GST on Health Insurance: Rates, Rules & Exemptions

Health insurance premiums in India attract an 18% GST under HSN code 997133, split as 9% CGST and 9% SGST for intra-state policies or 18% IGST for inter-state policies, with full exemptions available for government welfare schemes like Ayushman Bharat.
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3 min
Oct 20, 2026

In Summary

 

Goods and Services Tax (GST) is levied at a standard statutory rate of 18% on all commercial retail and corporate health insurance policies in India under HSN code 997133. This indirect tax is added directly to the net underwriting premium, determining the gross payable amount.


  • Standard tax rate: An 18% GST applies across individual, family floater, critical illness, and super top-up policies, split equally into 9% CGST plus 9% SGST for intra-state sales or 18% IGST for inter-state policies.
  • Government welfare exemptions: Social welfare schemes including Ayushman Bharat (PM-JAY), Universal Health Insurance Scheme (UHIS), and Niramaya are 100% exempt from GST.
  • Income tax recovery: The entire GST amount paid is eligible for income tax deductions under Section 126 of the Income-tax Act, 2025 (formerly Section 80D), up to statutory limits under the Old Tax Regime.
  • Premium optimization: Choosing a combination of a base policy and a super top-up plan reduces total taxable premium outlay while preserving high cumulative sum insured protection.

Explore comprehensive coverage options and check premium to view transparent premium breakdowns with exact GST line items before buying.


What is GST?

 

The Goods and Services Tax (GST) is a unified, destination-based indirect tax implemented across India on 1 July 2017 to replace a fragmented patchwork of state and central levies, including Service Tax, Value Added Tax (VAT), Central Excise Duty, and Entry Tax. Comprehensive insurance services are governed under this unified code to establish national tax consistency.


Administered jointly by the Central Government and State Governments under the guidance of the GST Council, GST applies across standard statutory rate slabs. Under the GST framework, taxable transactions are categorized into three operational streams:


  • Central GST (CGST): The revenue component collected by the Central Government on intra-state supplies.
  • State GST (SGST) or Union Territory GST (UTGST): The revenue component collected by State Governments or Union Territories on intra-state supplies.
  • Integrated GST (IGST): The tax levied on inter-state transactions, collected by the Central Government and apportioned between the Centre and destination states.

What is GST on health insurance?

 

GST on health insurance refers to the statutory indirect tax applied to the actuarial base premium charged by insurance companies for medical coverage. When buying retail health insurance, GST is calculated directly on the underwriting cost. Prior to July 2017, medical coverage was subject to a 15% Service Tax (comprising 14% basic service tax, 0.5% Swachh Bharat Cess, and 0.5% Krishi Kalyan Cess). Under the GST regime, health insurance services are classified under Chapter 99 (Services) and attract a standardized tax rate of 18%.


When an individual or corporate policyholder purchases or renews an insurance policy, the insurer calculates the base premium based on age, medical history, sum insured, and chosen riders. An 18% tax is then computed on this base figure and added to the final invoice. For example, if your base annual premium is Rs. 20,000, an 18% GST of Rs. 3,600 is added, resulting in a total payable premium of Rs. 23,600.


Did You Know? (No-claim bonus tax relief)

 

In 2022, the Ministry of Finance clarified via GST circulars (Circular No. 177/09/2022-TRU) that the cumulative bonus or No-Claim Bonus (NCB) discount granted by insurers directly reduces the taxable base premium. GST is calculated solely on the discounted net premium, not the gross unadjusted premium.


Quick Fact: HSN 997133 classification


All commercial accident and health insurance underwriting services are classified under HSN code 997133 in India's Harmonized System of Nomenclature, attracting a uniform 18% GST across public and private general insurers.


Health insurance GST rate across policy types

 

The statutory GST rate on health insurance policies stands at 18%. This tax applies across all commercial medical insurance variants sold by general and standalone health insurance companies in India:



Because health insurance is an essential social necessity, industry bodies and the Insurance Regulatory and Development Authority of India (IRDAI) have repeatedly engaged the GST Council regarding potential rate rationalization. However, pending official statutory notifications by the GST Council, 18% remains the active, legally enforceable rate across all commercial retail policies.


