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Microlesson · 5-min read

Perquisite – Medical Facilities (India & Outside India)

## Medical Facility Provided in India

Where treatment is takenTaxability
Government Hospital / Hospital recognised by Government / Hospital maintained by the employerFully Exempt
Private clinic, nursing home, family doctor (any place not in the exempt list above)Fully Taxable
Pure cash reimbursement of medical expenses (no specification of hospital)Fully Taxable

## Medical Facility Provided Outside India

Three components are considered separately:

ComponentExemption
Treatment Cost abroadExempt up to the amount permitted by RBI
Stay (boarding/lodging) expenses of patient & one attendantExempt up to the amount permitted by RBI
Travel cost of patient & one attendantFully Exempt only if employee's Gross Total Income (excluding this travel perquisite) ≤ ₹8,00,000

## Common Conditions Applicable Across Medical Facilities

1. Patient must be the employee, spouse, children or dependent parents / brothers / sisters.

2. Outside-India stay and travel exemption is available only for patient and one attendant.

3. Insurance Premium paid/reimbursed by employer:

Type of PolicyTreatment
Mediclaim / Health / Medical Insurance PremiumFully Exempt
Personal Accident Policy PremiumFully Exempt
Life Insurance PremiumFully Taxable as perquisite

Worked example

### Example 1

India – Govt. Hospital: Employer paid ₹3,00,000 for employee's surgery at AIIMS. → Fully Exempt.

### Example 2

India – Private Clinic: Employer reimbursed ₹50,000 for treatment at a private nursing home. → Fully Taxable as perquisite.

### Example 3

Outside India: Treatment cost ₹10,00,000 (RBI permitted ₹8,00,000), stay ₹2,00,000 (RBI permitted ₹1,50,000), travel ₹1,00,000, employee GTI before travel = ₹7,00,000. → Treatment exempt ₹8,00,000 (₹2,00,000 taxable); Stay exempt ₹1,50,000 (₹50,000 taxable); Travel fully exempt (GTI within ₹8L limit).

### Example 4

Insurance: Employer pays ₹25,000 mediclaim + ₹10,000 LIC premium for employee. → Mediclaim ₹25,000 exempt; LIC ₹10,000 fully taxable perquisite.

⚠️ Common exam mistakes

  • Treating any 'medical reimbursement' as exempt up to ₹15,000 – this old exemption is no longer available.
  • Applying outside-India exemption rules to private clinic treatment in India – the categories are mutually exclusive.
  • Allowing stay/travel exemption for more than one attendant – capped at one attendant.
  • Treating LIC premium paid by employer as exempt under medical heading – it is a separate, fully taxable perquisite.
Bare-Act text Proviso to Section 17(2) · Income-tax Act, 1961 · click to expand
Proviso to Section 17(2) – Nothing in the second clause shall apply to, or be construed as including — (i) the value of any medical treatment provided to an employee or any member of his family in any hospital maintained by the employer; (ii) any sum paid by the employer in respect of any expenditure actually incurred by the employee on his medical treatment or treatment of any member of his family — (a) in any hospital maintained by the Government or any local authority or any other hospital approved by the Government; (b) in respect of the prescribed diseases or ailments, in any hospital approved by the Principal Chief Commissioner… (vi) any expenditure incurred by the employer on (1) medical treatment of the employee, or any member of the family of such employee, outside India; (2) travel and stay abroad of the employee or any member of the family of such employee for medical treatment; (3) travel and stay abroad of one attendant who accompanies the patient in connection with such treatment — subject to the conditions that the expenditure on medical treatment and stay abroad shall be excluded from perquisite only to the extent permitted by the Reserve Bank of India, and the expenditure on travel shall be excluded from perquisite only in the case of an employee whose gross total income, as computed before including the said expenditure, does not exceed two lakh rupees.
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