GST on Medical Insurance – All You Need To Know

GST on health insurance in India is 18%, applicable to individual, family floater, and critical illness policies, replacing the earlier 15% service tax.
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3 min
04-March-2025

Health insurance is essential for protecting ourselves and our loved ones from unforeseen medical expenses. To encourage people to invest in health insurance policies, the government has introduced certain incentives like tax exemptions and other benefits. However, with the introduction of GST, there has been some confusion surrounding the impact of the tax on medical insurance. In this article, we will discuss the impact of GST on health insurance policies, the rates, and how it impacts your premium.

What is GST?

GST (Goods and Services Tax) is a tax levied on the value added to goods and services at each stage of their production and sale. Think of it like this: every time a product or service changes hands, from creation to final purchase, a small tax is added. This tax is collected by the government and then divided between the central and state governments.

GST on health insurance

Goods and Services Tax, commonly known as GST, is a comprehensive indirect tax that subsumed various taxes prevalent in the pre-GST era. When it comes to health insurance, GST has become a pertinent factor influencing the cost and taxation dynamics associated with medical coverage. Let us delve into the specifics of how GST is applied to health insurance and explore its implications.

Health insurance GST rate

The GST rate on health insurance is a crucial factor that policyholders need to consider. As of the latest updates, health insurance falls under the category of services and is subject to a GST rate of 18%. This rate applies to the premium paid for health insurance policies, impacting the overall cost of coverage. This essentially means that the GST rate on medical insurance premiums increases the total cost of your health insurance. Understanding this rate helps you accurately calculate your expenses and make informed decisions about your healthcare coverage.

Health insurance GST rate and HSN code details

Service Description

GST Rate

All Accident and Health Insurance Services

18%

Universal Health Insurance Scheme

Nil (Exempt)

Niramaya Health Insurance Scheme (for persons with disabilities) <br> (Run by the Trust under the National Trust Act, 1999)

Nil (Exempt)


Types of GST on health insurance

To understand the GST dynamics in health insurance comprehensively, it is essential to differentiate between the types of GST applicable to various aspects of insurance. The GST on health insurance primarily encompasses:

GST on medical insurance premiums

This refers to the GST levied on the total premium paid for medical insurance policies. Currently, the GST rate on health insurance premiums in India is 18%. This means that for every ₹100 you pay as a premium, ₹18 goes towards GST.

GST input on health insurance

Insurers can claim the input tax credit on the GST paid for various services and goods procured in the process of providing health insurance. This includes expenses like office rent, IT infrastructure, and advertising. By claiming this credit, insurers can reduce their overall tax burden, which can help keep premiums more affordable.

Medical indemnity insurance GST

Medical indemnity insurance, which provides coverage for medical professionals against legal liabilities arising from their practice, is also subject to GST. The applicable GST rate on medical indemnity insurance is the same as that for general insurance services, which is currently 18%.

How does GST impact your health insurance premium?

Before the implementation of GST (Goods and Services Tax), health insurance premiums in India were subject to a 15% service tax. However, with the introduction of GST, the rate on health insurance increased to 18%.

This hike has been a point of contention, with the insurance industry advocating for a lower rate, ideally around 5%. They argue that the higher GST rate contributes to the low penetration of health insurance in India, as it makes policies more expensive for consumers.

The COVID-19 pandemic highlighted the importance of health insurance, leading to a surge in demand. However, the high GST rate remained a barrier for many individuals seeking financial protection against medical emergencies.

Despite discussions and proposals to reduce the GST rate on health insurance premiums, the GST Council has maintained the 18% rate. In 2022, the Council clarified that the "No-Claim Bonus" offered by insurers is not subject to GST, offering a slight relief to policyholders.

While the debate continues, the current GST rate on health insurance premiums remains at 18%, impacting the affordability of health coverage for many Indians.

Impact of GST on health insurance

The introduction of GST has had both positive and negative impacts on health insurance policies. While the cost of insurance policies has increased due to the 18% GST, it has resulted in better compliance and transparency in the industry. The introduction of GST has also led to better documentation, which has reduced the number of fraudulent claims made by policyholders.

