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GST on Health Insurance

Did you know all insurance plans come under the ambit of the Goods and Services Tax (GST)? Read this comprehensive guide to learn more about the GST on insurance premiums.

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The introduction of the Goods and Services Tax (GST) in the year 2017 was a remarkable decision by the Government of India. It has removed the cascading effects of multiple taxes that existed earlier. GST is levied across the country on several goods and services, including health insurance.

The GST on health insurance is charged at a rate of 18%. Earlier, the rate of service tax on insurance was 15%, which included a Basic Service Tax of 14%, Swachh Bharat Cess of 0.5% and Krishi Kalyan Cess of 0.5%.

Before we know the impact of GST on insurance premium and potential policy buyers, let us understand about GST.

What is GST in Health Insurance?

GST is a single indirect tax applied at the point of consumption of various goods such as household items, food, textile, electronic products, etc. and services like transportation, real estate, insurance, etc. There are four types of GST such as:

  • Central GST (CGST): A part of the GST payable per transaction goes to the Central Government
  • State GST (SGST): The part that goes to the state Government, when a transaction takes place within a particular state.
  • Integrated GST (IGST): The GST levied on inter-state supplies where transactions take place between two states or union territories (UTs), one state or UT, and a foreign territory.
  • Union Territory GST (UGST): The GST levied by a Union Territory in India for transactions occurring within the Union Territory.

GST is applied on various goods and services under five slabs: 0%, 5%, 12%, 18%, and 28%. Medical insurance products are charged at a rate of 18%. But do you know why 18% GST on health insurance is levied?

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Impact of GST in Health Insurance

All insurance schemes, including best health insurance come under the ambit of the Goods and Services Tax (GST). This means the premium you pay towards your medical insurance policy would attract an 18% GST, as specified above.

After the implementation of GST on medical insurance premium, there has been a hike in insurance cost for buyers. From the earlier 15% service tax, they will now have to pay an additional amount based on the current rate.

The premium you pay towards your health plan offers you comprehensive coverage for various medical expenses, which is not just limited to hospitalisation but goes beyond that. That is, expenses incurred during the policy period for pre-and-post hospitalisation, daycare treatments, diagnostic tests, OPD costs as well as maternity care are also covered in such plans.

Types of GST in Health Insurance

GST has a considerable mark on different elements of health insurance. Here are the types of GST in health insurance:

  • GST on Premiums: Health insurance premiums attract an 18% GST rate, which applies to all policy types, including individual, family floater, critical diseases, and senior citizen plans.
  • Input Tax Credit (ITC): This credit enables the insurance service provider to claim GST for services and goods employed in business operations. ITC helps minimise functional expenses, allowing insurers to transfer cost advantages to policyholders through improved pricing.
  • GST on Services: This applies to service charges on endorsements, renewals, and policy issuance, subject to 18% GST.
  • Health Insurance Claims: When claiming settlement in health insurance, policyholders don't have to pay GST. However, depending on the insurers, GST might be charged for services like hospitalisation, diagnostics, room charges, etc.
  • Exemptions and Social Provisions: Health insurance schemes sponsored by the government are exempted from GST charges to offer reasonable healthcare services specifically for economically weaker areas. One of the instances of this scheme is Pradhan Mantri Jan Arogya Yojana.
  • Impact on Policyholders: GST usually increases the premium amount, possibly increasing policyholders' expenses. However, with transparency and uniformity, policyholders can comprehend tax attributes efficiently.
  • Tax Deductions: Policyholders benefit from claiming tax deductions under Section 80D. GST-inclusive premiums are qualified for deductions, presenting economic ease.

GST Rate on Health Insurance

The GST on health insurance products is applicable to the entire premium amount. Let’s say you opted for a health insurance policy with coverage amount of Rs 5 Lakh, and the premium cost is Rs 11,000 per year.

Scenario Tax rate Tax amount on 11,000 Total premium payable
Before GST 15% ₹1,650 ₹12,650
After GST 18% ₹1,980 ₹12,980

Explanation:

  • The applicable tax rate was 15%, resulting in a total premium of ₹12,650 before tax.
  • With the intro of GST at 18%, the total premium reached to ₹12,980 after tax with Rs 330 hike in premium.

This table clearly illustrates the cost impact of GST on health insurance premiums.

How to Calculate GST in Health Insurance?

Here's how you can calculate GST:

Identify the GST Rate: The GST rate for India's health insurance premiums is usually 18%. It means that your total premium amount is made up of the GST element. Determine the Premium Amount: Premium in health insurance is the cost the policyholder has to pay to the insurer for the policy coverage. The GST is calculated on the base amount.

Calculate GST Amount: Here is how you can calculate the GST amount on your health insurance premium:

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

For instance, if your health insurance premium is ₹20,000, the GST amount would be:

GST Amount = (20,000 * 18) / 100 = ₹3600

Calculate the Total Premium: The total premium payable by the policyholders is the premium sum including the GST.

