Restoration Sum Insured Rider

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Restoration Sum Insured Rider

Health Insurance Policy

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Restoration of Sum Insured Rider

The Restoration of Sum Insured Rider automatically restores your health insurance coverage if your original Sum Insured is exhausted during the policy period. This ensures continued financial protection for future hospitalizations.

Key Benefits

  • 100% Restoration: Restores 100% of the Base Sum Insured immediately after the Base Sum Insured, Cumulative Bonus, and any previously restored amounts are exhausted.
  • Comprehensive Coverage: Applicable for subsequent hospitalizations due to the same or different illnesses.
  • Flexible Eligibility: Available for both Individual and Floater Mediclaim Policies.
  • Mid-term Flexibility: Newly wedded spouse or newborn baby can be added during the policy period by paying the applicable pro-rata premium.

Restoration Frequency

Base Sum InsuredRestoration Frequency
₹5 Lakhs to ₹15 LakhsOnce during the policy period
₹25 Lakhs and AboveUnlimited restorations whenever the Sum Insured is exhausted during the policy year

How It Works

  1. Claims are first settled from the Base Sum Insured.
  2. Once exhausted, the Cumulative Bonus is utilized.
  3. Previously restored Sum Insured, if any, is utilized next.
  4. After all available amounts are exhausted, the Restoration Benefit is triggered for subsequent hospitalizations.
  5. Any unused restored Sum Insured will lapse at the end of the policy period and cannot be carried forward.

Important Considerations

  • Restoration benefit is not available for the same hospitalization during which the original Sum Insured was exhausted.
  • The maximum payable amount for any single claim under this rider shall not exceed the Base Policy Sum Insured.
  • The rider can be opted in or opted out only at the inception or renewal of the Base Policy.
  • Coverage is subject to the terms, conditions, and exclusions of the Base Policy.

Applicable Products

  • New India Mediclaim Policy (Basic & Uplift Plans)
  • New India Floater Mediclaim Policy (Basic & Uplift Plans)

UIN: NIAHLIA27001V012627

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