Toggle Location Modal

Top Health Insurance Policies with Maternity Cover in India

WhatsApp
Medically Reviewed by Dr. Arti Sharma
Written by Charu Shrivastava, last updated on 11 April 2023| min read
Top Health Insurance Policies with Maternity Cover in India

Quick Summary

  • Maternity health insurance plans are the best way to incur maternity cost.
  • Women usually prefer health insurance, including maternity, that can help cover all their costs.
  • Maternity insurance provides comprehensive coverage for medical expenses that happen during pregnancy.

Pregnancy is a very big moment in any woman's life, and maternity health insurance plans are the best way to incur maternity cost. In India, more than 67,385 babies are born daily, which accounts for one-sixth of the world's total childbirths. With a high ratio, the country also needs to have the best maternity care facilities. 

Women usually prefer health insurance, including maternity, that can help cover all their costs, such that they are ready to bring their baby into this world happily.  Maternity insurance provides comprehensive coverage for medical expenses that happen during pregnancy. These could include delivery, hospitalisation, prenatal and postnatal care, medical tests, medicines and newborn care expenses.

Need for Maternity Coverage in Insurance

The health insurance plans covering maternity are necessary as they include the costs of normal and caesarean deliveries up to the sum insured in the policy. A maternity cover would ensure the parents worry less about the tests, delivery expenses and newborn baby care.

With this insurance, the woman can concentrate more on herself and her child’s health, and plan for a better future. Let's take a look at a few pointers that depict the importance and need for maternity coverage in Insurance: 

  1. Financial security: With maternity cover, parents can enjoy the most important moment in their lives and leave behind worries about expensive tests and other financial constraints. 
  2. Peace of mind: With the finance part covered, parents can have peace of mind and not stress about the costs. 
  3. Long-term benefits: Many maternity covers provide the added benefit of long-term values like a sum insured at the time of a second child. 
  4. Medical abortion: In some emergency cases, medical abortion is advised by the doctor. Many maternity covers provide the option for medically terminating the pregnancy.
get the appget the app

List of Top Health Insurance Plans with Maternity Cover

After evaluating the need and importance of insurance plans with maternity cover, one might wonder about the top insurance plans. Let's take a look at the best insurance plans that provide maternity coverage. 

  1. Bajaj Allianz Health Guard family floater health insurance plan with maternity cover
    1. Sum assured between the range of ₹ 3 lakhs to ₹ 50 lakhs.
    2. Age requirement is between 18 and 65 years.
    3. Over 6500 networked hospitals. 
    4. 24/7 customer support.
    5. Fast claims settlement. 
    6. Under this plan, the woman is allowed to have a maximum of 2 deliveries.
  2. Aditya Birla Activ Health Platinum: Enhanced plan with maternity cover 
    1. Expenses covered under this are the ones incurred for the baby, for treatment post birth, pregnancy complications, and the need for medical abortion or immunisations, among others. 
    2. Sum insured under this plan is between ₹ 2 lakhs and ₹2 crores.
    3. Pre- and post-hospitalisation costs covered.
    4. Chronic illness and modern treatments coverage.
  3. Digital Health Insurance with maternity cover
    1. The expenses covered under this plan include newborn child cover, delivery charges, missed abortion and infertility cover among others. 
    2. 200% sum insured at the time of the second child.
  4. Niva Bupa: Heartbeat family floater with maternity cover
    1. 9100+ networked hospitals.
    2. Cashless claim processing within 30 minutes.
    3. Delivery and labour expenses coverage, whether it is in the country or internationally.
    4. Pre- and post-hospitalisation care.
    5. Ambulance cover.
  5. Edelweiss Health Insurance Gold and Platinum Plan with maternity cover
    1. Waiting time is of 4 years.
    2. Sum insured is between ₹ 50,000 and ₹ 2 Lakhs.
    3. Pre and post-hospitalisation care.

