Why Your Premium Changed — and What to Check Before Paying
Renewing Health Insurance in 2026: Why Your Premium Changed — and What to Check Before Paying
GST on individual health insurance was cut from 18% to zero in September 2025, yet many renewal notices this year show a higher base premium. Five minutes with the notice, and a few IRDAI rules, can tell you whether the number is fair.
The renewal email arrives three weeks before your policy ends, with a big “Pay now” button and a number you probably will not question. Most people pay. Some notice the premium has gone up and assume it is simply inflation. A few remember that GST on health insurance was scrapped last year and wonder why their bill does not look much cheaper.
Each of those reactions misses something. The total on your notice is the sum of several moving parts: the insurer’s base rate, your age band, any change in sum insured, add-ons you may not need, and tax. Some of those changes are fair and expected. Others can be questioned, avoided or reversed. Here is how to tell which is which before you press pay.
Quick Summary
Before paying, check that no GST is charged on an individual or family policy, how much the base premium rose, and whether your bonus and add-ons are as expected. GST has been zero on individual health policies since 22 September 2025, which cuts the total by about 15.3% on the same base. Insurers are raising base rates for medical inflation, with Niva Bupa planning 8% to 9% in FY26. Senior citizen hikes above 10% a year need IRDAI consultation. You have 30 days’ grace on annual policies, with cover continuing if you pay within it.
What We Know
- GST on individual and family health insurance premiums became 0% from 22 September 2025; group policies still carry 18%.
- Insurers cannot raise one person’s premium because that person claimed or fell ill; revisions apply across a product or age band.
- IRDAI requires prior consultation for senior citizen premium hikes above 10% a year.
- The grace period is 30 days for annual, half-yearly and quarterly modes and 15 days for monthly, with claims covered if the premium is paid within it.
What Is Still Unclear
- How much insurers will raise base rates to recover input tax credit lost after the GST exemption.
- Whether group health policies will get any GST relief; none had been announced by April 2026.
- How individual insurers will price products at their next revision cycle, which differs by product.
- Exact medical inflation for FY26, which insurers estimate rather than publish.
Is There Still GST on Your Notice?
The 56th GST Council meeting on 3 September 2025 exempted individual health insurance from GST with effect from 22 September 2025. Ditto, an insurance advisory, notes that the exemption depends on the date you pay the premium, not the date the policy started. A renewal paid on or after 22 September 2025 should show no GST.
The exemption covers individual policies, family floaters, senior citizen plans, individually sold critical illness cover and retail top-up and super top-up plans. Group health insurance from an employer or bank still carries 18%. If your renewal notice for an individual or family policy shows a GST line, ask the insurer why before paying.
On the same base, the saving is always about 15.3%, because removing 18% tax from a total that included it takes out 18 parts in 118. For the senior couple above, that is ₹15,672 a year. For a 25-year-old on the same plan, Ditto’s figures show ₹15,843 falling to ₹13,426, a saving of ₹2,417.
How Much Did the Base Premium Actually Rise?
Here is the catch. When insurance became exempt, insurers lost the ability to claim input tax credit on their own business costs. Ditto notes this could push some insurers to raise base premiums slightly, and that a few major insurers began revising premiums in 2026. Medical inflation adds to the pressure: Business Standard reported it at 12% in FY24 and projected around 13% for FY25, and Niva Bupa told the paper it planned increases of about 8% to 9% across its portfolio in FY26.
So the right comparison is base premium to base premium, not total to total. Most renewal notices or policy schedules show the base and tax separately. Divide last year’s total by 1.18 to find last year’s base if it does not.
What a fair hike looks like
Under IRDAI rules, as summarised by PayBima, insurers cannot increase an individual’s premium solely because they made a claim or developed a new illness. Permitted increases are portfolio-wide revisions approved for everyone in a product and age band, scheduled age-band changes set out in the policy, and increases you choose, such as a higher sum insured. If your hike is much larger than others on the same plan and age, ask the insurer to explain it in writing.
Are You 60 or Older? The 10% Line
Senior citizens have faced the steepest increases. In early 2025, IRDAI directed that health premium revisions for senior citizens should not exceed 10% a year without prior consultation with the regulator, Moneylife and PayBima reported. This does not freeze premiums, but a jump above 10% should have regulatory backing.
Age bands deserve their own check. Most policies price in bands such as 46 to 50 or 56 to 60, and moving into a new band can lift the premium sharply in one year. That is allowed if the band and rate are in the policy’s premium table. Ask for that table if you do not have it.
Did Your Bonus and Add-Ons Carry Over?
Many policies add a cumulative bonus, extra cover for each claim-free year, sometimes up to double the base sum insured. The bonus is a benefit you have earned, and it should appear in your renewal schedule. If it is missing or reduced without a claim, query it before paying.
Add-ons are the opposite problem. Insurers often renew riders automatically, such as room rent waivers, OPD cover or consumables. Some are valuable; others duplicate cover you already have or were added during a sales call you have forgotten. Each add-on carries its own premium. Removing one you do not need is the simplest way to cut a renewal bill without reducing core cover.
The first two figures matter at renewal because they reward continuity. After five continuous years, PayBima notes, claims generally cannot be rejected for non-disclosure of a pre-existing disease, except for fraud or permanent exclusions. A break in cover can reset that clock, which is a strong reason not to let a policy lapse over a disputed hike.
Read the Policy Schedule, Not Just the Payment Page
Most people never open the renewal schedule, the PDF that lists who is covered, for how much and with which conditions. The payment page shows only the amount. The schedule is where errors and silent changes hide, and it takes five minutes to read.
