Maternity coverage is often provided as an optional rider. If you are insured through an employee group plan, it may be more likely that you are covered for maternity expenses than if you hold an individual health insurance policy. With an individual policy, maternity coverage is not necessarily included. Maternity coverage can sometimes be added to your individual health insurance package as an optional rider, for an additional fee.
The medical expenses related to giving birth can range from $6,000 to $10,000, depending on whether a caesarian section is required. If neo-natal care is necessary, for premature babies, expenses can skyrocket. Expecting mothers are encouraged to obtain comprehensive health insurance with maternity coverage to ensure quality care for themselves and their babies.
Health insurance with maternity coverage should cover doctor visits, hospital stays, lab work, ultrasounds, sonograms, prenatal vitamins and prescription drugs and, if possible, tests and check ups for your newborn.
When looking for maternity coverage, find out whether your insurance company has a waiting period and how long you have to wait until you can begin receiving maternity benefits. Some insurance companies do not have waiting periods but do not provide large benefits in the first year or two. While you may have to pay an additional $100 to $300 in your monthly premium, your benefits may be less than this amount until you have carried the rider for three to five years.
There are no stand alone maternity health insurance policies. An indemnity plan is the most expensive option but it allows you to select your own doctor and hospital. A managed health care plan, such as a PPO, POS or HMO is less expensive, but you will be assigned to a network of hospitals and physicians.
Expectant mothers have enough uncertainty and stress without having to worry about incurring incredible financial burdens. Women are at risk of complications throughout the duration of the pregnancy and need to protect themselves from unexpected health issues and expenses. When awaiting the birth of a child, no parent wants to consider the potential health risks. However, should any additional care be necessary for the mother or infant, you will not want to be distracted with insurance related concerns. If you are already pregnant, and do not have health insurance with maternity coverage, contact your state insurance department to inquire about your options for financial assistance.
Learn more in our guide Maternity Health Insurance 101. The guide features sections for women currently with, as well as those without, health insurance.