Quick Overview

As of 22 September 2025, Goods and Services Tax ( GST) has been removed from retail health insurance plans. This was done to make insurance more affordable to everyone.

However, group health insurance still attracts an 18% GST. This applies whether the cover is offered by large organizations like banks or alumni associations to their members, or by employers to their employees.

Till recently, one of the biggest hurdles to buying personal health insurance was the price. This is something we heard time and again while helping over 8,00,000 people find the right cover. Even though health insurance is a necessity, it attracted a Goods and Services Tax of 18% - higher than what you’d pay on discretionary spends like a packet of namkeen, which was taxed at 12%.

To fix this imbalance, the central and state governments came together to remove GST from retail health insurance products, while continuing to levy it on group health insurance plans.

In this article, we’ll break down what GST is, how it applies to health insurance, and what these changes actually mean for your real-world savings.

GST on Health Insurance: Rules in India

Goods and Services Tax (GST) is a single indirect tax charged on goods and services in India, added to the final price you pay.

Earlier, insurance was treated as a “service” provided by insurers to their customers. As a result, health insurance premiums attracted 18% GST. This pushed up costs, especially for senior citizens who need coverage the most.  It also didn’t fully align with IRDAI’s broader vision of ‘Insurance for all by 2047’

To address this, the GST Council (comprising both Central and State governments) removed GST on all individual health insurance policies, including family floater and senior citizen plans. The notification itself notes that the objective of the decision was to make it “affordable for the common man and increase the insurance coverage in the country.”

This exemption will apply to plans purchased on or after 22 September and older plans with renewal dates falling on or after this date.

Pro Tips: 

    • Group health insurance plans, such as those offered by employers, banks, or alumni associations, continue to attract 18% GST.
    • While GST has been removed from health insurance premiums, a 5% GST still applies to non-ICU hospital rooms with rent exceeding ₹5,000 per day.
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Impact of GST on Health Insurance

01

Before the Removal of GST

Earlier, health insurance premiums attracted 18% GST. This hit senior citizens the hardest, where the GST alone could run into tens of thousands of rupees for some family floater plans. To stay within budget, many people ended up choosing lower sum insured options. This continued partly because the government was collecting significant revenue of around ₹8,263 crore in FY 2023–24 from health insurance alone.

02

After the Removal of GST

After GST was removed, premiums have dropped noticeably, especially for senior citizens. That said, insurers have also lost the Input Tax Credit (ITC) they earlier used to offset their own GST costs. When a supply becomes exempt, insurers generally can’t claim ITC on expenses linked to that exempt supply (commissions, operations, vendor GST, etc.) Over time, this could lead to an increase in base premiums to make up for that loss.

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Sample Premium Differences

Insured DetailsPremiums without 18% GSTPremiums with 18% GST
Premium for (Individual Plan): Age 25₹14,130₹16,674
Premium for (Family Floater, 2A): Ages (31, 32)₹22,271₹26,280
Premium for (Family Floater, 2A 1C): Ages (35, 34, 5)₹27,222₹32,122
Premium for (Family Floater, 2A): Ages (62, 63)₹81,829₹96,559

Note: The above premiums are for the HDFC Ergo Optima Secure plan for individuals or families residing in Delhi. To know the methodology behind why we recommend certain plans, refer to Ditto’s Cut and Framework.

The following infographic shows the tax rates on private health insurance across G20 countries, including India.

GST on Health Insurance in India 2026

Why Choose Ditto for Health Insurance?

At Ditto, we’ve assisted over 8,00,000 customers with choosing the right insurance policy. Why customers like Pallavi below love us:

GST on Health Insurance
    • No-Spam & No Salesmen
    • Rated 4.9/5 on Google Reviews by 15,000+ happy customers
    • Backed by Zerodha
    • Dedicated Claim Support Team
    • 100% Free Consultation

Confused about the right insurance? Speak to Ditto’s certified advisors for free, unbiased guidance. Book your call now, slots fill up fast!

Ditto’s Take on Removal of GST in Health Insurance

With insurers losing ITC benefits, experts expect base premiums to rise over time. Locking in a 2 or 3-year policy today could lead to meaningful savings if that happens.

    • If your budget allows, consider using the GST savings to opt for a higher sum insured. At Ditto, we generally recommend ₹15 -25 lakh of cover to create a buffer against rising medical costs.
    • If the room you choose during hospitalisation costs more than ₹5,000 per day (non-ICU), a 5% GST will still apply. While health insurance should cover this cost as per policy limits, it helps to factor this in while planning.
    • The GST exemption does not apply to certain group health insurance policies. So, always confirm whether you’re buying an individual or group plan.

There is no denying that health insurance has become quite affordable with the reduction in GST. If you are also looking to buy a policy anytime soon, refer to these health insurance plans that make it to Ditto’s cut.

Frequently Asked Questions

Why do group health insurance policies still attract 18% GST?

Individual health insurance is meant to protect people and their families. Group health insurance, on the other hand, is treated as a commercial arrangement offered to an organisation’s members or employees and negotiated in bulk. Because of this, it continues to attract 18% GST.

Does GST charged by hospitals get covered under health insurance?

Yes, GST charged by hospitals is usually covered if the underlying expense is covered. For example, GST on diagnostic tests is reimbursed. 

Do top-up and super top-up health plans attract GST?

While retail top-up and super top-up plans are exempt from GST. If offered as part of a group policy, GST may still apply.

What happens if my policy started before GST was removed?

If your policy started or its renewal date falls before 22 September 2025, GST would still apply for that policy term. However, it would be exempt from next year onwards.

Are family floater plans also exempt from GST?

Yes. Both Retail individual and family floater health insurance plans are exempt from GST.

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