What Are The Pregnancy Insurance Benefits For Young Couples?

What Are The Pregnancy Insurance Benefits For Young Couples?

Motherhood is the most beautiful period for a woman. But, all the hospitalisation, post-natal care, and delivery expenses can affect your financial health. You wouldn’t want your family to be concerned about financing your delivery when you need them for physical and mental support. Maternity health insurance or regular health insurance that covers maternity expenses allows mothers to access the best maternity facilities without having to bear financial pressure. 

A maternity health insurance plan covers the C-section or normal delivery cost up to the total sum insured. Mostly, maternity insurance comes as an add-on feature in your health insurance. The coverage varies depending on the plan you choose and the premiums paid annually, but most of these insurance policies cover two pregnancies and might also cover the child’s vaccinations. 

The insurance might also cover additional expenses arising after the child’s birth. These plans cover pre-hospitalisation coverage up to 30 days before admission to the hospital and 60 days after delivery. The length might vary depending on the coverage of your critical illness insurance.

Insurer negotiated maternity plans

Maternity plans have sub-limits. So, before you sign up for them, ensure that your medical expenses, from pre-hospitalisation to the baby’s vaccination, do not exceed this sub-limit. The insurer will settle your claim up to the sum insured, and the rest will be paid from your pocket. Most hospitals offer a pre-set package that covers your maternity period. 

These packages determine your total hospital stay, doctor’s fees, and the associated medical expenses. The package varies depending on who’s paying. They have different packages for insured and non-insured patients, and insured patients get a lower bill than those who are not insured. 

Insurance companies negotiate the terms with the hospitals and get a discount on all hospitalisation expenses. Buying a maternity insurance plan will save you significantly on your medical insurance, not only because you can claim the amount up to your total expenses at the hospital but because these are priced less than the general insurance plans.

New-born cover

Covering newborn expenses is as important as your maternity coverage. Complications during and after the delivery are reported in many cases now and then. These can be because of premature birth, complicated pregnancy, existing medical conditions, and other reasons. Post-natal jaundice, for instance, is a common condition in newborn babies. 

Some health insurance plans do not cover any newborn expenses until they turn 91 days old. Any medical condition that occurs immediately after childbirth won’t be covered. Also, if this medical condition persists in your child, your health insurance provider will consider it an existing medical condition and won’t offer coverage. It’s important to check if your maternity insurance plan covers newborn expenses, including the medical problems that might arise right after birth. Some plans charge you an extra premium for newborn coverage. Note that these plans have a sub-limit and will cover your newborn expenses up to that limit.

What’s covered in maternity health insurance plan?

The coverage may vary from plan to plan. As mentioned above, some maternity insurance Coverage offer wider coverage, from hospitalisation fees to post-hospitalisation costs. Here are a few things that most standard insurance plans cover.

  • Pre-natal expenses
  • Medication
  • Ambulance expenses
  • Follow-up 
  • Hospital rental room charges (up to the sub-limit)
  • Newborn coverage
  • Day-care treatment
  • Vaccination expenses
  • C-section or normal delivery charge
  • Complications from pregnancy (during and after the birth)

Note that your maternity health insurance won’t cover any pre-existing medical condition. Likewise, if you are considering cosmetic surgery, you need to pay out of your pocket for that. Any pregnancy-related expenses before your due date, whether it’s medications or other unexpected expenses, are excluded from the plan. 

All maternity insurance plans come with a specific waiting period between 9 months and 6 years. This means you can’t buy a maternity insurance plan if you are already pregnant. The longer the waiting period, the more you have to wait till you can use the maternity coverage. You can’t claim any pregnancy-related expenses during the waiting period, so choose your plan wisely. It’s better to buy a plan a few years before you plan pregnancy.

As mentioned earlier, your regular health insurance might not cover maternity expenses unless you buy maternity coverage as an add-on. The best time to buy maternity coverage is shortly after your marriage, and always check the waiting period before signing up for the plan. If your due date is before the waiting period, your maternity health insurance won’t cover your bills.

In Conclusion

Women planning to start a family in a few years must consider taking a maternity insurance plan, as it covers most expenses related to their pregnancy. You can claim all medical expenses from your insurance provider—from delivery to post-natal care. Before buying, consider the waiting period, eligibility criteria, number of pregnancies covered, etc.

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