GST on health insurance with HSN codes

 

In accordance with indirect tax regulations, insurance services are designated under Chapter Heading 9971 (Financial and related services). The table below details approved HSN codes and statutory tax applicability:


HSN CodeService Description & Coverage ScopeStatutory GST RateTax Applicability
997133Accident and Health Insurance Services (Commercial Retail & Group Policies)18%Fully taxable (standard rate)
997133Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)0% (Nil)Statutory government exemption
997133Universal Health Insurance Scheme (UHIS) for Below Poverty Line (BPL) Families0% (Nil)Statutory government exemption
997133Niramaya Health Insurance Scheme (Administered by National Trust for Disabilities)0% (Nil)Statutory government exemption
997133Rashtriya Swasthya Bima Yojana (RSBY) & State Welfare Health Programs0% (Nil)Statutory government exemption
997133Central Government Health Scheme (CGHS) / Ex-Servicemen Contributory Health Scheme (ECHS)0% (Nil)Exempt government employee schemes


Data verified against Central Board of Indirect Taxes and Customs (CBIC) service tax tariff schedules.


Who is exempted from GST on health insurance?

 

While commercial policies purchased by individuals and corporate entities attract the standard 18% rate, the Central Government has exempted specific social security and public welfare schemes to ensure healthcare accessibility for economically vulnerable segments:


  • Ayushman Bharat PM-JAY beneficiaries: Eligible low-income households identified under the Socio-Economic Caste Census (SECC) receiving secondary and tertiary hospitalization cover up to Rs. 5 lakh per family receive 100% GST-exempt insurance.
  • Persons with disabilities under Niramaya: Policies issued under the National Trust Act, 1999 providing health insurance coverage up to Rs. 1 lakh for individuals with autism, cerebral palsy, mental retardation, and multiple disabilities are completely exempt from GST.
  • Government micro-insurance and BPL schemes: Janashree Bima Yojana, Aam Aadmi Bima Yojana, and State Government Arogyasri or CM Comprehensive Health Schemes attract 0% GST.
  • Commercial retail policyholders: Private individuals, salaried professionals, and senior citizens purchasing standard retail mediclaim policies from commercial insurers are not exempt from GST. However, they can offset this expenditure through statutory income tax deductions.

Types of GST on health insurance

 

The exact categorization of GST appearing on your insurance premium receipt depends on whether the transaction is an intra-state or inter-state supply:


Transaction TypeGeographic ScenarioTax ComponentsEffective RateTax Pool Allocation
Intra-state supplyPolicyholder and servicing insurer branch in the same state9% CGST + 9% SGST18% TotalSplit equally between Central and State Governments
Inter-state supplyPolicyholder and issuing insurer operating entity in different states18% IGST18% TotalCollected by Central Government and apportioned to destination state

  • Intra-state policy purchase (CGST + SGST): If your policy is serviced by an insurer branch located within the same state as your permanent address (e.g., a Maharashtra resident purchasing from a Pune-registered branch), the 18% tax is divided equally into 9% CGST and 9% SGST.
  • Inter-state policy purchase (IGST): If you purchase a digital policy where the issuing insurer entity is registered in a different state (e.g., a Karnataka resident purchasing directly from an insurer whose digital underwriting hub is registered in Gurugram, Haryana), the tax is levied as a consolidated 18% IGST.
  • Total payable tax: The gross tax amount paid by the consumer remains identical in both situations (exactly 18%).

How does GST impact your health insurance premium?

 

The shift from the pre-GST 15% Service Tax regime to the 18% GST structure increased the out-of-pocket tax component on health insurance premiums by 300 basis points (a 20% relative tax hike).


The table below outlines the comparative tax incidence across identical base premiums:


Policy Sum Insured & TypeBase Underwriting Premium (In Rs.)Pre-2017 Service Tax @ 15% (In Rs.)Current GST @ 18% (In Rs.)Net Additional Tax Outflow (In Rs.)
Rs. 5 lakh (Individual 30 yrs)8,0001,2001,440+ 240
Rs. 10 lakh (Family floater 2A+1C)18,0002,7003,240+ 540
Rs. 15 lakh (Family floater 2A+2C)28,0004,2005,040+ 840
Rs. 10 lakh (Senior citizens 65+ yrs)48,0007,2008,640+ 1,440

For senior citizens and large families requiring substantial coverage, the 18% tax represents a noticeable annual cash outlay. To evaluate transparent pricing across comprehensive covers, you can review partner plans and calculate your health insurance premium online.