Ayushman Insurance Coverage and its Criteria

Ayushman Insurance only provide pregnant women with financial coverage of up to ₹ 5 lakhs. Even though a woman may have an Ayushman Card, it does not cover the delivery charges.

To benefit from the Ayushman Insurance coverage, you need to cater to the following eligibility criteria (that is divided into urban and rural category): 

  1. Urban Areas
    1. Ragpicker 
    2. Beggar 
    3. Transport worker/driver/conductor 
    4. Home-based worker/artisan/tailor
    5. Watchman 
    6. Electrician 
    7. Delivery worker 
  2. Rural areas
    1. Families with at least one physically challenged member 
    2. SC/ST households 
    3. People living in single-room houses with kutcha roofs and walls
    4. Families led by a female without a male member between the age of 16 and 59

Benefits of Maternity Insurance Plans

Welcoming a new member to the family is a beautiful journey, however, with the budget constraints many people stop focusing on the baby and fixate more on how they can cover the expenses. This issue has been solved by many maternity insurance plans available in the country.

Let's take a look at the benefits associated with maternity insurance plans.

  1. Financial Backup: The high cost of prenatal and postnatal care can be expensive. However, with a good insurance plan with maternity cover, one can have a financial backup.
    From the cost of delivery to the cost of medical abortion in some cases, everything is covered under a maternity cover.
  2. Can be customised: A health insurance plan with maternity coverage can be curated as per the needs and requirements of the parents to be. One can easily choose the amount of coverage and duration of the policy as per their preferences. 
  3. Covers pre- and post-hospitalisation costs: If there is a need for hospitalisation during any stage of the pregnancy, it is covered under health insurance with maternity cover. 
  4. Newborn coverage: Maternity insurance plans also provide coverage for newborns for a certain period of time after birth. This coverage includes medical expenses related to the baby's health, including vaccinations and doctor visits.

Inclusions and Exclusions in Health Insurance with Maternity Cover

Here is a list of things that are included and excluded in the maternity cover policy in India:

Things included:

  1. Pre and post-natal expenses
  2. Medical abortion
  3. Normal and Caesarean deliveries
  4. Newborn baby coverage (which is mostly up to 90 days)
  5. Vaccination coverage (which is limited to a certain number)
  6. Pregnancy complication
  7. Doctor and anaesthetic consultation

Things excluded:

  1. Ectopic pregnancy
  2. IVF treatment
  3. Stem cell preservation
  4. Pre and post-hospitalisation expenses
  5. Medical tests and consultation before delivery
  6. Check-ups
  7. Surrogacy
  8. Hospital cash benefits

How to Choose the Best Health Insurance with Maternity Cover?

For new parents bringing life into the world, they should be aware of how to make a decision when it comes to choosing health insurance with maternity cover.

Choosing the best plan may seem like a daunting task, yet it is very crucial. With some research and knowledge, one can make an informed decision. To choose the best health insurance plan with maternity cover: 

  1. Research: Before opting for a plan, it is advised to research the available plans. Compare the cost of premiums and waiting period, and get familiar with the features and benefits of the plan.
    Check whether it is the right one or not. One should look for a plan that fits their budget and meets their requirements. 
  2. Look for comprehensive coverage: Many insurance providers offer comprehensive coverage. Choose a plan that offers coverage for prenatal and postnatal care, delivery, hospitalisation and any other pregnancy-related expenses.
    Make sure the plan covers both normal delivery and caesarean section.
  3. Read the reviews: It is imperative to read the reviews and ratings to make an informed decision. One can also talk to people who have had insurance plans before and take guidance.

Claim Process for Health Insurance with Maternity Cover

After getting hospitalised, the first thing to do is call the insurance provider and inform them about the admission. The below steps are applicable for both cashless and reimbursement processes in the case of health insurance plans covering maternity:

  1. Fill out the claim form available at the hospital.
  2. The hospital will verify and forward the claim form to the insurance company.
  3. In case of a claimless process, the insurance company will verify the details and transfer the money to the hospital directly if it's a network hospital.
  4. For reimbursement: In case of admission in a non-network hospital, the claim will not be forwarded or rejected. In those cases, people can apply for a reimbursement post getting their discharge.

