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16 Mar 2024
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Medical inflation has been rising at a high growth rate for the past few years in India. As per one report, India recorded the highest medical inflation of all Asian countries at 14% in 2021. As a regular citizen, you are likely to feel the pinch in your pocket when you visit a private hospital. Aside from the main treatment costs, there are many aspects that make up the hospital bill. One of the most important aspects of any hospital bill is the room rent. A comprehensive health insurance policy that extensively covers room rent is, therefore, quite important. Recently, the GST (Goods and Services Tax) council introduced a 5% GST on hospital room rent, applicable from July 18, 2022. Here is how this GST can affect your hospital bills and, to a certain degree, your health insurance premiums.
The room rent, as the term suggests, is the money you have to pay for occupying a room in the hospital for a certain period. If the patient has been hospitalised for many days, the room rent charges can be quite hefty. The room rent differs as per the type of grade of the room and the hospital as well. Most health insurance providers cover the room rent to a particular extent. As per the new GST norms, if the daily room rent is more than Rs. 5000, then a GST rate of 5% will be applicable to the bill. If the room rent is less than Rs. 5000, no GST will be levied. So, let’s assume your loved one is admitted to a hospital for 3 days, with each day’s room rent being Rs. 5500. Now, since the charge in question is more than Rs. 5000, a GST of 5% will be applicable to each day’s room rent. Thus, your room rent charges for a total of 3 days would be: Rs. 16,500 (room rent charges without GST) + Rs. 825 (5% GST each for 3 days) = Rs. 17, 325 If you have a family health insurance plan, you can rest assured as the hospital bills would be covered by the insurer as per the sub-limit mentioned in the plan. It is important to note that the 5% GST charge will be applicable to non-ICU rooms only. * Standard T&C Apply
As mentioned earlier, the room rent coverage is covered by your health insurance policy. So, as of now, if you are covered under one, you do not have to worry about the GST implication. However, this means that the insurance provider has to pay a larger amount to the hospital every time you get hospitalised, and the daily room rent is more than Rs. 5000. If you are admitted to an expensive hospital, the GST itself can go into multiples of thousands. For this reason, there may be a hike in your health insurance premiums. If you do not wish to be at the receiving end of this hike, you can consider buying a plan that does not cover room rent or only covers it to a low limit. Many standard health insurance plans often have limited coverage, room rent capping, and affordable premiums. It is important to select a health insurance plan that meets your coverage needs without overshooting your budget. * Standard T&C Apply
Whether health insurance premiums rise or not due to the 5% GST on room rent, it is important that you secure yourself with a health plan for the following reasons:
Medical emergencies can prop up anytime. And with medical costs rising, such an event can really eat into your savings if you are not prepared with a health insurance policy. *
Nowadays, you no longer have to pay the hospital bills from your pocket and wait for the insurer to reimburse you. With cashless hospitalisation, the insurer pays the bills directly and deals with the payment activities pertaining to the network hospital. *
Most health insurance plans cover pre- and post-hospitalisation, along with AYUSH treatment, diagnostic tests, annual medical check-ups, ambulance charges, day-care procedures, and so on. This means that you do not have to get hospitalised to take advantage of your health insurance policy. *
Yes, GST is applicable on hospital room rent exceeding ?5,000 per day for non-ICU rooms. ICU rooms are exempted from GST.
The GST threshold for hospital room rent is ?5,000 per day. Rooms costing more than this attract a GST rate of 5%.
GST is calculated by multiplying the room rent amount exceeding ?5,000 with the applicable GST rate (5%) and adding it to the bill.
Patients or their families are required to pay GST as part of their hospital bill when the room rent exceeds the threshold of ?5,000 per day.
No, GST applies only to non-ICU hospital rooms with rent exceeding ?5,000 per day. ICU rooms and rooms below the threshold are exempt. * Standard T&C Apply Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.
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