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HEALTH INSURANCE

Section 80D

Introduction

IRDAI, the Insurance Regulatory and Development Authority of India, has been making multiple efforts to boost insurance penetration across the country for quite some time. One such attempt is the tax benefits under Section 80D of the Income Tax Act, 1961, for health insurance policyholders. Well, if you are still on the fence about whether or not you should get a policy, here is one more incentive for you!

Read on to find a free tax deduction calculator under Section 80D for your health insurance policies, the deductions available based on your age, and more!

Age

Parents Age

Annual Premium Paid for Self and Family

₹10,000
=

Annual Premium Paid for Parents

₹0
=

Annual Health Checkup for Self and Family

₹2,500
=

Annual Health Checkup for Parents

₹0
=

Allowed Tax Deductions

₹12,500

Max. Tax Savings

₹2,500

How Much Deduction Can Be Claimed Under Section 80D Based on Your Age?

The deduction limits under Section 80D vary based on age and whether you purchase insurance for your parents. Here are the maximum deductions permissible:

ParticularsAge BracketMaximum Deduction for Self/FamilyMaximum Deduction for Dependant ParentsMaximum Deduction for Preventative Health CheckupsTotal Deduction up to (Aggregate of the three)
Self & FamilyBelow 60 years₹25,000NA₹5,000₹25,000
Self & FamilyAbove 60 years₹50,000NA₹5,000₹50,000
Self & Family + ParentsBelow 60 years₹25,000₹25,000₹5,000₹50,000
Self & Family + ParentsSelf below 60 & at least 1 parent above 60₹25,000₹50,000₹5,000₹75,000
Self & Family + ParentsAbove 60 years₹50,000₹50,000₹5,000₹1,00,000

For senior citizens (aged 60 years and above) who do not possess health insurance, Section 80D allows a deduction of up to ₹50,000 for hospitalisation expenses incurred during the financial year. This provision ensures that elderly individuals without insurance or their children can still benefit from tax deductions on their hospitalisation expenditures.

Note: You can avail yourself of deductions under Section 80D of the Income Tax Act, 1961, only if you have opted for the old tax regime. You cannot claim this deduction if you choose the new tax regime under Section 115BAC of the Income Tax Act, 1961.

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What is Section 80D?

Section 80D is a provision under the Income Tax Act that offers tax deductions on the premiums paid toward health insurance plans. The provisions are available irrespective of whether the included policyholders comprise you, your spouse, your dependent children or your parents. The cap on the deductions varies based on the age of the policyholders and can go up to a maximum of ₹1 lakh. Considering the rising premiums, it is an incredible incentive to encourage purchasing health insurance policies. Thus, this tax benefit directly translates to a financial perk.

How does Section 80D impact health insurance?

As stated before, the tax benefits under Section 80D translate to a deduction in the health insurance premiums that can go up to ₹1 lakh. This tax relief ensures additional affordability for health insurance policyholders.

Here is a quick look at how the caps on tax benefits under Section 80D vary based on the insured person’s age:

Section 80D and Health Insurance

  • USE CASE 1: When you are purchasing a health insurance plan for YOURSELF

    1. If you are below 60:

      • If you’re below 60 and pay a health insurance premium of ₹22,000 along with ₹3,000 for a preventive health check-up, you can claim a total deduction of ₹25,000. The overall limit for individuals below 60 is ₹25,000, inclusive of preventive health check-ups.
      • However, if you’re paying ₹25,000 for a health insurance premium and ₹3,000 for a preventative health check-up, you can still claim only up to ₹25,000 u/s 80D as this is the maximum permissible limit.
    2. If you are above 60:

      If you’re above 60 years old and pay a health insurance premium of ₹45,000 along with ₹5,000 for a preventive health check-up, you can claim the entire ₹50,000 deduction available for senior citizens.