Positive impact of GST on health insurance policies

Input tax credit for insurers

Insurers can claim input tax credit on the GST paid for services and goods utilised in providing health insurance coverage. This helps in reducing the overall tax liability for insurers.

Streamlined taxation process

GST has streamlined the taxation process, simplifying compliance for insurers and policyholders. The unified tax structure has replaced multiple taxes, resulting in a more transparent and efficient system.

     Particulars

Before GST

Under GST

Sum insured

10,00,000

10,00,000

Premium* (A)

25,000

25,000

ST at 15%/ GST at 18% (B)

3,750

4,500

Premium payable (A)+(B)

28,750

29,500


How to calculate GST in health insurance?

It's easy to figure out how much GST you'll be paying on your health insurance premium. Just use this simple formula:

GST Amount = (Premium Amount x GST Rate) / 100

Here's an example:

Let's say your health insurance premium is Rs. 10,000 and the GST rate is 18%.

  1. Calculate the GST amount: GST Amount = (10,000 x 18) / 100 = ₹1,800
  2. Calculate the total premium: Total Premium = Rs. 10,000 + Rs. 1,800 = Rs. 11,800

So, you'll end up paying Rs. 11,800 in total, which includes Rs. 1,800 as GST.

What are the pros and cons of GST on health insurance

Pros

One positive outcome of GST on health insurance is that it has encouraged some insurers to offer policies with more affordable premiums. This is a significant advantage, especially as healthcare costs continue to rise. Making health insurance more budget-friendly can increase its accessibility, leading to greater adoption and financial protection for individuals and families.

Cons

However, the introduction of GST has also brought some challenges. One notable drawback is the lack of input tax credit for individuals and group policyholders. This means that policyholders cannot claim a credit for the GST paid on their health insurance premiums, which can add to the overall cost. Additionally, the 18% GST rate itself contributes to the higher cost of health insurance, potentially making it less accessible for some.

Tax savings under Section 80D

While the imposition of GST increases the overall cost of health insurance, individuals can still avail themselves of tax benefits under Section 80D of the Income Tax Act. This section allows policyholders to claim deductions for the premium paid towards health insurance policies, including the GST component. By leveraging this provision, individuals can offset the impact of GST to some extent and enjoy tax savings.

Conclusion

The imposition of GST on health insurance has brought about significant changes in the way insurance is perceived and managed. While the 18% GST rate increases the financial burden on policyholders, the availability of tax benefits under Section 80D provides a silver lining.

By grasping the dynamics of GST in the context of medical insurance, individuals can make well-informed decisions about their coverage and financial planning.

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Frequently asked questions 

How to save GST on health insurance?

Unfortunately, there's no direct way to save on the 18% GST levied on health insurance premiums. However, you can explore options like:

  • Group health insurance: If your employer offers group health insurance, the premiums may be lower, and your employer might cover a portion of the cost.
  • No-claim bonus: Maintain a healthy lifestyle and avoid making claims to earn a no-claim bonus, which can reduce your premium at renewal.
  • Compare policies: Compare policies from different insurers to find the most cost-effective option with the coverage you need.
Can we claim GST on medical insurance?

Individuals and group policyholders cannot claim GST on medical insurance premiums. The input tax credit is not available for this purpose.

Is GST applicable on hospital room rent?

GST is generally applicable to hospital room rent. However, exemptions may apply in specific cases, such as for certain government-run hospitals or charitable healthcare institutions.

Why is there 18% GST on Health Insurance?

Health insurance falls under the category of services, and the 18% GST rate is applied to services as determined by the GST Council. The council determine rates based on many factors.

Can we claim GST input on health insurance?

In most cases, individuals can not claim a GST input. However, businesses can under very specific conditions.

  • Businesses, in some very limited instances, were able to claim Input tax credit on insurance. If that insurance was mandatory under a law.

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