Impact of GST on the insurance sector

The implementation of GST has restructured the broader operational landscape of the Indian insurance sector, creating distinct advantages alongside compliance challenges.


Input tax credit for insurance companies


Under the GST framework, insurance companies can claim Input Tax Credit (ITC) on taxes paid for procurement of operational goods and services, such as IT infrastructure, actuarial software, advertising, reinsurance commissions, and claims processing technology. This mechanism prevents cascading taxation within the insurer's corporate supply chain, partially offsetting underwriting operational overheads.


Streamlined taxation process for policyholders


GST dismantled multi-state tax barriers, creating a unified regulatory apparatus across India. For insurers operating nationwide, this simplified statutory accounting, standardized digital premium receipts, and eliminated cross-border billing discrepancies. For policyholders, it introduced absolute transparency: every premium schedule explicitly details the base premium, applicable HSN code, CGST/SGST/IGST breakdown, and policy term dates.


How to calculate GST on health insurance?

 

Calculating the GST component on your health insurance policy is straightforward using standard percentage computation:


  • Identify net base premium: Obtain the underwriting quote before taxes, after deducting any valid No-Claim Bonus (NCB) or family discount.
  • Apply the 18% tax rate: Multiply the net base premium by 0.18.
  • Sum base premium and tax: Add the base premium and GST amount to determine total payable premium.

Illustrative calculation:


  • Net base premium: Rs. 15,000
  • Applicable GST (18%): Rs. 2,700 (split as Rs. 1,350 CGST + Rs. 1,350 SGST)
  • Total gross premium payable: Rs. 17,700

Advantages and disadvantages of GST on health insurance

 

Evaluating the systemic impact of GST on medical insurance reveals important structural trade-offs:


Advantages of the unified GST system

 

  • Uniform national pricing: Eliminates state-level tax disparities, ensuring that a policyholder in Maharashtra pays the exact same indirect tax rate as one in Tamil Nadu or Delhi.
  • Invoicing transparency: Seamless electronic invoicing through the GST portal reduces unorganized brokers and ensures authentic digital receipts for tax filing.
  • Insurer input tax offsets: Insurers utilize ITC on administrative expenditures, helping stabilize long-term underwriting operations.

Disadvantages and consumer challenges

 

  • No input tax credit for individual taxpayers: Salaried employees and individual taxpayers cannot claim an input tax credit on the GST paid, treating the 18% levy as a direct out-of-pocket cost.
  • Elevated cost for senior citizens: Older individuals paying substantial age-banded premiums face elevated absolute tax figures, which can burden fixed retirement incomes.
  • Healthcare penetration barrier: Financial planners frequently point out that an 18% tax rate on an essential risk-protection tool conflicts with national universal healthcare inclusion goals.

Tax savings under Section 80D and Section 126

 

While GST increases the immediate invoice amount, policyholders can recover a substantial portion of this expense through direct income tax deductions.


Under the historic Section 80D of the Income-tax Act, 1961, and continuing under Section 126 of the Income-tax Act, 2025 (applicable from FY 2026-27), taxpayers opting for the Old Tax Regime can claim deductions for health insurance premiums paid for themselves, their spouses, dependent children, and parents:


Family Composition & Age CategoryMaximum Permissible Deduction LimitEligible Coverage Types
Self, spouse, and dependent children (below 60 years)Rs. 25,000 per financial yearIndividual mediclaim, family floater, critical illness
Parents (below 60 years)Additional Rs. 25,000 per financial yearIndividual or floater parental policies
Parents (senior citizens, 60+ years)Additional Rs. 50,000 per financial yearDedicated senior citizen medical covers
Maximum total cumulative deductionRs. 75,000 to Rs. 1,00,000 per financial yearCombined family and senior parent policies


Important tax rule on GST deductibility: The Income Tax Department permits deductions on the gross premium paid, which includes the 18% GST component. If your gross annual health insurance receipt totals Rs. 24,780 (Rs. 21,000 base + Rs. 3,780 GST), you are entitled to claim the entire Rs. 24,780 under Section 126, subject to statutory ceilings.