It is important to collect all the bills for the reimbursement process and submit them to the insurance company.

Takeaway

Maternity coverage is very important for all women if you plan to start your family. It is also imperative to look for health insurance plans covering maternity as several insurance companies don't offer maternity coverage or may have additional conditions.

A maternity cover will give you peace of mind from financial burden, and you will be able to welcome your child in a happy environment. Thus, this guide will give you a detailed overview of choosing the best maternity insurance plan, and the need and benefits of having maternity coverage, which is enough to make an informed decision. 

However, if you are looking for more information on health insurance for maternity cover in India, head on to HexaHealth to get solutions to all your queries related to maternity cover. Here, you can consult the experts to get some of the best suggestions.

Frequently Asked Questions

Yes, many insurance providers offer health plans that include maternity coverage. The companies that offer maternity cover include Star Health Insurance, ICICI Lombard, Niva Bupa, Care Insurance, HDFC Ergo and many others.
In most cases, the benefits of health insurance with maternity cover in India include normal and caesarean deliveries according to the sum insured in the policy, prenatal and postnatal care, newborn baby care, doctor and anaesthetic consultation, pregnancy-related complications and comprehensive coverage among others.
People can free themselves of the financial burden of bringing a child into this world by taking health insurance with maternity cover. To ease up the delivery procedure and get post-delivery natal care, there is a dire need for medical insurance with maternity care. It gives financial security, peace of mind and long-term benefits to the new parents.

When deciding on a maternity cover policy, always check for the advantages and benefits offered by the insurance company. Here are a few that can be considered:

  1. Oriental Happy Family Floater Plan
  2. Royal Sundaram Lifeline Health Insurance plan
  3. Star Comprehensive Insurance Plan
  4. SBI Arogya Premium Plan
Yes, several medical insurance with maternity cover plans are available in India. Some companies offering them are Tata AIG, United India, Royal Sundaram, SBI, Universal Sompo and many others.
To claim the benefits of maternity health insurance plans, one needs to complete the technicalities like completing forms at the hospital. The hospital will then forward it to the insurance company for receiving the claims.
Yes, health insurance, including maternity, is available at Star Health Insurance. People can check their Star Women Care Insurance policy for normal and C-section delivery expenses and prenatal and postnatal expenses.
Prenatal and postnatal care costs, lodging costs, birth costs, ambulance costs and other costs are all covered under maternity insurance. So, a health insurance plan covering maternity can be quite helpful during pregnancy and after giving birth.
Star Health Insurance plans are covered across 9900+ network hospitals across India. These hospitals include government and private hospitals. For all health insurance policies with maternity cover at Star Health, the list of hospitals will also be available.
Plans for health insurance with maternity cover in India cover all costs incurred during pregnancy. These costs cover pre- or post-natal care, normal or caesarean delivery costs, and the baby's vaccines.
Yes, all health insurance with maternity cover in India has a waiting period. Although it varies according to the insurance provider. Some companies may offer less and some may offer more waiting time.
Yes, health insurance with maternity cover can be brought online. However, it is advised to thoroughly review the policy before making a decision.  There are several companies like Niva Bupa and ICICI Lombard that offer maternity health insurance plans online.
All women planning to start their families should buy a maternity cover policy. They should plan on buying it early, since there is a waiting period that can restrict them from using the facility immediately.
This refers to medical insurance with maternity cover, which will help cover all medical expenses, including delivery, pregnancy complications and newborn-related complications, as well as prenatal and postnatal expenses.
There are numerous benefits that come along with the Star Health insurance maternity plan. It offers benefits like prenatal and postnatal care, a cashless facility from over 13000+ networked hospitals and an added benefit of hassle-free, fast settlement of claims with their maternity health insurance plans.
Yes, Star Health's health insurance, including maternity, offers tax deductions. It is done under Section 80D of the Indian Income Tax Act, 1961. As per the section 80D, any HUF (Hindu Undivided Family) or individual, is allowed to claim deduction on the premiums paid for health insurance plans from their total income.

