Rwanda has made significant strides in healthcare reform, including expanding its healthcare insurance coverage to reduce maternal mortality. A mixed-methods approach was employed, combining quantitative survey data with qualitative interviews to understand perceptions and experiences related to healthcare insurance expansion. Findings indicate that an increase in health insurance coverage by 15% over a two-year period correlated with a 7.8% reduction in maternal mortality rates. The study highlights the importance of continued investment in healthcare insurance as a key strategy for achieving significant reductions in maternal mortality. Recommendation is to prioritise expansion of health insurance coverage, particularly among vulnerable populations such as rural women and low-income earners.