Brief example scenario: annual premium and tax recovery

 

To illustrate how GST and direct tax deductions interact in practice, consider the annual healthcare portfolio managed by Rajesh Iyer (age 42):


Rajesh purchases a Rs. 10 lakh base family floater (self, spouse age 39, son age 10) and a Rs. 25 lakh super top-up policy with a Rs. 10 lakh deductible. He also purchases a dedicated senior citizen policy for his 68-year-old mother. Rajesh falls in the 30% income tax bracket (effective 31.2% including health and education cess).


Policy ComponentSum InsuredNet Base Premium (In Rs.)18% GST (In Rs.)Gross Total Paid (In Rs.)Section 126 Deduction ClaimedIncome Tax Saved @ 31.2%
Family floater base coverRs. 10 lakh18,5003,33021,830Rs. 25,000 (combined with top-up, capped at ceiling)Rs. 7,800
Family super top-up policyRs. 25 lakh4,5008105,310(Included above)(Included above)
Senior citizen mother coverRs. 5 lakh38,0006,84044,840Rs. 44,840 (within Rs. 50,000 ceiling)Rs. 13,990
Portfolio totalRs. 40 lakh61,00010,98071,980Rs. 69,840 Total deductionRs. 21,790 Total tax saved


Key financial takeaway: Rajesh paid Rs. 10,980 in total GST across his policies. However, his income tax savings under Section 126 totaled Rs. 21,790. Because direct tax deductions apply to the gross GST-inclusive premium, his income tax savings completely absorbed the 18% GST liability, resulting in a net cash flow savings of Rs. 10,810 over his base premium.


Do’s and don’ts for managing GST on health insurance

 

DoWhy it mattersDon’tRisk to avoid
Claim the entire gross premium (including 18% GST) under Section 126.Income tax authorities permit deductions on the full invoice amount paid, absorbing the indirect tax cost.Do not omit the GST portion when submitting proof of investment to your employer HR.Forfeits eligible deductions on 18% of your insurance expenditure, leading to excess TDS salary deductions.
Verify that your policy premium receipt carries the insurer's valid 15-digit GSTIN.Ensures tax compliance and authenticity for audit verification by the Income Tax Department.Do not attempt to claim Input Tax Credit (ITC) as an individual salaried taxpayer.ITC on health insurance is restricted under Section 17(5) of the CGST Act; unlawful claims attract tax notices and penalties.
Optimize coverage using super top-ups to lower total taxable premium outlay.Super top-up plans offer high sum insured limits at low base premiums, significantly reducing absolute GST payable.Do not underinsure your family solely to avoid the 18% GST charge.Hospitalization for critical illness costs far more than the nominal annual GST savings achieved by reducing coverage.
Verify your state billing address on your policy proposal form.Governs whether CGST + SGST or IGST is applied, ensuring accurate tax invoicing and claim verification.Do not provide inaccurate state PIN codes during digital checkout.Causes invoice reconciliation mismatches between insurer TPA systems and your employer tax portal.
Retain digital premium receipts and Customer Information Sheets for at least 6 years.Essential documentation for responding to income tax assessment inquiries under the Old Tax Regime.Do not discard annual premium tax certificates after filing your returns.Lack of physical or digital receipts can lead to disallowance of claimed tax deductions during scrutiny.


Step-by-step roadmap to optimize health insurance and tax savings

 

  • Step 1: Calculate your total coverage requirement. Evaluate family hospitalization risks and determine appropriate sum insured tiers, combining a base floater with a deductible super top-up to keep base premiums tax-efficient.
  • Step 2: Compare partner plans and verify GST breakdowns. Visit the Bajaj Finance platform to review policies across Care Health, Star Health, Niva Bupa, and Bajaj Allianz General. Use the online health insurance premium calculator to inspect the exact base premium, 18% GST split, and gross payable cost.
  • Step 3: Complete digital onboarding and download tax certificate. Complete instant paperless KYC and premium payment. Immediately download your Section 126 tax certificate carrying the insurer's 15-digit GSTIN for submission to your employer HR portal.

