A Maternity or pregnancy Health Insurance plan covers medical costs rising up for child birth and this insurance plan will take care all kind of expenses for both mother and child.
Motherhood is the bless of God in a form of gift which brings happiness and pleasure in a family and in the life of would be parents. It is a big and new responsibility for the new mother as new life will come in her life that needs more care and support than a normal person and also she wants to keep everything secured. Pregnancy period is full of risks and a little carelessness can result a big complexity so each and everything should be organized in the proper way. Though there has a huge difference between previous and today’s treatment and the advanced technology has made the delivery process easier but it also increases the treatment cost. The hospitalization charges, the delivery charges and the after the delivery charges all have become risen so much that it is not a matter of kid now. So it is really very important to be prepared for this thing from the very first day of marriage and the best way is to insure the newly married girl is to get a maternity insurance plan.
We all know that now-a-days health insurance plans are important for all they are like the helping hands for insured persons to protect from various injuries, diseases and risky illness and become a support system in the time of financial support needs. Health Insurance Plans generally have some selected hospitals and doctors under which the patients can get treatment or get hospitalized. It is rather a cashless facility, insured person doesn’t have to pay the bill in the time of hospitalization but on his or her behalf the insurance company will pay and under a plan the insured person can get coverage for his or her family. Maternity Insurance Plan is one of those health insurance plans which give the pregnant mother a financial stability and secure plan for future; with growing das of pregnancy period, the insurance will offer various benefits.
Coverage under Maternity Health Insurance
It generally covers the expenses during maternity period and these expenses are covered as the riders of a health insurance product. Here policyholders will be charged extra premium for the cover, in some cases maternity coverage comes within the range of OPD related expenses.
Features and benefits
There is a list of features and benefits can get from health insurance for maternity coverage which is discussed here:
Most of the policies come with a waiting period of 3-6 years in that a policyholder can claim benefits only after the mentioned period of time after starting of the insurance policy.
: Though there is difference in the covered general expenses but there are some similarities among them and those are: 1) pre-hospitalization expenses given after a 30 days waiting period, 2) post-hospitalization expenses after a 60 days waiting period, 3) delivery expenses, 4) for some cases vaccination of the infant, 5) charges for ambulance, 6) baby cover if the newborn suffers from serious illness and other emergencies
Besides all these benefits, a maternity insurance policy is costly as it is considered a high risk product which has almost 100% claim ratio than other insurance policies. Though premium is higher than normal policies but it depends on many factors like: Type of industry, Risk factors, Age Profile, Number of employees and Location of company for group policies.
ctors, Age Profile, Number of employees and Location of company for group policies.
Right time to get the Insurance:
According to experts, it will be best decision to plan in advance given that maternity health insurance policies as they have long waiting period that may lead some problems. It should be also keep in mind that, most insurance companies don’t give maternity health insurance to the already pregnant women so who are willing to take policy must apply before conceive.
Although there are some benefits under this policy yet there are some exceptions also which should be known to the mothers:
Non-allopathic treatment expenses
Regular check up
Costs of medicines
Miscarriage under 12 weeks
Pre-existing injuries diagnosed within 48 months of policy start
Expenses for self-made injuries, drugs or alcohol
Treatment costs for AIDS
Expenses of dental treatment
In-vitro fertilization and infertility-related expenses
Claiming process may vary from different providers, but in most cases, the policyholders have to maintain such procedures like:
Claim intimation for emergency hospitalization is within 24 hours and for planned hospitalization is within 48 hours
Cashless pre-authorization like filling up the pre-authorization form available at TPA desk or can download from the insurance provider’s website. This has two ways: 1) after getting the pre-authorization form, the claim management team of the insurance company sends an approval letter and 2) policyholders can then file their re-imbursement claim
This re-imbursement also works in two ways: 1) policyholder has to fill in the form and submit the claim form with the documents needed to the insurance company and 2) after receiving the form, the claim management team of the insurance company sends an approval letter.
Before buying any maternity health insurance policy for pregnancy, it must be checked that the maternity cover should offer coverage to the new born also and if any policy offers this it is right to get. A health insurance plan for pregnancy is designed to protect both the mother and child.