Medical care related to pregnancy can be costly so it is important that you get yourself a maternity cover health insurance.
If you are married and planning to start a family you should get a maternity cover to prevent your finances getting impacted and enjoy parenthood unhindered.We are here to tell you all about the clauses included in the maternity insurance in India and also about the omissions.
Maternity-related hospitalization, which means pre hospitalisation is covered upto 30 days prior to delivery and post hospitalisation expenses are covered upto 60 days.
Pre- natal and post- natal expenses for both normal and cesarean delivery are also covered under maternity insurance as per the direction of insurance regulatory and development authority of India. New born cover of babies (1 to 90 days) is offered in case they are detected with congenital or critical illness is also available.
Hospitalisation charges, which include fees of surgeons and nurses, room and operation theatre charges and other related charges are covered under this insurance.
Maternity insurance in India however, has some limitations. The waiting period is often two to four years and sometimes it can go up to six years. This means if you are already pregnant before buying the insurance you will not eligible for cover. Since the insurance market in India is still very nascent, no insurer provides maternity insurance with no coverage period as of now.
Coverage for maternity and newborn related claim is capped between Rs 15,000 to 30,000 for normal deliveries and Rs 25,000 to Rs 50,000 for cesarean births. This amount may not be enough in tier 1 cities and A rate hospitals. The eligible age for maternity cover is capped at 45 years. Termination of pregnancy within 12 weeks from the date of conception is not covered along with ectopic pregnancy.
Another downside of the policy is the high premium one has to pay for maternity insurance policy. Some other exclusions include non-allopathic treatment costs, regular check- ups, medicine costs, in vitro fertilisation and infertility related treatments.
In most cases, maternity insurance comes as an add-on to the main health insurance policy. Health insurance policies which come with maternity cover are usually costlier than the ones which come without it. On an average, a Rs 3 lakh health insurance cover for a 35-year-old woman will be Rs 3,000 to Rs 4,000 per annum, but if the same policy has a maternity cover as a rider, the cost will double.
So, use your discretion while buying a maternity cover as a part of your health insurance. Stay informed, stay prepared!