The arrival of a child changes more than a family’s monthly budget. It also brings new healthcare expenses, long-term financial commitments and a need to reassess existing insurance coverage.
While parents may have health insurance through their employer or an individual family floater policy, that does not necessarily mean a newborn is covered from birth. Similarly, a term insurance policy purchased before having a child may no longer provide adequate financial protection.
Abhishek Bansal, CEO – Insurance Business at InsuranceDekho, and Vinod Kamat, Head of Sales at Atom Risk Advisory, India, highlight some common insurance gaps new parents should review.
Assuming the newborn is automatically covered
Having a family floater health insurance policy does not necessarily mean that a newborn is covered from day one.
Bansal explains that maternity cover and newborn cover are separate benefits. A policy may cover delivery expenses without covering the baby’s medical treatment. Newborn coverage may also need to be opted for separately and is subject to the policy’s conditions.
In many plans, newborn-specific benefits are available for a limited period, sometimes up to three months after birth. Where this benefit is unavailable, parents may be able to add the baby separately after 90 days, often from the 91st day. Some policies permit an earlier addition.
Parents should check the eligibility conditions, deadline for adding the baby, documentation requirements and whether an additional premium applies. They should also obtain written confirmation from the insurer about the effective date of coverage.
Overlooking NICU limits and newborn-related exclusions
Even when a newborn is covered, the extent of protection matters.
Bansal advises parents to examine sub-limits on newborn hospitalisation, neonatal intensive care unit (NICU) treatment and specific procedures. Conditions relating to premature birth, congenital conditions and birth-related complications also need attention, as coverage varies across policies.
Kamat highlights the potential financial burden of neonatal treatment. According to him, NICU care can cost between ₹5,000 and ₹10,000 a day. A stay of two to three weeks could exhaust a modest coverage limit quickly.
Parents should therefore check whether newborn expenses fall within the overall family floater sum insured or are subject to a separate limit. Room-rent restrictions and co-payments should also be reviewed, as these can affect the final claim payout.
Depending entirely on employer-provided health insurance
A company health insurance policy may appear comprehensive, but its maternity limit may not be sufficient to meet actual hospital expenses.
Kamat points out that room-rent caps can also affect claims beyond the room charges, depending on the policy terms.
There is another concern: continuity of coverage. If a parent changes jobs, takes a career break or leaves employment, the family may lose access to its existing group health insurance.
Maintaining an individual health insurance policy alongside employer-provided coverage can help address this risk. Parents should compare the benefits and restrictions under both policies rather than relying entirely on their workplace cover.
Not increasing term insurance after having a child
A term insurance policy purchased when someone was single or newly married may not adequately account for the financial responsibilities that come with raising a child.
The family’s protection requirements may now include childcare, education expenses, household costs and outstanding home loan repayments.
Kamat notes that financial planners often suggest life insurance coverage of around 20-25 times annual income. However, the appropriate sum assured depends on the family’s income, liabilities, assets and future financial goals.
Importantly, the financial contribution of a non-earning parent should not be overlooked. Replacing childcare and household services provided by a stay-at-home parent could involve substantial expenses.
Both partners’ contributions and financial protection needs should therefore be considered while reviewing life insurance coverage.
Not updating policy nominations and appointee details
Insurance planning after childbirth also involves checking who will receive the policy proceeds.
If a minor child is named as a nominee or beneficiary, parents should understand the applicable policy provisions and ensure that an adult appointee is named wherever required and permitted.
This is important because a minor cannot independently manage an insurance payout. Parents should also review nominee details following major changes in family circumstances.
How often should parents review their insurance?
Kamat recommends reviewing insurance policies at least once a year and after significant life events such as childbirth, buying a house or changing jobs.
He estimates medical inflation at 11-14% annually, making it important to reassess whether existing health insurance coverage remains adequate.
For new parents, the priority should be to look beyond the sum insured and examine the actual conditions, exclusions and limits that determine when and how insurance protection applies.
NOTE TO READERS
Disclaimer: This article is for informational purposes only and should not be construed as investment advice. Readers should consult certified experts before making any investment decisions.