Total premium = premium Amount + GST Amount

Using the example:

Total Premium = ₹20,000 + ₹1,800 = ₹21,800

Pay the Total Premium: The policyholder must pay the total premium amount, including the base premium and the GST amount, to the insurers. The insurance company will then send the GST component to the government.

Benefits of GST in Health Insurance

Here are some of the benefits of GST in health insurance:

  • Straightforward Tax Structure: GST substituted numerous indirect taxes, forming a systematic and proficient taxation approach.
  • Translucency: The GST rate ensures that policyholders can view the tax share on their premiums.
  • Better Operational Efficacy: ITC diminishes insurer service providers' expenditures, which may offer improved pricing or better services.
  • Digital Transactions Support: GST promotes utilising digital payment modes for premium transactions.
  • Upgrade to Government Schemes: Exemptions for specific health insurance schemes boost reasonable healthcare access for disadvantaged groups.
  • Tax Savings: Policyholders benefit from tax deductions under Section 80 D.

Why do you need a Health Insurance Plan?

Events and ailments cannot be predicted. They can happen to anyone, at any time. With modern lifestyle moving towards rising workload, irregular food habits and variable sleep patterns, your body deserves a significant amount of attention to work in a balanced manner.

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Health Insurance is a shield that protects you and your loved ones in medical emergencies.

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A right health insurance plan ensures that a financial crisis is not an issue during a medical emergency.

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With the skyrocketing cost of healthcare in the country, opting for a good health Insurance Plan is a smart decision for the safety of the individual and family.

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GST Impact on Renewal of Medical Insurance

After the implementation of the GST, new policy buyers and those renewing their policy are required to pay a higher premium amount. However, those who have purchased policies earlier with a longer-term period would not be impacted by GST. Yet, when they renew their plans, the premium paid by them will be based on present tax rates.

Positive Impact of GST on Health Insurance

As explained above, there has been a clear hike in the premium prices for health insurance buyers. Nevertheless, there are some advantages they can look forward to.

Owing to the competition in the market, health plans are now available for many affordable prices. This is a major benefit since healthcare costs are mounting steadily and high premiums can further increase the financial burden for people. Now, that will not happen. Health insurance policies with affordable premiums become highly rewarding.

In addition to this benefit, buyers are also experiencing convenience in terms of seamless processes for buying health policy and hassle-free claim settlement.

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Negative Impact of GST on Health Insurance

With the implementation of GST, all health insurance buyers are bound to pay additional charges based on the applicable tax rates. Moreover, individuals who have bought health policies cannot avail input tax credit. Also, corporate policyholders having group policies for their employees cannot avail input tax credit.

End Note!!

Health insurance in today’s times holds great significance as far as a family's financial protection is concerned. It is essential to realise that by paying the premium, with additional GST charges, you are getting a health cover which is extensive in nature and which covers the medical expenditure you are likely to incur.

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FAQS on GST on health Insurance

Q. How will GST work?

GST is a single indirect tax levied on different household items, food, textile, home appliances, services, transportation, etc. It has five slabs 0%, 5%, 12%, 18%, and 28%. At present, GST on health insurance is18%.

Q. What is the applicable GST rate on premium for a family health insurance?

The GST rate for a family health insurance in India is generally 18%. This implies that when you make a premium payment, 18% of that amount is the GST component.

Q. How will it affect Goods and Services?

It has its pros and cons for goods and services. On one side, it removes the interstate movement of goods increase the supply and decreases the prices. On the other hand, it also increases the costs of the goods and services buyers ultimately have to bear.

Q. How is GST on health insurance benefits for buyers?

After the implementation of GST on medical insurance, its premium has been increased. Earlier, it was 15%, but now it is 18%. It means you have to pay a higher premium. However, it is worth it in terms of the benefits and privileges you get from health insurance.

Q. What is the GST on health insurance premiums?

Earlier, GST on health insurance was 15%, but now it has increased to 18% on premium.

Q. Is GST payable on the premium of all my health insurance policies?

Health insurance policies come under services. So, yes, 18% GST on all medical insurance policies is payable, included in the premium.

Q. Can I claim GST on health insurance? Is GST refundable?

GST is refundable only when a person sells goods at lower tax rates and pays a higher tax rate. However, an individual paying GST on health insurance is not refundable.

Q. Will I have a view on the GST component I am paying in my health insurance premium?

Yes, you can view the GST component you are paying for health insurance premium.

Q. Will GST be applicable in Jammu and Kashmir?

Yes, the health insurance GST rate is applicable in Jammu and Kashmir.

Q. Can we claim GST input on health insurance?

An organization is not permitted to claim the GST paid on health insurance as an input tax credit or ITC under Section 17(5)(b) of the CGST Act.

#Annual premium for product 'Care' and 'Care Shield (add on)' is Rs. 4286/-(excl. GST) for 1 adult falling under the age bracket 05-24 years.

^^Number of Cashless Healthcare Providers till 31st March 2024

^10% discount is applicable for a 3-year policy

**Number of Claims Settled as of 31st March 2024

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