Before applying for a maternity claim, make sure the following maternity claim documentation is in order.
GPLA Status
GPLA status shows the number of times a woman conceived, number of preterm births, number of living children, number of abortions done.
Why is it important?
GPLA status in maternity insurance is important for both cashless and reimbursement claims. It assesses the woman’s obstetric history.
It helps:
- Recognise risks associated with maternity-related claims, complications, or pre-existing conditions
- Evaluate the person’s applicability for the claim
- Ensures that the necessary benefits and coverage are offered and the maternity claim process is streamlined
How to get this document?
The treating doctor is required to provide the GPLA status to the insurer once a maternity claim is filed. The GPLA certificate should be on the hospital letterhead/ letterhead of the doctor and need to be submitted in original.
Obstetric USG
An Obstetric USG (Ultrasound) is a critical diagnostic tool used during pregnancy to monitor fetal development, check for abnormalities, and ensure maternal health.
Why is it required?
Obstetric USG in maternity insurance is often required to validate the medical necessity of the treatment, identify complications, or support claims for high-risk pregnancies.
It helps:
- Confirm pregnancy to initiate maternity claims
- Understand the gestational period to determine appropriate benefits
- Monitor complications and analyse risks
- Provide necessary details regarding the necessity for prenatal and postnatal care, and associated treatments
How to get this document?
An Obstetric USG can be obtained from healthcare facilities like hospitals, maternity clinics, and diagnostic centres. It is part of routine prenatal care and may be required when submitting a health insurance claim to verify pregnancy status, fetal health, or related complications.
In case of questions or queries, feel free to get in touch with us!
