Medical costs can place a significant financial burden on families. The Income Tax Act provides relief through Section 80D, which offers deductions for health insurance premiums and certain medical expenses. However, not all family members and expenses qualify. This post clears the confusion—especially around grandparents, uninsured dependents, HUFs, and whether claims are allowed under the new tax regime.
Scope of Section 80D: Who Qualifies?
Section 80D permits deductions in respect of:
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Health insurance premiums
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Preventive health check-up expenses
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Medical expenditure for senior citizens without insurance
Eligible Persons:
For an individual assessee, deductions can be claimed for:
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Self
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Spouse
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Dependent children
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Parents (whether dependent or not)
For a Hindu Undivided Family (HUF), deductions are allowed for:
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Any member of the HUF
Not Eligible:
The following persons are not covered under Section 80D:
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Grandparents (for individual assessees)
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In-laws
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Siblings
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Other relatives
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Domestic staff
Even if they are financially dependent or senior citizens, expenses on such persons are not eligible under Section 80D if they do not fall within the defined relationship.
Quantum of Deduction Available Under Section 80D
The permissible deduction limits are as follows:
Nature of Payment | Family (Self, Spouse, Children) | Parents (any age) |
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Health insurance premium | ₹25,000 (₹50,000 if senior) | ₹25,000 (₹50,000 if senior) |
Preventive health check-up | Included in above (max ₹5,000) | Included in above (max ₹5,000) |
Medical expenses (if no insurance) – senior citizen only | ₹50,000 | ₹50,000 |
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The preventive health check-up limit of ₹5,000 is not in addition, but within the above overall limit.
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Medical expenditure is allowed only for senior citizens without any health insurance.
Common Question: Can I Claim Medical Expenses for Grandparents?
No, individual assessees cannot claim medical expenses (or insurance premiums) for grandparents under Section 80D. The law permits such expenses only for self, spouse, children, and parents.
Even if:
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The grandparents are senior citizens
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They are financially dependent
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They are not covered by insurance
The deduction is not allowed, as Section 80D(2)(b) specifically states:
"A deduction shall be allowed in respect of the medical expenditure incurred on the health of a senior citizen, being a parent of the assessee."
Thus, grandparents are not included in the eligible category.
What About HUFs Claiming Medical Expenses?
If a Hindu Undivided Family (HUF) incurs medical expenses for a member who is a senior citizen and uninsured, the HUF can claim deduction up to ₹50,000 under Section 80D(2)(b).
This is useful in joint family setups where elders may be HUF members but not "parents" of the Karta individually.
Impact of the New Tax Regime
Under the new concessional tax regime (Section 115BAC), individuals and HUFs cannot claim deduction under Section 80D.
Hence, if you opt for the new regime:
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All Section 80D deductions (including for medical expenses) become inapplicable
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Tax planning should focus on whether total deductions, including 80C and 80D, justify staying in the old regime
Additional Clarifications and Strategic Tips
Can I claim if my parent has insurance and I also incur medical costs?
No, if the senior citizen is covered by a health insurance policy, the medical expense component is not allowed. Only premium can be claimed. Medical expense deduction is permitted only if no insurance exists.
Can medical reimbursement from employer be claimed?
No, medical reimbursements are taxed under the new regime and not separately deductible under Section 80D.
Can I claim preventive check-ups even if no insurance is taken?
Yes, even if no policy is purchased, preventive health check-ups up to ₹5,000 (within overall limit) can be claimed, but only under the old tax regime.
Tax Planning Tip: Combine Premium + Check-Up
If premium paid is less than the deduction cap, also claim for health check-ups to maximize the benefit. For example:
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If you pay ₹20,000 for insurance and ₹4,000 for preventive health check-ups, total claim can be ₹24,000—well within the ₹25,000/₹50,000 limit.
Summary Table – Eligibility Matrix for Section 80D
Person Covered | Health Insurance | Medical Expenses (If Uninsured Senior Citizen) | Deduction Allowed |
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Self | Yes | Yes | Yes |
Spouse | Yes | Yes | Yes |
Dependent Children | Yes | No | Yes (Premium only) |
Parents | Yes | Yes (only if uninsured) | Yes |
Grandparents | No | No | Not Allowed |
HUF Member | Yes | Yes (if senior citizen and uninsured) | Yes (by HUF) |
Sibling / In-law | No | No | Not Allowed |
Conclusion
Section 80D is a powerful provision to ease the burden of healthcare costs, but the law draws clear boundaries. Medical expenses are deductible only in specific cases, primarily for senior citizens who are parents or HUF members and not covered by health insurance.
While the intention to support grandparents or other dependents is noble, the Income Tax Act does not permit such claims unless the person qualifies under defined relationships. Strategic tax planning—including choosing the right tax regime—is essential to make the most of available deductions.
For families with senior members uninsured due to age or pre-existing conditions, a proper Section 80D claim under the old regime can still offer relief up to ₹1,00,000 annually (₹50,000 for self/family + ₹50,000 for parents).