What Is Health Insurance Restore Or Refill Benefit?
Updated On May 11, 2022
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The rise in COVID-19 cases in India has put a strain on the healthcare facilities and has increased the cost of treatment, which resulted in the growing awareness and demand for health insurance plans. Along with a rise in demand for comprehensive health insurance policies - individual and family floater health plans, there has also been an increasing interest in the various features and add-on benefits that improve the insurance policy coverage. Features such as high sum insured, restoration benefits, critical illness cover, etc., have become quite popular.
What Is The Restoration Benefit in Health Insurance?
The restoration benefit is a coverage benefit wherein the health insurance provider restores or refills the sum insured after the original coverage is insufficient or exhausted for future claims, within a calendar year due to the treatment expenses. This benefit helps pay for the expenses even if you exhaust your original coverage. So, even if you consume the entire sum insured, there is no need to worry, as your insurance company will restore additional sum insured equivalent to the base sum insured and you can use it in the future.
It is a very common feature that is widely available with many health insurance plans in India. It is also called the recharge benefit or sum insured restoration.
What are the Types of Restoration Benefits Available?
Following are the two types of Restoration Benefits:
1. Partial Exhaustion Of Sum Insured
In this type of restoration benefit, the sum is restored or reinstated even if it is only partially exhausted by the policyholder. For example- if you have a sum insured of Rs. 5 lakhs and you make the 1st claim of Rs. 4 lakhs, then your insurer will restore the same amount, as there has been partial exhaustion of the sum insured. The restore benefit would apply and the sum insured would be restored to 5 lakh which will be available for any future claim.
2. Complete Exhaustion of Sum Insured
Complete exhaustion is the type of restoration benefit where the insurer reinstates the coverage amount only after the entire sum insured is exhausted after the first claim. For example- If your health insurance policy offers coverage of Rs. 10 lakhs, then the insurance provider will only restore the full amount of the sum insured after the entire original sum insured is exhausted after the first claim.
Conclusion
A restoration benefit is one of the many add-on covers you can purchase to extend the already bought comprehensive health insurance policy. At a nominal cost, you can get the benefits of extra protection and full sum insured restoration benefits.
Also read- Know Why Health Insurance Is Vital Part Of Financial Planning