  • USE CASE 2: When you are purchasing a health insurance plan for YOURSELF & YOUR SPOUSE

    1. If both of you are below 60:

      If both you and your spouse are below 60 years and you pay a family floater premium of ₹23,000, along with ₹2,000 for a preventive health check-up, you can claim a total deduction of ₹25,000. The maximum limit remains ₹25,000.

    2. If you are above 60 and your spouse is below 60:

      If you’re 61 years old, your spouse is 58, and you pay ₹48,000 for a family floater premium, you can claim the full ₹48,000 deduction because the limit increases for senior citizens in the family to ₹50,000.

    3. If you are below 60 and your spouse is above 60:

      If you are below 60 years old and your spouse is older than 60, you can claim only up to ₹25,000 for the health insurance premium you have paid.

      This is because when both spouses are covered under one policy, the deduction is capped based on the age of the primary policyholder — who, in this case, is under 60. This means only ₹25,000 can be claimed for the premiums paid.

      However, if your spouse purchases a difference policy, your spouse can claim up to ₹50,000 for the premiums.

    4. If both of you are above 60:

      If you and your spouse are both above 60 years and pay a combined family floater premium of ₹45,000, along with ₹5,000 for a preventive health check-up, you can claim the entire ₹50,000 deduction available for senior citizens.

  • USE CASE 3: When you are purchasing a health insurance plan for YOURSELF & YOUR PARENTS

    1. If you and your parents (both of them) are below 60:

      If you and your parents are all below 60 years old and you pay ₹22,000 for your health insurance premium and ₹24,000 for your parents’ policy, you can claim a total deduction of ₹46,000. The limit is ₹25,000 for your own insurance and ₹25,000 for your parents’ insurance.

    2. If you are below 60 and at least one of your parents is above 60:

      If you’re 38 years old and your parents are above 60, and you pay ₹18,000 for your own policy and ₹48,000 for your parents’ policy, you can claim a total deduction of ₹66,000. The limit is ₹25,000 for self (below 60) and ₹50,000 for senior citizen parents.

    3. If you and your parents (both of them) are above 60:

      If you and your parents are all above 60 years old and you pay ₹42,000 for your family floater premium and ₹48,000 for your parents’ policy, you can claim a total deduction of ₹90,000. The limit in this case is ₹50,000 for yourself and ₹50,000 for your senior citizen parents.

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Section 80D and Preventive Health Check-ups not/under Health Insurance Plans

Whether you have a health insurance plan or not, opting for a preventive health check-up at least once a year is mandatory. This is a positive and much-required initiative towards being one step ahead of your ailment. Such check-ups help in the early diagnosis of an ailment, thereby giving you the edge to start any treatment as soon as possible. Needless to say, early diagnosis and treatment ensure higher chances of recovery, faster recuperation, and better quality of life.

While preventive health check-ups are crucial and almost mandatory, they are not exactly pocket-friendly. Taking a cue from this, many of the top health insurance plans offer a free annual check-up. While this comes with a cap (based on the total sum insured), it is worth mentioning. Under this perk, an insurer offers cover for check-ups as long as they fall under the listed tests (as mentioned in the policy wording).

While this is a definite perk of having a health insurance plan in place, what if you haven’t opted for a policy? Fortunately, you still won’t lose out on this perk because, under Section 80D, you can claim up to ₹5,000 for an annual preventive health care check-up, irrespective of whether you are a health insurance policyholder. However, please remember that this ₹5,000 is an inclusion under the overall tax deductions claimed under Section 80D (that varies as per your age).

What are the Benefits of Section 80D in Health Insurance?

Tax savings on health insurance premiums

Health insurance policies are no longer an option but a necessity against the backdrop of rising healthcare charges and higher insurance premiums. The tax benefits under Section 80D offer an affordability quotient that can act as a catalyst in motivating potential policyholders to avail of the best health insurance policies in the industry. Thanks to the perks under Section 80D, you can get a reduction in your taxable income up to ₹1 lakh.

