Restoration Benefit in Health Insurance

Restoration benefits in health insurance let the insurer restore your sum insured to the original amount even if it has been claimed. Make sure to buy a health insurance plan that offers 100% restoration benefits so that it's restored if it gets exhausted after a claim.

Read More

Policybazaar exclusive benefits
  • 30 minutes claim support*
  • 50,000 claims approved in last 15 months*
  • Schedule home visit with our advisors
  • Get a plan based on your medical needs

*All savings are provided by the insurer as per the IRDAI approved insurance plan. Standard T&C Apply

*Tax benefit is subject to changes in tax laws. Standard T&C Apply

All health plans cover Covid-19 treatment
  • 1
  • 2
  • 3
  • 4

Who would you like to insure?

  • Previous step
    By clicking on “Continue”, you agree to our Privacy Policy and Terms of use
    Previous step

      Popular Cities

      Previous step
      Previous step

      Do you have an existing illness or medical history?

      This helps us find plans that cover your condition and avoid claim rejection

      Get updates on WhatsApp

      What is your existing illness?

      Select all that apply

      Previous step

      When did you recover from Covid-19?

      Some plans are available only after a certain time

      Previous step
      Advantages of
      entering a valid number
      You save time, money and effort,
      Our experts will help you choose the right plan in less than 20 minutes & save you upto 80% on your premium

      What is Restoration Benefit?

      The restoration benefit helps the sum insured of your health insurance policy to be restored up to the maximum limit as soon as it gets exhausted after a claim. This benefit is offered under health insurance plans available for individuals as well as families. Commonly known as the refill benefit, it is also available as an add-on cover to your existing policy and comes in handy in case of a second hospitalisation within a single policy year. It. Consider it your backup plan in times of need.

      How Does Sum Insured Restoration Benefit You?

      Restoration benefit makes for an ideal choice for families opting for the family floater plan. This is because the same sum insured floats between all the insured members of the family in the case of the family floater health insurance plan.

      If you want to buy an individual health insurance plan, having a restoration benefit for higher coverage would let you cover an existing illness and/or accident more than once in a policy year.

      Types of Restoration Benefit

      The two major kinds of restoration benefit are categorised according to the level of exhaustion of sum insured:

      • Complete Exhaustion– Once the entire sum insured is exhausted, this type of restoration benefit comes into play. Most health insurance policies offer a restoration benefit for the complete exhaustion of the sum insured.

      For example, A claim of Rs 4 lakh is made on a health plan with a sum insured of Rs 5 lakh. Post claim payment, you will have the remaining sum insured of Rs 1 lakh. In the case of a second claim made in the same policy year, the restoration benefit will not be applicable. Only when the remaining sum insured is also exhausted, the restoration benefit will get activated and your sum insured will be fully restored.

      • Partial Exhaustion– With this option, the restoration benefit comes into play even when only partial exhaustion of the sum insured takes place. When it comes to being more beneficial, this type of restoration benefit should be your pick.

      For example, If you have a sum insured and have made a claim of Rs 4 lakh, Rs 1 lakh would be left. Nonetheless, the restoration benefit would apply and the sum insured would be restored to Rs 5 lakh, which will be available for any future claims.

      How to Buy a Restoration Benefit Plan?

      You can opt for the restoration benefit at the time of buying or renewing your health insurance policy. If the restoration benefit is available as an add-on cover, it will be available for an extra premium.  However, there are many conditions associated with the restoration benefit that you must go through at the time of purchasing the policy. Take a look at some of those features below:

      1. Keep in Mind the Conditions Related to Restoration Benefit

      • The restored sum insured cannot be carried forward to the next policy year, even if you do not consume it in the policy year when it was restored.
      • The total sum insured is reinstated even if you exhaust it in a single claim within the policy term.
      • Restoration benefit applies to any given sum insured and not only the higher sum insured.
      • Restoration benefits exist only for future claims. It is never applicable to the first claim made in a policy year.
      • It is one of the most valuable benefits to have under a family floater plan. Once you exhaust the base cover, your family members can just continue to avail the coverage.
      • Only one person at a time can avail of the restoration benefit.

      2. Consider Medical Emergencies That May Arise in the Future

      • To get maximum coverage at a low premium, you need to add the restoration benefit to your health insurance policy. Although certain health insurance plans come with built-in restoration benefits, you may have to buy it as an add-on cover under a few plans. Buying it as an add-on cover will increase your premium by a slight margin depending on the policy term, plan type, etc.
      • Your restoration benefit will trigger for an unrelated medical condition. For 2 members of the same family, the trigger point of the disease must be at different time intervals.
      • Some health insurance policies might cover the same illnesses during a policy year while others only allow the restored sum insured to be used by other members for the same disease.
      • Few companies may offer to restore the sum insured on a gap of 30-45 days in case of the same illness. You may have to pay an extra premium in that case.
      • Some insurers offer unlimited restoration of the sum insured in a policy year.

      Pros of Buying a Health Insurance Plan with Restoration Benefit

      Restoration Benefit is quite valuable and beneficial under a health insurance policy. Some of the benefits of buying a health plan with the restoration benefit are as follows:

      • You get to enjoy an additional sum insured under your policy within the same policy year.
      • In the case of health insurance plans with in-built restoration benefits, you get to enjoy extra coverage without paying an additional premium.
      • Having a restoration benefit helps you to stay prepared for any medical emergencies and you never fall short in meeting a health insurance claim.
      • Restoration benefits in family floater plans cover all family members with a sufficient sum insured for all.

      Summing It Up

      Having a health insurance policy with the restoration benefit comes with multiple benefits. Make sure to compare various health insurance plans before choosing a particular policy. Do keep your budget and medical history in mind when deciding to opt for the restoration benefit.

      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

      Health insurance articles

      Recent Articles
      Popular Articles
      Does Health Insurance Cover H3N2 Virus?

      20 Mar 2023

      The seasonal H3N2 virus is rapidly spreading across India. As per
      Read more
      Common Wellness Benefits Offered by Health Insurance Plans

      14 Feb 2023

      Health is the biggest wealth in the true sense. No matter how much
      Read more
      Should You Buy a Super Top-up Health Insurance Policy?

      18 Jan 2023

      India is abuzz with a variety of health insurance plans to cater
      Read more
      6 Reasons Why Your Cashless Health Claims Can Get Denied

      18 Jan 2023

      Cashless claims are one of the most lucrative benefits of buying a
      Read more
      Check Out the Mandatory KYC Documents for Health Insurance

      30 Dec 2022

      The Insurance Regulatory & Development Authority of India
      Read more
      What are the Normal Thyroid Stimulating Hormone (TSH) Levels as Per Age?
      The thyroid gland is an important gland responsible to produce the right amount of hormones for normal body
      Read more
      How to Apply for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)?
      Ayushman Bharat Yojana is a flagship health insurance scheme launched by the Government of India to offer universal
      Read more
      10 Major Benefits of Ayushman Bharat Yojana
      Pradhan Mantri Jan Arogya Yojana (PM-JAY) is the second component under Ayushman Bharat Scheme. PM Narendra Modi
      Read more
      Best Health Insurance Plans for Senior Citizens in 2023
      Senior citizens are the most prone to diseases. Considering the medical inflation in India, buying health insurance
      Read more
      Income Tax Slab for Women: Guide to Exemptions and Rebates
      In India, every person who earns beyond a certain limit is liable to pay income tax to the government. The tax
      Read more

      Download the Policybazaar app
      to manage all your insurance needs.