< Back

Health

Add On Covers You Must Have with Health Insurance

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 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.

For example; Mr. Joshi has a health insurance policy of Rs 5 lakhs along with restoration benefit. He was hospitalised for heart treatment and the entire sum insured of Rs 5 lakh got exhausted.

A few months later, Mr. Joshi is diagnosed with chronic kidney disease which required surgery costing around Rs 3 lakhs. The Insurer will cover the cost of surgery, hospitalization and medical treatment of Mr. Joshi as it has restored the original sum insured of Rs 5 lakhs. This was only possible Mr. Joshi opted for Restoration Benefit while purchasing his health insurance policy and Restoration benefit got triggered as the claim was for unrelated medical condition.

It is a very common feature that is widely available with many health insurances 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.

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.

Kotak General Insurance offers a diverse range of health insurance services and products to help you secure your future from any uncertain medical emergency.

Related Blogs
What is top up and super top up in Health Insurance
Tips to pick the best health insurance plan in India
Renewing your health insurance Keep these points in mind

Disclaimer: The content provided is for education and informational purpose only, none of the information contained in our blog amounts to any form of opinion or advice. Please go through policy related documents carefully or consult an expert before making any insurance-related decisions.

RELATED ARTICLES

Essentials for a Healthy Life

Health

Tips to follow for healthy lifestyle

With ever changing lifestyle and busy schedules, we must adopt certain lifestyle habits to lead a healthy and balanced life.

Essentials for a Healthy Life

Health

Must have add on covers for health insurance

Increasing need for financial planning and uncertainty of medical emergency, a health insurance plan becomes a must have for individuals.

why-people-fall-sick-when-season-changes

Health

How to avoid sickness during season change

Ways To Avoid Getting Sick When Season Changes

healthy-resolutions-for-new-year-th

Health

Healthy Resolutions For New Year

Various resolutions you can adopt for a healthy lifestyle.

Healthy Diet Plan for Winter

Health

Healthy diet for winters

Know why a nourishing winter diet and medical insurance are essential for healthy living.

exercising-tips-for-a-healthy-heart-th

Health

Exercising tips for a healthy heart

Exercising is the key to healthy heart. Here are some exercising tips you can follow.

Tips on How to Stop Smoking

Health

Tips on How to Stop Smoking

Know why smoking is injurious to health and tips on how to stop smoking & buy insurance for cancer

Yoga day blog

Health

Benefits of yoga

Did you know why International Yoga Day is celebrated on 21st June?

Monsoon Tips for Health

Health

Monsoon Tips For Health

Simple tips that one can follow to ensure their well-being when the sky Gods rain havoc.

Managing Diabetes

Health

Diabetes and its management

Importance of maintaining a healthy lifestyle and controlling the disease