Savings on preventive health check-ups

Apart from discounts on health insurance premiums, the benefits under Section 80D also extend to coverage for costs incurred for preventive health check-ups (capped at ₹5,000). This encourages regular check-ups, which can act as preventive measures to diagnose any ailment as soon as possible.

Higher health insurance premium deductions for senior citizens

Since senior citizens are more susceptible to ailments, there are higher risks of frequent hospitalisations. Thanks to this, health insurers view senior citizen profiles as riskier ones and hence -

  • Demand higher premiums
  • Add mandatory copayments

To counter this, the IRDAI has taken a proactive step by offering higher tax benefits under Section 80D on premiums for health insurance plans for senior citizens (up to ₹50k instead of ₹25k). This significant financial perk can motivate senior citizens to buy policies from top health insurance providers, regardless of the higher premiums.

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How do you claim the tax benefits under Section 80D?

Here is a step-by-step guide to claim deductions u/s 80D of the Income Tax Act of 1961:

Step 1: Understand Eligibility and Limits

To begin, assess your eligibility for deductions under Section 80D using the table and use cases above. Section 80D covers health insurance premiums for yourself, your spouse, dependent children, and your parents. It also includes medical expenses incurred for senior citizens without insurance. Ensure the premiums are paid through a non-cash medium, as this is mandatory. Be mindful of the deduction limits that we mentioned above.

Step 2: Collect Documentation

Gathering the necessary documentation is important. Ensure you have health insurance premium receipts and other necessary documents. These could be bank statements, credit card statements, policy documents or official receipts from the insurer or hospital.

If you are claiming deductions for preventive health check-ups, secure all bills related to these expenses. Senior citizens who do not have health insurance will need detailed medical expense bills to claim the deduction.

Step 3: Calculate the Total Deduction

Once you have your documents in order, calculate the total amount eligible for deduction. Feel free to use our calculator for an estimate of how much you can deduct. If you are claiming medical expenses for uninsured senior citizens, account for up to ₹50,000 under this category. Ensure that the total deductions claimed do not exceed the maximum permissible limit.

Step 4: File the Income Tax Return (ITR)

When filing your Income Tax Return (ITR), navigate to the section for deductions under Chapter VI-A. Look for the provision to enter deductions under Section 80D. Input the total eligible deduction amount calculated in the previous step. You may also need to provide details of the insured persons and how they’re related to you.

Once again, please note that the deduction under Section 80D of the Income Tax Act of 1961 is available only if you have chosen the old tax regime. If you have opted for the new tax regime, you are not eligible for this deduction.

Step 5: Documents for Future Reference

After filing, make sure to retain all documents related to your Section 80D claim for future reference. Keeping these records for at least 8 to 10 years is recommended, as the Income Tax Department may request them during audits or assessments. This includes receipts for premium payments, medical expense bills, and policy documents. Proper documentation ensures that your claim is valid and reduces the chances of disputes with the Income Tax Department.

Step 6: Cross-Verify After Submission

Once your return is submitted, take a moment to cross-verify the details. Check the acknowledgement to ensure accuracy in the deductions claimed. Double-check that the amounts you have claimed align with the supporting documents you have retained.

Who can benefit from the tax deductions under Section 80D?

1. Individual taxpayers: If any individual taxpayer has a health insurance policy that covers either

  • Self,
  • Self and Spouse, or
  • Self and parents
-he/she can claim a tax benefit under Section 80D.

2. Individuals paying for parents: If a taxpayer has purchased a health insurance policy for his/her parents and continues to pay for its premiums, he/she can claim a tax benefit under Section 80D. The cap on this tax benefit can vary from ₹25,000 to ₹50,000 based on whether the parents are under 60 (both) or above 60 (anyone or both) years old.

3. Hindu Undivided Families (HUF): HUFs can also claim deductions under Section 80D on premiums paid to insure any of their members.

