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GST on Health Insurance

Did you know all insurance plans are subject to the Goods and Services Tax (GST)?  GST-inclusive premiums are eligible for deductions, which provide economic ease. The GST on medical insurance is 18%.Read this comprehensive guide to learn more about the GST on insurance premiums.

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Under Section 80d of the Income Tax Act 1961, policyholders can claim tax deductions on medical insurance premiums. This means taxpayers can claim deductions on GST for health insurance.

What is GST?

GST is a single indirect tax applied at the point of consumption of various goods, such as household items, food, textiles, and electronic products, as well as services like transportation, real estate, and insurance. The Goods and Services Tax (GST) was introduced in 2017 to remove the cascading effects of multiple taxes. GST is applied on various goods and services under five slabs: 0%, 5%, 12%, 18%, and 28%. 

There are four types of GST:

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

What is GST on Health Insurance?

GST applies to health insurance because it is classified as a service industry, and GST is a tax on services. The Insurance HSN code and GST rate are 997133 and 18% respectively. 

Several insurance schemes are free from GST. Government-run health insurance schemes designed for the economically weaker sections of society attract zero GST. 

  • Universal Health Insurance Scheme (HSN headings 9971 or 9991)
  • Niramaya Health Insurance Scheme, run by the Trust established under the National Trust for the Welfare of Persons with Autism, Cerebral Palsy, Mental Retardation and Multiple Disabilities Act, 1999 (44 of 1999) (HSN headings 9991 or 9971), is free from GST.

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Why is GST on Health Insurance, and What is Its Impact? 

All insurance schemes, including the best health insurance,  fall under the Goods and Services Tax (GST). Healthcare services have a lower or zero taxation, but as per the government, insurance is a financial service rather than a healthcare service. GST on health insurance means the insured has to pay 18% GST on medical insurance premium amount. 

After the implementation of GST on medical insurance premiums, insurance costs for buyers have risen as the premium amount increases. From the earlier 15% service tax (14% Basic Service Tax and 0.5% each of Swachh Bharat Cess and Krishi Kalyan Cess), they will now have to pay an additional amount based on the current rate. 

However, those who purchased policies earlier and for a longer period would not be impacted by GST. Yet, when they renew their plans, their premium will be based on present tax rates. 

The premium you pay towards your health plan offers comprehensive coverage for various medical expenses, including hospitalisation. Such plans also cover the costs incurred during the policy period for pre- and post-hospitalisation, daycare treatments, diagnostic tests, OPD, and maternity care. However, with transparency and uniformity, policyholders can comprehend tax attributes efficiently.

Can We Claim GST Input on Insurance Premium

According to Section 80d of the Income Tax Act, 1961, deductions can be claimed on medical insurance premiums up to Rs 1 lakh. The deduction amount depends on your age and the health insurance premium paid. Taxpayers can also claim GST on insurance claims for premiums paid on behalf of their family members. Senior citizens can claim a deduction of up to Rs 50,000, while individuals below 60 can claim a deduction of up to Rs 25,000.

he deductions of GST for health insurance under Section 80D of the Income Tax Act may vary depending on the policy details. Below is the table that helps you to understand it better:

Persons Covered Exemption Limit Total
Self and family Rs 25,000 Rs 25,000
Self and family + parents Rs 25,000 + Rs 25,000 Rs 50,000
Self and family + senior citizen parents Rs 25,000 + Rs 50,000 Rs 75,000
Self (senior citizen) and family + senior citizen parents Rs 50,000 + Rs 50,000 Rs 1,00,000

Types of GST on Health Insurance in India

GST on mediclaim policy considerably impacts different elements of insurance in India. Here are the types of GST in health insurance:

  • GST for Insurance 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 a 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 exempt 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.

GST Rate on Health Insurance

The GST on health insurance products applies to the entire premium amount. Let’s say you opted for a health insurance policy with a 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.
  • The premium amount has increased by Rs 330 with GST on the medical policy at 18%.

How Do You Calculate GST on Health Insurance in India?

Here's how you can calculate GST:

Identify the GST Rate: The GST rate of insurance premiums in India is 18%. This means that your total premium amount is made up of GST. 

Determine the Premium Amount: The premium in health insurance is the cost the policyholder must pay 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 to the insurers, including the base premium and the GST amount. 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 the utilisation of 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
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GST Impact on Renewal of Medical Insurance

After implementing GST, new policy buyers and those renewing their policies must pay a higher premium. However, those who purchased policies earlier and for a longer period would not be impacted by GST. Yet, when they renew their plans, their premium will be based on present tax rates. 

Positive Impact of GST on Health Insurance

Though the premium prices for health insurance buyers, there are some advantages of GST to look forward to. .

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

In addition to this benefit, buyers also experience 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 of input tax credit, and corporate policyholders who have group policies for their employees cannot avail of input tax credit.

What You Need to Remember 

Health insurance is crucial for a family's financial protection today. It is essential to realise that by paying the premium, with additional GST charges, you are getting extensive health cover that covers the medical expenditures 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. Is GST on health insurance tax deductible?

Yes, GST on health insurance is indirectly tax-deductible for individuals under Section 80D.

Q. Is GST on medical insurance premiums eligible for 80d?

The health insurance premium (including GST) paid is eligible for tax deductions under Section 80d of the Income Tax Act, 1961.

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. What is the HSN code for health insurance under GST?

Health insurance premiums attract a GST of 18% under the HSN code 997133.

Q. What is the GST rate applicable for health policy?

GST on health insurance premiums is 18%.

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