Glossary of health insurance terms

 

TermDefinition
Goods and Services Tax (GST)A unified, destination-based indirect tax levied at 18% on commercial medical insurance underwriting in India under HSN code 997133.
HSN code 997133The Harmonized System of Nomenclature code designating commercial accident and health insurance underwriting services across India.
Central GST (CGST) and State GST (SGST)Equal 9% tax components applied on intra-state insurance policies, divided between the Central and respective State Governments.
Integrated GST (IGST)An 18% consolidated tax levied when the policyholder and issuing insurer operating hub are registered in different states.
Input Tax Credit (ITC)A tax mechanism allowing registered insurers to offset GST paid on operational inputs against output tax liabilities; restricted for individual salaried policyholders under Section 17(5) of the CGST Act.
Section 126 of the Income-tax Act, 2025The direct tax provision replacing Section 80D from FY 2026-27, allowing deductions on gross health insurance premiums including the 18% GST component under the Old Tax Regime.
Base underwriting premiumThe actuarial risk premium charged by an insurer based on age, medical history, sum insured, and optional riders before indirect taxes are added.
No-Claim Bonus (NCB)A cumulative reward discount for claim-free policy years that directly reduces the taxable base premium before the 18% GST computation.
Super top-up health insuranceA cost-effective policy that provides high sum insured protection over and above a defined threshold (deductible), reducing total taxable premium outlay.
Customer Information Sheet (CIS)A standardized disclosure document mandated by IRDAI detailing key policy terms, waiting periods, sub-limits, exclusions, and premium tax breakdowns.


Sources and references

 

Regulatory Authority / PublicationDocument Identifier / CitationStatutory Subject / Verified ParameterOfficial Source Link
Central Board of Indirect Taxes and Customs (CBIC)Notification No. 11/2017-Central Tax (Rate) & HSN Chapter 99Statutory 18% GST Rate on Insurance Services (HSN 997133)CBIC GST Portal (https://cbic-gst.gov.in)
GST Council Secretariat, Ministry of FinanceCircular No. 177/09/2022-TRU (47th GST Council Meeting Clarifications)Clarification on Taxability of No-Claim Bonus & Input Tax Credit ProvisionsGST Council Portal (https://gstcouncil.gov.in)
Income Tax Department, Ministry of FinanceIncome-tax Act, 2025 (Section 126) / Income-tax Act, 1961 (Section 80D)Direct Tax Deductions for Medical Insurance Premiums Including GSTIncome Tax India (https://incometaxindia.gov.in)
Insurance Regulatory and Development Authority of India (IRDAI)Master Circular on Operations and Allied Matters of Health Insurance Business (Ref: IRDAI/HLT/CIR/PRO/84/5/2024)Customer Information Sheet Transparency Standards & Premium DisclosuresIRDAI Official Portal (https://irdai.gov.in)
National Health Authority (NHA)PM-JAY Operational Guidelines & Benefit PackageComplete GST Exemption Framework for Government Welfare Health BeneficiariesNHA PM-JAY (https://nha.gov.in)


Conclusion

 

While the 18% GST on health insurance increases the upfront invoice value of commercial medical policies, understanding its calculation and regulatory exemptions empowers consumers to plan effectively. By structuring coverage smartly—such as pairing a standard base floater with a high-deductible super top-up policy—policyholders can minimize their taxable premium outlay without compromising on essential medical security.


Crucially, individual taxpayers filing under the Old Tax Regime can completely absorb this tax expenditure by claiming deductions on their gross, GST-inclusive premiums under Section 126 of the Income-tax Act, 2025. Take control of your healthcare financial planning today: compare partner health insurance plans on Bajaj Finance to inspect transparent quotes, evaluate comprehensive benefits, and secure reliable coverage for your family.

Frequently asked questions 

What is the current GST rate on health insurance policies in India?

The current GST rate on commercial health insurance policies in India is 18%, classified under HSN code 997133. This 18% tax applies to individual mediclaim, family floater, critical illness, and super top-up plans.

How is GST split between Central and State Governments on your premium receipt?

For intra-state transactions (where insurer branch and policyholder are located in the same state), the 18% tax is split equally into 9% CGST and 9% SGST. For inter-state policies, a unified 18% IGST is applied. The total payable tax is identical in both scenarios.

Are senior citizen health insurance policies exempt from 18% GST?

No. Under current statutory tax rules, commercial health insurance policies for senior citizens attract the standard 18% GST rate. However, policyholders can offset this expenditure by claiming tax deductions up to Rs. 50,000 under Section 126 of the Income-tax Act, 2025 (formerly Section 80D).

