You need health cover regardless of what you take two at a time - pills or stairs.

Restore Option in Health Insurance Policy - Worth the Hype?

Individuals often prioritize a lot of things such as career, finance and other factors over their health. Unfortunately this attitude will not help individuals in the long run. Without health, every other aspect of life will be pointless. Although a number of developments have been implemented in the healthcare field, health issues have not gone down significantly nor have the expenses associated with the same. It is therefore, imperative for individuals to procure an insurance plan that safeguards their healthcare expenses.

There are a number of companies and financial institutions over the world that provide healthcare insurance plans to suit individuals’ myriad needs. Applicants will have to verify the numerous benefits and features associated with each of the plans prior to procuring one. Sometimes, a plan will have additional features which may not be of use to an individual, hence will not make sense for him/her to avail that plan. Instead a basic plan would also do. However, there are instances when these added features are helpful. This article will talk about the ‘Restore Option’ in Health Insurance plans.

What does ‘Restore’ Option refer to?

This is an add-on option that comes with certain health insurance plans. . It is also known as ‘Refill’ option in certain cases. What this means is that, in case the customer’s Sum Insured is exhausted towards treatment of a particular illness, then the health insurer that has provided the insurance policy, will restore this Sum insured.

For example, if an individual has procured a health policy that has a Sum Insured of Rs.20 lakhs. He gets diagnosed with a heart ailment and spends the entire Rs.20 lakhs on that ailment within the first 6 months. In case he gets diagnosed with a kidney issue after around 2 months, the company that has provided the insurance policy will restore the entire Rs.20 lakhs. Therefore, the individual will receive an additional Rs.20 lakhs during the policy year.

Therefore, customers will receive a cover of Rs.40 lakhs by paying half the amount, if they procure this add-on benefit. But as is the case with most such add-on benefits, there is a catch that customers will have to take into consideration.

Types of ‘Restore’:

There are two types of restoration options available and customers must read the fine print of their health insurance policy before opting for either one. These options are –

  • Complete exhaustion of the insured sum - This type of benefit is offered as part of most health insurance policy. This benefit will come into play only when the entire insured sum along with the bonus is exhausted. In the example mentioned above, if the first claim was Rs.10 lakh and there is still a certain sum available, this benefit will not get triggered for the subsequent claim.
  • Partial exhaustion of the insured sum - This benefit is more advantageous to customers and will come into force even with a partial exhaustion of the insured sum.

Also, with most health insurance plans, this restore option will only kick in for subsequent claims and usually for unrelated illnesses. For example, if an individual is undergoing treatment for a heart ailment and their expense is Rs. 25 lakhs, this benefit will not kick in and the additional Rs.5 lakhs will have to be borne by the individual. However, if the cover has been exhausted for this heart ailment and they get hospitalised for a relapse of the same issue, then this restoration benefit will again, not kick in. This is due to the fact that restoration benefit will only come into force for an unrelated ailment.

This benefit will be ideal for family floater policies rather than individual policies as even if the policyholder exhausts the insured sum for a particular ailment, the rest of the family can avail the restore benefit option.

Restore’ option in health Insurance policies come with their own set of pros and cons. It is up to the individual to read the fine print of their insurance document and avail this benefit based on their requirement.

GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

Health Insurance Reviews

Page 1 of 1
  • Apollo Munich Health Insurance
    "Health Security"
    0.5 5.0/5 "Blown Away!"
    Its a good product I got my Apollo Munich, the agent suggested best health policy. I have paid the premium around Rs.7000 for Life restore plan. I have taken the sum assured Rs. 5 lakhs its covers only for me. They are providing cash less facilities, financial security for unforeseen events. After one year they are providing 50% of medical benefits.
    Was this review helpful? 0
    , mumbai
    Reviewed on Jan 29, 2018
  • Star Health Health Insurance
    0.5 4.0/5 "Great!"
    Medical coverage offered by star health is 5 lakhs for the whole family and they have restore benefit too. Cashless treatment is available. Premium should be paid yearly once. Only after some cooling period they will cover the maternity .
    Was this review helpful? 1
    , hyderabad
    Reviewed on Jan 06, 2016
  • Apollo Munich Health Insurance
    "Good service..."
    0.5 4.5/5 "Excellent!"
    Any planned kind of diseases are not covered wherein requires of hospitalization to get the coverage as normally Apollo Munich covers for unplanned diseases. It is of optima restore plan as the coverage is 3lakhs and on that if I use 1lakh in one year and remaining would be 2lakhs whereas next year it restore as 3lakhs. Everything is fine and Apollo is good organization so I have taken health insurance.
    Was this review helpful? 0
    , bangalore
    Reviewed on Aug 25, 2015
  • Star Health Health Insurance
    "Satisifed !!"
    0.5 4.0/5 "Great!"
    First I would like to share the premium details as it is less comparing to other insurance companies. As any one can restore the option of health insurance and this is family floater. Star Health&Allied insurance is offering five lakhs of coverage for family. Renewal policy is not much good as I faced issue this is because no one turned up and I followed them to complete it. Eventually I did it through online.
    Was this review helpful? 1
    , kochi
    Reviewed on Apr 10, 2015
  • Apollo Munich Health Insurance
    "Amazing Products from Apollo Munich"
    0.5 5.0/5 "Blown Away!"
    I have been there customer for last 4 years and they have never given me a chance to be upset. The agent will call me every once in a while to check whether everything is OK. He will also call to remind about renewals. He is upto date with all the details and will answer all my questions. The company provides innovative insurance products like the Optima Restore, where even if you exhaust you policy limit, the policy is restored to the original value and if you don't make a claim in a year, your sum assured increases by 50%. So in effect with 2 no claims year, your sum assured is double with same premium!! Their policy document is very clear to understand. And I can renew online, so no need to visit the branch. 100% recommend this company.
    Was this review helpful? 2
    , pune
    Reviewed on Dec 12, 2014
Common Loader Icon
Page 1 of 1

Display of any trademarks, tradenames, logos and other subject matters of intellectual property belong to their respective intellectual property owners. Display of such IP along with the related product information does not imply BankBazaar's partnership with the owner of the Intellectual Property or issuer/manufacturer of such products.

This Page is BLOCKED as it is using Iframes.