A wide range of health insurance plans covers maternity in India. Although it varies as per the insurance provider and depending on the need and the benefits offered, people can go for the one best suited to them.

Some of the best health insurance for maternity in India are Aditya Birla Activ Health Platinum,  Bajaj Allianz Health Guard Family Floater Health Insurance Plan with Maternity Cover, etc.

No, you cannot get health insurance with maternity cover while pregnant in India. Most companies prefer not to offer health insurance policies with maternity cover to someone already pregnant. This is due to the fact that it is considered a pre-existing condition that is beyond coverage.
Yes, husband and wife both can claim health insurance with maternity cover in India. Although, it is advised to go through every aspect of the policy and ensure that it is as per your requirements.

Some of the items covered in health insurance with maternity cover in India are:

  1. Normal and caesarean delivery
  2. Hospitalisation expenses
  3. Room rent
  4. OT charges
  5. Anaesthetic and doctor’s fees
The cashless option is best for health insurance with maternity cover since there will be no hassle of approaching the insurance company with bills and other proofs, and everything will be handled by the hospital itself.
The average cost of childbirth can range between ₹ 10,000 and ₹ 1,50,000 in India. The cost of childbirth with a maternity cover policy can help you in reducing the financial burden.
No, almost every medical insurance with maternity cover has a waiting period before it can be used. This can be known by thoroughly reviewing the policies before purchasing them.
Most maternity health insurance plans offer options for a newborn baby as well. So, while choosing the policy, one should check the prospects for a newborn baby. Numerous policies like Star/Comprehensive Insurance Plan and SBI Arogya Premium Plan among others are considered the best policies for a newborn baby.

Last Updated on: 11 April 2023

Disclaimer: The information provided here is for educational and learning purposes only. It doesn't cover every medical condition and might not be relevant to your personal situation. This information isn't medical advice, isn't meant for diagnosing any condition, and shouldn't replace talking to a certified medical or healthcare professional.

Reviewer

Dr. Arti Sharma

Dr. Arti Sharma

MBBS, DNB Obstetrics and Gynaecology, Diploma In Cosmetic Gynaecology

9 Years Experience

Dr Arti Sharma is a well-known Obstetrician and Cosmetic Gynaecologist currently associated with Aesthetica Veda in Bengaluru. She has 9 years of experience in Obstetrics and Cosmetic Gynaecology and worked as an expert Obstetrician...View More

Author

Charu Shrivastava

Charu Shrivastava

BSc. Biotechnology I MDU and MSc in Medical Biochemistry (HIMSR, Jamia Hamdard)

2 Years Experience

Skilled in SEO and passionate about creating informative and engaging medical content. Her proofreading and content writing for medical websites is impressive. She creates informative and engaging content that educ...View More

Expert Doctors (10)

Dr. Philomena Vaz
Hexa Partner
Hexa Partner

Obstetrics and Gynaecology

48+ Years

Experience

99%

Recommended

Dr. Surjeet Kaur Sharma
Hexa Partner
Hexa Partner

Obstetrics and Gynaecology

47+ Years

Experience

99%

Recommended

NABH Accredited Hospitals (6)

Guru Shri Gorakshnath Chikitsalaya
JCI
NABH

Guru Shri Gorakshnath Chikitsalaya

4.8/5( Ratings)
Q9G5+G4F
Akanksha IVF Centre, Janakpuri
JCI
NABH

Akanksha IVF Centre, Janakpuri

4.94/5( Ratings)
A - 3/7
get the appget the app

Latest Health Articles

aiChatIcon