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:
1. Waiting period
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.
1.
Coverage
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
2.
Premium
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.
Exceptions
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
·
Consultant
fees
·
Regular
check up
·
Costs
of medicines
·
Inborn
diseases
·
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
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.
Source
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Published By
Subhra Bera
www.basic-healthinsurance.com
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