities.

This consideration guarantees not only convenience but also the availability of cashless treatment options during hospitalization.

It significantly eases the process and reduces stress during this critical time.

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Exclusions

Review exclusions carefully

Understanding what's not included in your maternity coverage is as vital as knowing the included aspects.

Common exclusions involve infertility treatments and voluntary pregnancy terminations, unless deemed medically necessary.

Awareness of these exclusions is key to avoiding unforeseen expenses during this significant life stage.

It ensures families are better prepared financially for the arrival of their new member.

Done!
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