4. Senior citizens: Individuals aged 60 years or above or those paying for health insurance plans can enjoy the tax benefits under Section 80D. The upper limit on the benefits for senior citizens is capped at ₹50,000, which perfectly aligns with the fact that people in their golden years require additional medical attention and are hence charged higher premiums.

5. Preventive health check-ups: Any taxpayer, regardless of their age, can claim up to ₹5,000 for their preventive health check-ups.

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What are the exclusions for Section 80D?

1. Group health insurance plans: In the case of group health insurance policies, since the employer pays the premiums too (in a share with the insured), the tax benefits cannot be availed under Section 80D.

2. Cash payments of health insurance premiums: If you pay the health insurance premiums in cash instead of credit card, debit card, net banking, UPI, or demand draft, you won’t be able to enjoy the tax benefits under Section 80D. On the other hand, irrespective of your mode of payment, in the case of preventive health check-ups, you can avail of the tax benefits (capped at ₹5,000) under Section 80D.

3. Health insurance premiums for siblings/in-laws: If you pay the premiums for a health insurance plan for your family (parents, dependent child, and/or spouse), you can enjoy the tax benefits under Section 80D. However, if you pay the premiums for a plan that covers your siblings or in-laws, you can’t enjoy the perks of Section 80D.

Note: If you plan to pay the health insurance policy premiums for your siblings or in-laws, don’t. Instead, ask your parents and spouse to make the payments. That way, they can enjoy the deductions on the health insurance premiums under Section 80D.

4. Health insurance premiums for children above 25: If you pay the premiums for a health insurance policy that covers your child who is 25 years old or above (and not dependent), you can’t tap into the tax benefits offered under Section 80D for health insurance. This is because the insurer considers the child financially independent and capable of paying the premium themselves.

5. Health insurance premiums for NRIs: While NRIs can purchase health insurance plans in India (and should, if they have any plans to shift here or get medical treatments here), they can’t enjoy the tax benefits under Section 80D. The tax relief is crafted to help Indian citizens with the payment of health insurance premiums, and not non-residents of the country.

6. Non-Health-Related Add-Ons: When it comes to health insurance add-ons, if you have opted for Critical Illness Riders or Personal Accident Add-On (the latter isn’t recommended on a priority basis since standard health insurance plans cover personal accidents from Day 1), you can’t enjoy any deductions on the add-on premiums since they are not health-related.

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What is the difference between Section 80D & 80C?

While both Section 80D & 80C offer tax deductions, they cater to different financial instruments:

CriteriaSection 80DSection 80C
What it coversHealth insurance premiums and medical expensesInvestments, savings, and certain expenses
ObjectivePromotes health insurance and coverage for medical expensesEncourages long-term savings and investments
Eligible ExpensesHealth insurance premiums
Preventive health checkups
Medical expenses for senior citizens without insurance
Investments like PPF, ELSS, NSC, FD
Life insurance premiums
Tuition fees
Home loan principal repayment
Maximum Deduction₹25,000 (below 60 years)
₹50,000 (above 60 years)
Combined limit of ₹1,00,000 (self & parents)
₹1,50,000 (for all eligible investments/expenses combined)
Who Can Claim?Individual taxpayers
Hindu Undivided Families (HUFs)
Individual taxpayers
Hindu Undivided Families (HUFs)
CoverageSelf, spouse, dependent children, and parentsSelf, spouse, children, and specified investments or expenses
Age-Based BenefitsHigher deductions for senior citizensNo specific age-related benefits
Payment ModeNoncash for health insurance premiums
Cash is allowed only for preventive health checkups
Non-cash for most investments;
Payment for tuition fees and life insurance can include cash
Applicable Policies/InvestmentsHealth insurance policies approved by IRDAITax-saving investments approved under specific government schemes
Examples of Covered InstrumentsHealth insurance premiums
Central Government Health Scheme (CGHS)
Medical expenses for uninsured senior citizens
PPF, NSC, ELSS, FD, Sukanya Samriddhi Yojana
Life insurance premiums
Home loan principal
HUF EligibilityDeductions for premiums paid for HUF membersDeductions for investments made by HUF members
Tax Saving ObjectivePrioritises financial security in case of hospitalisation by encouraging health insurance purchasesPromotes savings, wealth creation, and family welfare
Deduction Limit for Preventive Health CheckUp₹5,000 (within the overall limit of ₹25,000 or ₹50,000)Not applicable
Deduction for Life Insurance PremiumsNot coveredCovered up to ₹1,50,000
Deduction for Home Loan Principal RepaymentNot coveredCovered
Deduction for Education Related ExpensesNot coveredTuition fees for up to 2 children included
Deduction for Investments in Government SchemesNot applicableCovered (e.g., PPF, Sukanya Samriddhi Yojana)
Documentation Required (Not required at the time of filing, but required if summoned)Insurance policy documents
Premium payment receipts
Medical expense bills (if applicable)
Investment proof (e.g., PPF passbook, ELSS statement)
Life insurance policy premium receipts

