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Health Insurance Tax Benefits

Health insurance acts as a saviour to protect your hard-earned finances. You are financially protected during medical hardships so that you can concentrate better on the treatment and recovery procedure rather than worrying about your finances.

Without health insurance protection coverage, any medical treatment procedure might prove to be financially quite burdensome, enough to deplete a significant part of your savings and income. However, to maintain a befitting health plan, you just need to pay a fixed amount as a premium at regular intervals. Your health insurance provider takes care of all the relevant medical treatment costs after that.

Health policies not only act as a protective shield, they even allow tax benefits, thus reducing your overall tax liability. Section 80D of the IT Act states that the premium paid towards the premium of a health plan is eligible for tax deductions, considering several conditions and factors.

This article will highlight the tax-saving aspects of health insurance.

Tax benefits of health insurance u/s 80D of the IT Act

This particular section allows individuals to claim tax deductions on the premium amount paid towards health insurance. This applies to every type of health plan including critical illness coverage, top-up plans, etc. You can enjoy tax benefits on health insurance under this section for yourself, your spouse, your dependent parents, and your dependent children.

The primary target of this provision is to encourage more people to opt for the security of health insurance coverage. Several factors are considered to avail of this tax benefit including, the type of plan chosen, the age of the insured individual, the taxpayer’s category, etc.

However, you must note that this tax-saving option becomes unavailable if you pay the premium in cash. Ideally, it must be paid in cash.

Total deduction limit u/s 80D

INSURED INDIVIDUALDEDUCTION AMOUNT (AGE BELOW 60 YEARS)DEDUCTION AMOUNT (AGE ABOVE 60 YEARS)
Self, spouse, and dependent children₹  25000₹ 50000
Parents (dependent or not)₹ 25000₹ 50000
Optimum deduction₹ 50000₹  100000
Opt for preventive healthcare₹ 5000₹ 5000

You must note that preventive healthcare charges are generally chosen when the entire amount of premium paid remains below the optimum limit allowed. Under such circumstances, you are eligible to claim a tax deduction of up to ₹ 5000 for preventive medical health check-ups for yourself and your family under the pre-determined limit.

Optimum deduction limit u/s 80D

The optimum tax deduction limit for investing in health insurance u/s 80D of the IT Act depends on several specifications:

  1. The optimum limit of premium paid for health insurance of self, spouse, etc. must be ₹ 25000
  2. Depending on the circumstances, the tax deduction limit can rise to ₹ 50000 in the case of non-senior citizen dependent parents and for senior citizen parents, this can go up to ₹ 75000
  3. If you are a senior citizen taxpayer and pay health insurance premiums for yourself and your parents, then you can claim a tax deduction of up to ₹ 1 lakh.

Individual tax benefits

Section 80D of the Income Tax Act allows you to claim a tax deduction under the following circumstances:

  1. Health insurance premium paid by the concerned assessee as an individual by any mode like digital/cheque, etc., other than cash.
  2. The concerned policyholder has made any contribution as an individual to the Central Government Health Scheme or any other similar scheme as per the Government notifications.
  3. Expenses incurred by the policyholder as an individual on account of preventive health check-ups.
  4. Spent on medical expenditure as an individual for restoring the health of any senior citizen, provided he/she has not indulged in buying or maintaining any health plan of such person(s).

Amount of deduction

In the case of any individual, the tax deduction amount must not exceed:

  1. ₹ 25000, in total, for health insurance premiums or any expenses incurred towards preventive medical check-ups. This benefit is available only if the payment is made for the self, spouse, or dependent children.
  2. ₹ 50000 in total for medical costs incurred to restore the health of the concerned assessee, the spouse or parents or dependent children. This benefit is available if the amount is spent for the benefit of any senior citizen and no expenses are incurred for purchasing or maintaining any health plan of the person(s).

Tax benefits for parents’ health insurance

You can claim additional tax benefits if you pay your parent’s health insurance premium. However, here too, you have to remember to pay it in any mode other than cash to claim this benefit.

Amount of deduction

The limit of tax deduction amount does not exceed:

  1. ₹ 25000, for paying premiums towards the health insurance plans of parents who have not yet attained 60 years of age.
  2. If your parents are 60 years or above, you can claim an additional tax deduction of up to ₹ 50000.
  3. If you pay for any medical costs for senior citizens like self, spouse, dependent children, or parents, that do not fall under the coverage scope of your chosen health plan, you can claim an additional deduction of up to ₹ 50000 under this category.
  4. You can a deduction of up to ₹ 5000 u/s 80D for any payments made towards preventive health diagnosis of self/spouse/parents/dependent children. As per applicability, the optimum deduction limit does not exceed the overall capping of ₹ 25000 or ₹ 50000. Cash payment is accepted in health check-ups to claim a tax deduction.