Names, ages and members
Check that every family member is listed with the correct date of birth. On a family floater, the premium is usually driven by the eldest member’s age, so a wrong birth year can push the whole policy into a costlier band. If a child has turned 25 or moved onto an employer’s policy, ask whether removing them lowers the premium, and what continuity options they have if they need their own cover later.
Room rent, co-payment and sub-limits
These three lines decide how much of a hospital bill you actually pay. A room rent cap of 1% of the sum insured, for example, can reduce the payout on the whole bill if you choose a costlier room, because many charges are scaled to the room category. A co-payment clause means you pay a fixed share of every claim. If these have appeared or tightened at renewal, compare the policy with alternatives before paying.
Nominee and contact details
Outdated phone numbers and email addresses slow down cashless approvals and claim updates. An outdated nominee can complicate a payout. Updating them at renewal costs nothing and removes friction when you can least afford it.
How Much Time Do You Really Have?
You do not have to pay on the day the email arrives. IRDAI’s master circular of 29 May 2024, as reported by Moneylife, sets a grace period of 30 days for annual, half-yearly and quarterly premiums and 15 days for monthly premiums. Insurers must cover claims made during the grace period, provided the premium is paid within it.
Using a few days of grace to query a hike is reasonable. Using all of it is risky: payment failures, bank holidays and system delays happen. Aim to settle any question and pay at least a week before the grace period ends.
Would Porting Get You a Better Deal?
If your insurer’s hike seems out of line, portability lets you move to another insurer at renewal while keeping credit for waiting periods already served. Ditto recommends applying 45 to 60 days before renewal. The current insurer must share your policy and claim history through the Insurance Information Bureau portal within 7 working days, and the new insurer has 15 days to decide once documents are complete.
If the Insurer Will Not Explain the Hike
Start with the insurer’s own grievance process. Write to the grievance officer named on the policy or website, quote your policy number and ask for the reason for the revision, whether it applies to all policyholders of your age and plan, and, for members over 60, whether the regulator was consulted. Keep the reply.
If the answer is unsatisfactory, IRDAI’s Bima Bharosa portal records complaints against insurers, and the Insurance Ombudsman handles disputes without court fees. Pay the renewal while the complaint is pending so that your cover and waiting-period credits are not lost. A dispute about price is far easier to win than a claim rejected during a lapse.
Is the Cover Still Big Enough?
Renewal is also the cheapest moment to ask whether your sum insured still fits. Hospital costs rise faster than general prices. If medical inflation runs at 12%, as Business Standard reported for FY24, the same treatment costs nearly twice as much after six years. A ₹5 lakh policy bought a decade ago may now cover far less than it did.
If the cover is too small, a super top-up plan is often a cheaper way to add protection than raising the base sum insured, because it pays only above a set deductible. Retail top-up and super top-up plans are also covered by the GST exemption, Ditto notes. Raising the base cover at renewal can trigger underwriting on the increased amount only.
Renewing Other Policies? The Same Habit Pays
The same discipline applies beyond health cover. Individual life insurance premiums, including term plans, were also exempted from GST from 22 September 2025, as Business Standard reported, so a renewal premium on a personal term plan should show no GST. For motor insurance, check that your no claim bonus has been applied: it reduces the own-damage premium for each claim-free year under the standard slabs used by insurers.
| Policy type | GST on renewal | Main line to check | Common mistake |
|---|---|---|---|
| Individual health | 0% since 22 Sep 2025 | Base premium change | Comparing totals, not base |
| Family floater | 0% | Eldest member’s age band | Missing an age-band jump |
| Senior citizen plan | 0% | Hike above 10% | Not asking for justification |
| Super top-up | 0% | Deductible level | Deductible no longer matches base cover |
| Group health, employer | 18% | Cover for parents | Assuming it continues after leaving the job |
| Individual term life | 0% | Rider charges | Paying for riders no longer needed |
| Motor own-damage | Applies | No claim bonus | Bonus not carried over after changing insurer |
The Two-Minute Renewal Checklist
Frequently Asked Questions
Is GST charged on health insurance renewal in 2026?
Not on individual or family health policies. GST was cut from 18% to 0% from 22 September 2025, based on the payment date. Group health policies still carry 18%.
Why did my health insurance premium increase at renewal?
Usually because of a portfolio-wide base revision for medical inflation, a move into a higher age band, a higher sum insured or new add-ons. Insurers cannot raise your premium just because you made a claim.
How much can insurers increase senior citizen premiums?
IRDAI has directed that revisions for senior citizens above 10% a year need prior consultation with the regulator.
What is the grace period for health insurance renewal?
30 days for annual, half-yearly and quarterly premiums, and 15 days for monthly premiums. Claims during the grace period are covered if the premium is paid within it.
Can my insurer refuse to renew because I made a claim?
No. Renewal cannot be denied because of earlier claims, and there is no fresh medical underwriting at renewal unless you ask for a higher sum insured.
When should I apply to port my health insurance?
Advisers recommend 45 to 60 days before renewal. The old insurer must share data within 7 working days, and the new insurer decides within 15 days of complete documents.
Do I lose my waiting period if I port?
Waiting periods already served and the moratorium period should carry over, subject to the new insurer’s underwriting. Treatment of bonuses varies by insurer.
Can I still claim tax deduction on the renewal premium?
Under the old tax regime, Section 80D allows up to ₹25,000 for self and family and ₹50,000 for senior citizens. The new regime does not offer this deduction.
The Short Version
Before paying a health insurance renewal, check that no GST is charged on an individual or family policy, compare this year’s base premium with last year’s, and question any senior citizen hike above 10%. Confirm your bonus, drop add-ons you do not need, and review your cover against rising hospital costs. You have 30 days’ grace on annual policies. If the price looks unfair, start porting 45 to 60 days ahead, but never let cover lapse.