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What is Restoration Benefit in health insurance?

A restoration benefit automatically refills your health cover back to the full sum insured once it is used up during a policy year, so a later hospitalisation is not left uncovered. 'Restore' versions often apply only to a different, unrelated illness, while 'recharge' or 'refill' versions are more flexible and can usually be used again for the same illness.

In plain English

If your cover runs out mid-year after a big hospital bill, this benefit tops it back up so you are not left with zero protection for the next admission.

A quick example

You have a Rs 5 lakh plan with restoration. A Rs 5 lakh claim exhausts your cover in March. The benefit restores another Rs 5 lakh for the rest of the year. With a basic 'restore' feature, a second claim for the same illness may not be covered, whereas a 'recharge' or 'unlimited restore' plan would usually pay it.

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FAQs

Q1.
What is the difference between restore and recharge?

Both refill an exhausted sum insured, but a basic restore typically covers only a different, unrelated illness, while a recharge or refill is usually more flexible and can be used again for the same illness. Always check the policy wording.

Q2.
Does the restoration benefit cost extra premium?

It is usually built into the plan rather than charged separately, though it tends to come with higher-sum-insured or premium products. The trigger and same-illness rules vary, so compare the exact terms before relying on it.

Q3.
Can I use the restored cover for the same illness again?

It depends on the plan. Traditional restore benefits exclude a repeat claim for the same illness in the same year, whereas recharge, refill or unlimited-restore variants generally allow it. Read the same-illness clause carefully.

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Reviewed by

Atul Sharma

AVP, Founder’s Office at CoverSure · 7+ years in insurance (ex-Tata, Ditto, Cholamandalam)