GST on Medical Insurance in India: A Complete Guide

Medical insurance is an important tool for protecting yourself and your family from high healthcare costs. But did you know that even insurance premiums are taxed under the Goods and Services Tax (GST)? In this article, we’ll explain the GST rate on medical insurance, the HSN code used, how it impacts your premium, and what it means for both individuals and businesses.

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    What is GST on Health Insurance?

    Under the current GST regime, medical insurance premiums are taxed at a rate of 18%. This rate is applicable whether you’re buying an individual health insurance policy, family floater plan, or even a group policy provided by employers.

    Type of Insurance GST Rate
    Health / Medical Insurance 18%
    Critical Illness Plans 18%
    Personal Accident Plans 18%

    HSN Code for Medical Insurance

    The HSN Code for health insurance services is 997133. This code falls under the larger group of financial and related services under GST.

    Service Description HSN Code GST Rate
    Health Insurance Services 997133 18%

    Insurance companies use this code on invoices and policies to show applicable tax.

    GST Impact on Premium Calculation

    Let’s say your annual health insurance premium is ₹25,000 (before tax).

    • GST @18% = ₹4,500
    • Total Premium Payable = ₹25,000 + ₹4,500 = ₹29,500

    That means, for a ₹25,000 cover, you actually end up paying ₹29,500 due to GST.

    Who Pays the GST on Insurance?

    • Individual Policyholders: If you’re buying health insurance for personal use, you will pay the GST as part of your premium.
    • Employers / Businesses: Companies providing group health insurance to employees also pay GST, but they may be eligible to claim Input Tax Credit (ITC) under certain conditions.

    Can You Claim Input Tax Credit (ITC) on Medical Insurance?

    For Businesses:

    Businesses can claim ITC on medical insurance if:

    • The insurance is mandated under any law (like ESIC or for employee safety).
    • It is provided as a statutory requirement or as part of the employee contract.

    However, if it’s offered as a voluntary employee benefit, ITC is not allowed.

    For Individuals:

    If you’re buying insurance for yourself or your family, you cannot claim ITC as it’s a personal expense.

    Does GST Apply to Premiums Paid Under Section 80D?

    Yes, GST is included in the premium amount you pay, even if you’re claiming a deduction under Section 80D of the Income Tax Act. However, the tax portion is also included in the eligible deduction.

    For example:

    • Premium: ₹25,000
    • GST: ₹4,500
    • Total Paid: ₹29,500
    • Deduction under 80D: ₹29,500 (full amount)

    Why is GST Charged on Medical Insurance?

    The government considers insurance a financial service, and under the GST regime, all financial and banking services are taxed at 18%. While some argue that medical insurance is a necessity and should be taxed lower, the rate has remained unchanged since the introduction of GST.

    Final Thoughts

    While medical insurance provides financial safety during health emergencies, the addition of 18% GST increases the premium payable. Though businesses can recover some of this cost through ITC, individuals cannot. That said, it’s still wise to invest in health insurance—GST or not—because the cost of being uninsured is far higher

    Frequently Asked Questions (FAQs)

    • What is the GST rate on health insurance premiums?
      The GST rate is 18%, applicable to all types of health and personal accident insurance policies.
    • Is GST included in the premium paid to insurance companies?
      Yes, it’s included in the total premium you pay and mentioned clearly in your policy document.
    • Can individuals claim Input Tax Credit on health insurance?
      No, ITC is only available for businesses under specific conditions. Individuals cannot claim GST credit on personal health insurance.
    • Is GST calculated before or after TDS?
      GST is calculated on the gross premium amount, before any TDS is deducted.
    • Does GST affect the tax deduction under Section 80D?
      Yes, the full premium amount including GST qualifies for deduction under Section 80D.
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