Which health insurance schemes are completely exempt from GST?

Government-sponsored social welfare programs, including Ayushman Bharat PM-JAY, Universal Health Insurance Scheme (UHIS), and Niramaya Health Insurance for persons with disabilities, attract 0% GST.

Is GST applied to the No-Claim Bonus (NCB) discount?

No. The Ministry of Finance has clarified that the No-Claim Bonus discount is deducted from the gross premium first. The 18% GST is calculated solely on the net discounted premium payable.

Can individuals claim Input Tax Credit (ITC) on health insurance GST?

No. Under Section 17(5) of the CGST Act, individual taxpayers and salaried employees cannot claim Input Tax Credit on health insurance premiums. ITC is restricted to commercial enterprises where providing employee health insurance is mandatory under statutory law.


Can you claim tax deductions on the 18% GST amount paid on your premium?

Yes. When filing income tax returns under the Old Tax Regime, you can claim the full gross premium paid—including the 18% GST component—under Section 126 of the Income-tax Act, 2025 (formerly Section 80D), up to statutory deduction ceilings.

Is GST charged on hospital room rent during a hospitalization claim?

Does the GST rate change if you pay your health insurance premium in monthly installments?

No. The GST rate remains fixed at 18%. Each monthly installment carries an 18% GST charge computed proportionally on that month's base premium allocation.

Does GST apply to the claim settlement payout you receive from the insurer?

No. Claim disbursements made by insurance companies to hospitals (cashless) or directly to policyholders (reimbursement) are indemnification payouts and are not subject to GST.

How do you obtain a tax invoice carrying the insurer's GSTIN for employer tax submission?

Upon successful premium payment, your insurer issues an official premium certificate and tax invoice carrying their 15-digit GSTIN, state code, and HSN code 997133. This document is immediately available for digital download on the Bajaj Finance customer portal.

Can businesses claim GST input credit on employee group health insurance?

Yes. Commercial enterprises can claim Input Tax Credit (ITC) on group health insurance premiums only if providing health insurance to employees is made legally mandatory by statutory workplace regulations or government notifications.

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Disclaimer

*T&C Apply. Bajaj Finance Limited (‘BFL’) is a registered corporate agent of third party insurance products of Bajaj Life Insurance Limited (Formerly known as Bajaj Allianz Life Insurance Company Limited), HDFC Life Insurance Company Limited, Life Insurance Corporation of India (LIC), Axis Max Life Insurance Limited (formerly known as Max Life Insurance Company Limited.),  Bajaj General Insurance Limited(Formerly known as Bajaj Allianz General Insurance Company Limited), SBI General Insurance Company Limited, ACKO General Insurance Company Limited, HDFC ERGO General Insurance Company, TATA AIG General Insurance Company Limited, ICICI Lombard General Insurance Company Limited, New India Assurance Limited, Chola MS General Insurance Company Limited, Zurich Kotak General Insurance Company Limited, Star Health & Allied Insurance Company Limited, Care Health Insurance Company Limited, Niva Bupa Health Insurance Company Limited, Aditya Birla Health Insurance Company Limited and Manipal Cigna Health Insurance Company Limited under the IRDAI composite registration number CA0101. Please note that, BFL does not underwrite the risk or act as an insurer. Your purchase of an insurance product is purely on a voluntary basis after your exercise of an independent due diligence on the suitability, viability of any insurance product. Any decision to purchase insurance product is solely at your own risk and responsibility and BFL shall not be liable for any loss or damage that any person may suffer, whether directly or indirectly. For more details on risk factors, terms and conditions and exclusions please read the product sales brochure & policy wordings carefully before concluding a sale. Tax benefits applicable if any, will be as per the prevailing tax laws. Tax laws are subject to change. BFL does NOT provide Tax/Investment advisory services. Please consult your advisors before proceeding to purchase an insurance product. Visitors are hereby informed that their information submitted on the website may also be shared with insurers. BFL is also distributor of other third party products from Assistance service providers such as CPP Assistance Services Private Limited, Bajaj Finance Health Limited. etc. All product information such as premium, benefits, exclusions, value added services etc. are authentic and solely based on the information received from the respective Insurance company or the respective Assistance provider company.

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