Senior citizen parents

Section 80D of the IT Act allows special tax discounts towards any medical expenses incurred for senior citizens. It even permits adults to claim a special rebate for medical expenses incurred to restore senior citizen parents’ health.

In a single financial year, you can claim a maximum tax deduction of up to ₹ 50000 under Section 80D of the Income Tax Act, 1961.

Amount of deduction

INDIVIDUAL PAYING HEALTH INSURANCE PREMIUMFOR ADULTSFOR SENIOR CITIZENSOPTIMUM TAX DISCOUNT U/S 80D
Senior citizenN.A.₹ 50000₹ 50000
Non-senior citizens paying health insurance premiums for senior citizen parents₹ 25000₹ 50000₹ 75000
Senior citizen individuals paying health insurance premiums for themselves and senior citizen parents₹ 50000₹ 50000₹ 100000

You can claim a maximum discount of ₹ 50000 towards payment of health insurance premiums under the following categories:

  1. Preventive medical diagnostic check-ups
  2. Premiums payable towards the health insurance policy
  3. Any medical expenses incurred on any particular individual or any of their family members
  4. If you are a senior citizen policyholder, you can claim rebates under the Central Government Health Scheme.

Self and parents above 60 years

You can avail of special tax deductions under Section 80D of the IT Act if you have attained 60 years of age or above. Moreover, if you pay health insurance premiums for your parents who are senior citizens too, you can claim additional discounts.

The tax exemptions that you can avail of as senior citizen involvement in the chosen health plan(s) are:

  1. If the assessee is a senior citizen, an optimum tax deduction of up to ₹ 50000 can be achieved for medical costs incurred and health insurance premiums paid
  2. If any health plan premiums are paid by senior citizen individuals for their parents of over 60 years, a maximum tax deduction of up to ₹ 1 lakh can be availed (₹ 50000+ ₹ 50000)
  3. An additional tax exemption of ₹ 5000 can be availed of for costs incurred due to preventive medical health check-ups

Amount of deduction

SCENARIOPREMIUM PAYER IS BELOW 60 YEARS, WHILE THE PARENTS ARE SENIOR CITIZENSBOTH THE PREMIUM PAYER AND HIS/HER PARENTS ARE SENIOR CITIZENS
The tax deduction limit for self, spouse, and dependent children₹ 25000₹ 50000
The tax deduction limit for parents₹ 50000₹ 50000
Optimum limit of claimable tax deduction ₹ 75000₹ 100000

Preventive health check-up

Any individual maintaining a valid health insurance plan is eligible to claim a tax deduction of up to ₹ 5000 for undergoing preventive health diagnosis. However, this tax deduction benefit comes within the overall health insurance tax benefit of ₹ 25000 u/s 80D of the IT Act.

You are even eligible to claim tax deductions if you pay health policy premiums for your spouse, children, and parents. However, the optimum limit is capped at ₹ 5000.

Even if you do not maintain any health plan exclusively for your parents, you can still claim an optimum deduction of ₹ 50000, including ₹ 5000 for preventive health check-ups.

Cash payment is allowed in this category to claim for this tax deduction.

While claiming for tax benefit for preventive healthcare you must remember that even if you maintain coverage of multiple health plans, the optimum deduction limit remains restricted at ₹ 5000. You must ensure to preserve all the relevant bills, documents, reports, etc. for raising the claim.

You can claim for preventive health check-up deduction separately as individuals. If there are two working individuals in the same family, they can separately claim this tax deduction to reduce individual tax liability.

Amount of tax deduction

Total of ₹ 25000The health insurance premium paid for self, spouse, and dependent children + Preventive health check-up costs of up to ₹ 5000 (none of the members is a senior citizen) which is included in the total limit.
A total of ₹ 50000The health insurance premium paid for self, spouse, and dependent children +

Health insurance premium for parents <60 years of age + Preventive healthcare cost of up to ₹ 5000 (any one of the family members is a senior citizen) which is included in the total limit.
Total of ₹ 25000The health insurance premium paid for parents <60 years of + preventive health check-up cost coverage up to ₹ 5000 (none of the parents is a senior citizen) which is included in the total limit.
A total of ₹ 1,00,000Health insurance policy premium paid for parents (>60 years of age) + Preventive health check-up cost of up to ₹ 5000 (any one of the parents is a senior citizen) which is included in the total limit.
+
Health insurance for self and/or spouse (either or both >=60 years of age) + Preventive health check-up cost of up to ₹ 5000 which is included in the total limit.

