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Maternity Cover in Health Insurance

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​Welcoming a new life into your world is a joyous and significant occasion. While it is set to bring several beautiful memories, bringing a new life into this world does not come cheap.

Now, you will say that you have bought so you do not have to worry. Well, many people only buy basic health insurance, which does not cover maternity costs. This is where maternity cover or pregnancy health cover comes in!

So, what is pregnancy insurance, and how does it benefit the women planning their pregnancy journey? Let us delve into the details and explore its importance.

What is Maternity Cover in Health Insurance?

Maternity insurance, also called pregnancy insurance, is an optional add-on to health insurance policies that provides financial coverage for medical expenses related to pregnancy and childbirth.

It also covers complications during pregnancy, caesarean delivery costs and any other medical needs for both the mother and the child, ensuring comprehensive protection.

Why Should You Purchase a Pregnancy Health Cover?

Higher Medical Treatment Cost

It is estimated that bringing a new life into this world can cost anywhere between ₹1.5 lakhs - ₹2.5 lakhs. Pregnancy insurance plans provide vital financial protection by covering the high costs associated with pregnancy and childbirth.

It reduces your financial burden and ensures you experience this significant and beautiful moment in your life stress-free.

Comprehensive Protection

Pregnancy health coverage provides comprehensive protection against expenses related to delivery, prenatal and postnatal care and newborn baby care.

Coverage For Maternity-Related Hospitalisation Expenses

Due to extended hospitalisation stays, maternity-related hospitalisation expenses can turn out to be exorbitant. These costs can quickly accumulate, making maternity insurance extremely beneficial.

Coverage for Preventative and Post-Natal Care

Pregnancy health cover also includes preventive and post-natal care, including post-delivery medical consultations, vaccinations for the newborn child and routine check-ups. It ensures you and your child receive the most required medical attention when in extreme need.

Protection Against Unexpected Complications

Maternity-related hospitalisation expenses can be substantial, especially when unexpected complications arise. This might indicate the need for additional medical procedures and special care, increasing the overall cost.

A maternity insurance cover from Reliance General Insurance provides coverage for these unexpected complications.

Peace of Mind

Knowing that you are financially prepared for the big event, you can remain peaceful throughout your pregnancy and focus on your health and well-being, which is utmost essential.

Maternity Insurance Eligibility Criteria

Age

The age eligibility for purchasing the Reliance Health Infinity Insurance plan is between 10 to 65 for adults. The maternity cover benefits are available for females between the age group of 18 to 45 years. The age is calculated based on completed years.

Waiting Period

The waiting period to be eligible for maternity insurance benefits differs between the plan options. For example, our Reliance plan offers maternity coverage with a waiting period of 1 or 2 years.

Maternity Cover: Inclusions and Exclusions</H2>

Inclusions

  • Tests
  • Ambulance expenses
  • Medication
  • Inpatient care
  • Prenatal expenses
  • Follow-up visits
  • Daycare
  • Post-natal expenses
  • Room rent
  • Caesarean/normal delivery
  • Newborn baby cover

Exclusions

  • Non-medical exclusions like intentional self-injury and attempted suicide.
  • Medical exclusions like Injury or illness as a result of use of intoxicating substances and treatment at unregistered hospitals.

Benefits of Pregnancy Health Cover

Extensive Coverage

With maternity insurance cover, you can benefit from an extensive coverage that can cover a wide range of expenses for pregnancy and childbirth, ensuring the well-being of you and your newborn child.

Cashless Claim Facilities

With the Reliance General Insurance cashless claim facilities, you can ensure a stress-free pregnancy experience at a network or non-network hospital while we settle the bills directly with the hospital.

Tax advantage

According to the Income Tax Act, the premium amount you pay for a health insurance policy will apply for the tax deduction benefit under Section 80D.

When to Purchase Maternity Insurance Cover?

Are you a newlywed couple thinking about starting a family soon? It is a wise decision to get a pregnancy insurance plan well in advance because there is usually a waiting period of 1 to 2 years before you can make any claims.

This is why it is advisable for you to buy this plan as early as possible so that when you are ready to start the family, you do not have to worry about the waiting period.

In addition, if you suffer from a pre-existing health condition, such as diabetes or high blood pressure, there can be an additional waiting period. Purchasing maternity insurance well in advance ensures that you are financially prepared for a happy parenthood.

How to Purchase Maternity Insurance Cover?

With Reliance General Insurance, you can easily purchase this plan online from the comfort of your home. In addition, you can benefit from a discount of 40% on your premium when you buy health insurance plans online.

  • Step 1: Visit our for health insurance plans.
  • Step 2: Enter your name, mobile number and pin code. Click on ‘View Prices’.
  • Step 3: Choose the type of health insurance plan.
  • Step 4: Provide all the necessary details.
  • Step 5: Select a suitable health insurance plan and the Maternity Cover.
  • Step 6: Provide the sum insured, policy tenure and any other specific details.
  • Step 7: Review your personal and health insurance details and pay the applicable premium.

What is the Pregnancy Insurance Claim Process?

The pregnancy health cover benefits can be claimed in a few simple steps for both cashless and reimbursement claims.