FAQs

What happens to Section 80D tax benefits if I opt for a multi-year health insurance policy?

In case you have a health insurance plan where you have paid the premiums upfront for more than 1 year, the tax deductions under Section 80D are spread out -

  • Pro-Rata-Based deductions: The total premium paid upfront is divided by the policy's tenure. Then, you can claim the deductions for the annual premiums calculated each year.
  • Limit on the annual deductions: The pro-rata-based health insurance premiums must fall under the capped amount under Section 80D (₹25,000 where the insured is under 60 years old and ₹50,000 where the insured is above 60).
  • Miscellaneous perks: Apart from the benefits obtained under Section 80D, the renewal span is smooth and convenient for multi-year health insurance premium payments. Additionally, since you are paying more than 1 year’s worth of premiums in one go, insurers are most likely to offer a discount on the amount. So, you will be paying a lower premium and enjoying the tax benefits via deductions in premiums.

Are there any special perks for people with disability under Section 80D?

No, there are no special benefits offered under Section 80D for people with disability. However, one can look into Sections 80DD and 80U for a few similar perks -

  • Under Section 80DD, in the case of a dependent with a disability, an individual (taxpayer) can claim up to ₹75,000 or ₹1,50,000 in the case of individuals with severe disabilities.
  • Under Section 80DD, the benefits extend to expenses incurred on dependents, including spouses, children, parents, or siblings with disabilities (provided the individuals offer their certificate of disability).
  • Under Section 80U, taxpayers with disabilities can claim tax deductions up to ₹75,000 or up to ₹1,50,000 in the case of severe disabilities.

Under Section 80D, are there any special perks for people with specific illnesses and/or critical ailments?

No, there are no special perks for people with specific illnesses and/or critical ailments under Section 80D. However, in this case, the benefits under Section 80DDB can be applicable -

  • Under this Section, the taxpayers can claim benefits incurred in treating specific/critical illnesses like cancer, chronic kidney disease, and certain neurological disorders.
  • The deductions under Section 80DDB are capped at ₹40,000 for individuals below 60 and at ₹1,00,000 for those above 60.
  • Provided the intended individual submits a prescription or certificate from a specialist in a government hospital or a qualified medical practitioner, the taxpayer, their spouse, children, parents, or siblings can take advantage of the deduction perks under Section 80DDB.
  • If the medical expenses have been reimbursed by a health insurance provider or by the employer in question, the tax benefits will be offered only for the residual amount paid out of the taxpayer's pocket.

Author Bio:

Written by
Shrehith Karkera

Shrehith Karkera

Shrehith Karkera is the co-founder at Ditto Insurance. He wears multiple hats – one as the chief-editor of Finshots, India's go-to financial newsletter, and another as a relentless advocate for financial clarity. Having penned countless articles over 5 years, he believes in making insurance and finance approachable. At Ditto Insurance, he's on a mission to guide Indians on making better decisions when it comes to insurance.

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