Hindu Undivided Family (HUF)

An Indian HUF is eligible to claim a tax deduction for premiums paid towards health insurance for the family members of the HUF concerned under Section 80D of the IT Act. If the insured members are non-senior citizens, then this tax deduction limit is capped at ₹ 25000. If any of the members is above 60 years, then this limit rises to ₹ 50000.

Mode of payment of health insurance policy premiums

If you are willing to qualify for availing of the tax deduction benefits for premiums paid towards health insurance, you need to go cashless. You can adopt any mode of payment other than cash to avail of this exclusive tax deduction benefit. You can use a bank draft, cheque, debit card, credit card, digital banking methods, etc.

However, for claiming tax deductions for preventive medical health check-ups cash payment is allowed.

Health insurance tax benefits for multi-year plans

As you are aware of the fact that claiming for health insurance tax benefit u/s 80D of the IT Act, is an annual affair, you might be of the notion that a multi-year health plan won’t qualify for such exclusive benefits. However, it does.

The overall tax deduction amount is calculated proportionately considering the entire policy tenure. The insurer issues a special certificate regarding the total amount of tax deduction you have already claimed.

Exclusions of health insurance tax benefits

To claim and enjoy tax deduction benefits for premiums paid towards health insurance, you need to comply with some basic protocols. Under the following circumstances, health insurance tax benefit is not permitted:

  1. You have not paid the health insurance premium within the concerned financial year
  2. Cash payment of premium(s)
  3. No availability of the premium payment receipt
  4. The premium being paid by any individual other than the assessee
  5. Any premiums being paid for siblings, relatives, in-laws, etc.
  6. Deduction claims not complying with the current IT norms
  7. The optimum deduction on premiums for health insurance remains restricted as per the specifications of Section 80D, even if you have paid more than that

Comprehensive tabular analysis of tax deductions for health insurance

SCENARIO12345
Health insurance purchased forSelf (non-senior citizen)+family Parents (non-senior citizen)Self (non-senior citizen)+family Parents (senior citizens)Self (senior citizen) Parents (senior citizens)Hindu Undivided Family (HUF)Non-resident Indians (NRIs)
Health insurance tax deduction u/s 80DSelf-+family Parents₹ 25000 ₹ 25000₹ 25000 ₹ 50000₹ 50000 ₹ 50000₹ 25000 ₹ 50000₹ 25000
Claim limit for preventive health check-upsSelf-+family Parents₹ 5000 ₹ 5000₹ 5000 ₹ 5000₹ 5000 ₹ 5000₹ 5000 ₹ 5000₹ 5000
Mediclaim deduction ceiling available us 80D₹ 25000+ ₹25000 = ₹ 50000₹ 25000 + ₹50000 = ₹75000₹ 50000 + ₹50000= ₹100000Either ₹ 25000 or ₹ 50000 depending on the ages₹ 25000
TAX BENEFITPREMIUM (₹)% REBATETOTAL TAX REBATE
Slab between ₹ 2.5 lakhs and ₹ 5 lakhs250005.201300
Slab between ₹ 5 lakhs and ₹ 10 lakhs 2500020.805200
Slab above ₹ 10 lakhs2500031.207800

Frequently Asked Questions

The only relevant documents in this respect include a copy of your health insurance policy and the receipt of your payment of the premium of the concerned health plan. However, you might need all the bills, reports, and documents for claiming tax deductions towards preventive health check-ups.

Irrespective of the total number of health plans you maintain, the optimum limit of tax deduction that you can claim u/s 80D of the IT Act for premiums paid towards health insurance(s) remains static at ₹ 25000 for self, spouse, and dependent children. However, if you or your spouse is a senior citizen, this limit rises to ₹ 50000.

Any individual, HUF, or NRI is eligible to claim for tax deduction under Section 80D of the IT Act.

You are not necessarily required to submit any of the documents to avail of this tax benefit. However, it is best to preserve them for reference till you receive the claim.

Some of the chronic ailments that are covered by Section 80D of the IT Act include dementia, motor neuron disease, ataxia, aphasia, hemiballismus, etc.

As per the current IT norms, there is no specific income bracket mentioned to qualify for claiming a tax deduction under Section 80D of the IT Act. Anybody maintaining health insurance is eligible to claim for it.

No, the concerned taxpayer is not eligible to claim for tax deduction for anyone else who is independent of him/her.

If your employer pays the premium of your group health insurance plan, then you cannot claim for tax deduction under Section 80D as you are not paying the premiums. However, if the premium amount is deducted from your salary and it remains mentioned on your salary slip, then you can claim this deduction.

The major factors to consider here include eligibility, supporting documents, and mode of payment. The payment mode can be anything other than cash to claim this deduction. However, cash payment is permitted in the case of claiming for preventive health check-ups. Moreover, for future reference for IT filing, you must preserve all the relevant copies of bills and documents.

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