It is common for insurers to cover maternity-related expenses in a health insurance policy. However since maternity claims are frequent, insurers cover them for a restricted policy sub-limit which is commonly between INR 50K – INR 1L.
Can you claim maternity expenses from multiple health insurance policies?
The total expenses incurred in maternity far exceed the limit offered by insurers in an individual policy. Therefore insurers allow policyholders to claim total maternity expenses they have incurred from multiple policies. However, the total value of the claim cannot exceed the total expenses incurred for the maternity claim.
Additional Read: Things to remember when choosing group health insurance
Here’s how to share maternity claims between multiple health insurance policies –
Suppose a policyholder is covered under 2 insurance policies – policy 1 and policy 2 in which the maternity limit is 75K and 50K respectively. In case the claim expense incurred by the policyholder is INR 1L, the policyholder has the choice to claim it from either policy 1 or policy 2, both individually and jointly. In the scenario described here, the policyholder can do either of the following –
1. Use policy 1 to settle INR 75K and use policy 2 to settle the remaining INR 25K
2. Use policy 2 to settle INR 50K and use policy 1 to settle the remaining INR 50K
It is worthwhile to note that the contribution clause is not applicable to health insurance claims. Hence the policyholder can utilize any one or both policies for a claim.
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About The Author
Mayank Sharma
MBA Finance
He is a professional who brings extensive knowledge and expertise to the field of group health insurance. He has dedicated 7years to helping individuals and businesses navigate the complexities of insurance. Having worked closely with numerous clients and insurance providers, he deeply understands the nuances of group health insurance policies. With a reputation for providing insightful and informative content, he leverages his industry experience to educate readers about the importance of group health insurance and its benefits. Through their articles, Mayank Sharma aims to empower individuals and businesses to make informed decisions about their healthcare coverage, ultimately promoting healthier and more secure communities.