Cashless Claims

  • Step 1: Intimate and register the claim by contacting us on our paid number - +91 22 48903009 or writing to us at rcarehealth@relianceada.com.
  • Step 2: Visit a network or non-network hospital.
  • Step 3: Coordinate with the TPA (Third-Party Administrator) at the hospital, submit the necessary medical records and arrange for the pre-authorisation with RCare Health, our in-house health claims unit.
  • Step 4: Upon completion of the treatment, verify and sign the bills and leave the documents at the hospital.
  • Step 5: The hospital representatives will share the documents with us and we will settle the bills for them directly.

Reimbursement Claims

  • Step 1: Intimate and register the claim by contacting us on our paid number - +91 22 48903009 or writing to us at rcarehealth@relianceada.com.
  • Step 2: Undergo the medical treatment for pregnancy at any preferred hospital and pay for the applicable expenses.
  • Step 3: Collect all the documents, including medical records and the discharge summary.
  • Step 4: Submit the documents to us within 7 days from the date of discharge to this address:

Reliance General Insurance, No. 1-89/3/B/40 to 42/ks/301, 3rd Floor, Krishe Block, Krishe Sapphire, Madhapur, Hyderabad 500081.

Send the scanned copies within seven days to help us proceed further and process the claim faster.

Tips to Choose the Best Maternity Insurance Policy

Credible Insurer

Choose a reputable insurer with a high claim settlement ratio. Research customer reviews and feedback to analyse the reliability and service quality to ensure a good experience.

Assess Policy Inclusions and Exclusions

Understand and thoroughly review the policy inclusions and exclusions to ensure all the necessary aspects of treatment expenses that you are looking for in the pregnancy insurance plan.

Waiting Period

Check the waiting period to be eligible for the maternity insurance benefits. Choose a plan with a shorter that aligns with your healthcare needs.

Eligibility Criteria

Examine the eligibility criteria for insurance for pregnant women to avoid discrepancies at the time of claim settlements.

Compare Policies Online

Research the different options for maternity insurance plans online, compare their features and benefits to decide the most-suited and affordable solution.

Benefits for the Infant

Pregnancy health cover also addresses the healthcare needs of your newborn. Ensure that the policy offers comprehensive protection, including routine consultations and vaccinations.

Abortion/Termination

If you are susceptible to medical complications, you might have to abort your pregnancy. Check if the insurer covers expenses towards the lawful medical termination of the pregnancy if necessary.

Number of Children Covered Under The Policy

Check if the insurer offers maternity insurance coverage for more than one child, especially if you have plans to expand your family in the near future.

Wrapping Up

Now that we know what is maternity coverage, it is time to make prudent decisions concerning your future family goals. Keep the waiting period in mind and ensure you purchase the pregnancy health cover well in advance.

By covering the medical treatment expenses related to pregnancy and childbirth, you can focus on the well-being of you and your child without taking the stress of mounting medical bills.

Reliance General Insurance offers with maternity cover, competitive premiums and cashless services. Explore our plans and secure your maternity coverage today!

Frequently Asked Questions

  1. Is there any maternity insurance plan with no waiting period?

    Generally, maternity insurance plans come with a waiting period, and it differs between insurance providers. Reliance General Insurance offers maternity cover with a waiting period of 1 or 2 years as per your choice in its plan.

  2. Does maternity insurance cover a newborn baby?

    Yes, maternity insurance covers the medical expenses for a newborn baby, including vaccinations.

  3. Is pregnancy considered a pre-existing condition?

    Pregnancy cannot be considered a pre-existing condition and it cannot restrict the purchase of a health insurance policy. However, opting for the maternity cover may not be applicable as it involves going through a waiting period.

  4. Does a health insurance plan cover more than one delivery expense?

    The coverage benefits can vary between insurance providers and policy options. Therefore, it is important to go through the policy terms and conditions to understand if the coverage is applicable to more than one delivery expense.

  5. What are the documents required to purchase maternity insurance?

      The documents required can vary depending on the individual circumstances. Some of the common documents required are:

    • Proof of identity
    • Proof of birth
    • Proof of address
    • Medical examination reports
  6. Can you get maternity insurance coverage if you are already pregnant?

    Unfortunately, there are no maternity insurance plans with no waiting period in India. Maternity insurance plans typically require a waiting period, so coverage cannot be obtained if you are already pregnant.

  7. What is the minimum and maximum sum insured under maternity insurance?

    The minimum and maximum sum insured can vary depending on the choice of plan option and its specific terms and conditions. With our plan, you can get covered for up to ₹1 lakh or ₹2 lakhs based on the coverage you have selected.

  8. Does maternity insurance cover C-Section?

    Yes, caesarean expenses are covered under maternity insurance plans.​

  9. How is maternity insurance premium calculated?

    The maternity insurance premium is generally higher due to the high certainty of the insured event, childbirth. It is calculated based on various factors such as age, health condition, sum insured, waiting period and the specific underwriting guidelines.

    *Disclaimer: T&C apply. For more details on risk factors, terms conditions, brochure, and exclusions, please read the policy wording and CIS carefully before concluding a sale. Details mentioned above are for Reliance Health Infinity Insurance UIN: RELHLIP23120V042223

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