How Maternity Coverage Fits into Family Health Insurance Plans

Welcoming your newborn and becoming a parent is the happiest moment of any family’s life. However, before you bring this happiness into your life, make sure to plan for its safety and financial stability with maternity insurance.

Understanding how maternity health benefits in insurance coverage is crucial before buying any plan. But before knowing what exactly maternity insurance means.

What Are Maternity Insurance Plans?

Maternity coverage in a family health insurance plan is coverage designed specifically for pregnant women and their newborns. The plan includes coverage for pre- and post-natal expenses, delivery expenses and complications that might arise during pregnancy.

Some maternity coverage also covers the cost of newborn medical care and vaccinations. This reduces the financial strain on the expecting parents and allows them to access the best medical facilities.

What is Covered Under Maternity Insurance Plans?

The maternity health insurance plans for family cover the following medical expenses.

  • Prenatal healthcare check-ups
  • Hospital stays
  • Ultrasound tests
  • Baby’s delivery cost (caesarean or vaginal)
  • Any other necessary lab tests

Maternity Health Coverage Under Health Insurance Policy

Before you buy any maternity medical insurance policy, you must know about these conditions.

Maternity Cover Inclusion

Maternity cover is only provided by an insurer when it is specifically stated in the documents. Maternity coverage is an additional benefit; you must pay an extra premium price in addition to your family insurance premium to avail yourself of the benefits.

Waiting Period

Health insurance for families has waiting periods for any maternity claim, which can be anywhere between 9 and 36 months. Thus, make sure to buy maternity coverage well in advance of your family plan. There will be no use in getting maternity coverage under family health coverage after pregnancy.

Sum Insured

Most health insurance plans cap maternity coverage. It is crucial to ensure that the specified amount is appropriate for your coverage requirements.

Pre-Existing Conditions

Declaring pre-existing conditions before taking maternity cover is essential to ensure you get appropriate coverage. Moreover, make sure to choose an insurer that provides coverage for pre-existing conditions during pregnancy.

Number of Pregnancy

It is important to check the limit of pregnancies covered under maternity insurance before buying one. For example, some insurance only provides coverage for the first two pregnancies.

Co-Payment

Another point to note is the co-payment clause, in which the insurer wants the policyholder to shoulder a certain amount of maternity expenses. If you are buying any such health insurance for family, make sure that the co-payment limit is not too high, as it can result in a financial burden.

Summing Up

Health insurance for families has become a mandatory need in today’s time. If you are planning to start a family, then adding maternity coverage to your insurance is a wise decision. Through this, you can reduce your out-of-pocket expenses and get the best medical attention for mother and newborn.

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