Medical Expenses Allowance vs Medical Expenses Reimbursement

Taxability Rules

Budget 2018 update

Effective Financial Year 2018-19 (Assessment Year 2019-20), exemption for Medical Reimbursement upto Rs 15,000 has been scrapped (together with Transport Allowance upto Rs 19,200) and has been replaced with Standard Deduction of Rs 40,000.

Thus from 1st April 2018, both Medical Allowance and Medical Reimbursement would be fully taxable. Article given below talks about the situation prior to this amendment.

“What’s in a name? That which we call a rose

By any other name would smell as sweet.”
– William Shakespeare, “Romeo and Juliet”


But sometimes a name can make a lot of difference. For example whether you are in receipt of Medical Allowance or Medical Reimbursement from your employer, will make lot of difference to your tax liability. Let’s understand by way of an example.Mr. Smart is getting Medical Expenses Reimbursement from his employer to the extent of Rs. 15,000 every year. On the other hand, Mr. Fool is in receipt of Medical Expenses Allowance of Rs. 15,000 every year from his employer. As per provisions of the Income Tax Act, Mr. Smart will not have to pay any tax on the Medical Expenses Reimbursement, while the Medical Expenses Allowance will be fully taxable for Mr. Fool. Let’s understand in more details.

Medical Expenses Allowance

As a general principle under the Income Tax Act, any Allowance received by an employee is fully taxable unless specifically exempted. Thus for example House Rent Allowance is exempt only to the extent specified in Section 10(13A). There is no specific exemption for Medical Allowance, thus it is fully taxable and will be added to Income of the Employee and taxed at the applicable Income Tax Rates. Thus if a fixed allowance is received by an employee for the discharge of medical expenses, it is a taxable perquisite. Hence, an employee should avoid the receipt of an allowance for medical expenses but should rather take medical reimbursement, so that it is tax-free.

Medical Expenses Reimbursement

Reimbursement of medical expenses actually incurred by an employee for his medical treatment or the treatment of any member of his family upto Rs. 15,000 per annum is not treated as a taxable perquisite as per Clause (v) of the Proviso to Section 17 (2) of the Income Tax Act. Family is defined to mean Spouse or Children of the Individual or any of dependant relatives being Parents, Brother or Sister. Note there is no requirement for Spouse or Children to be dependant on the individual, but Parents, Brother or Sister should be dependant on the individual. Thus Medical Expenses Reimbursement of expense actually incurred by an employee upto Rs. 15,000 per year is completely tax free.

Typically if the employee fails to submit valid medical bills for the entire entitlement amount of Rs. 15,000 then the balance amount is paid by the company in the last month of the financial year (i.e. March) as a taxable amount. Thus to the extent medical bills are not submitted, Medical Expenses Reimbursement received from the employer would be taxable. For example an employee is entitled to Medical Expenses Reimbursement of Rs. 15,000 every year, but is able submit medical bills only for Rs. 10,000 for the year. In this case the company would pay Rs. 10,000 as Medical Expenses Reimbursement, which is not taxable. The balance amount of Rs. 5,000 would be paid in the last month and would be taxable.

“SmartPaisa” Tax Planning Tips

Most of the companies do have Medical Expenses Reimbursement as part of compensation package. However in case your Salary package doesn’t include this component, then it would be prudent from tax-planning perspective to get Medical Expenses reimbursement included. Most often employer is more concerned about the overall compensation payable to the employee and would not be too bothered about how the overall amount is structured. Thus whether the Rs. 15,000 is paid as Special Allowance or Medical Expenses Reimbursement, would hardly have any impact on the employer but can lead to some tax savings for the employee.

Instead of fixed Medical Allowance, always opt for reimbursement of Medical Expenses. For claiming reimbursement, you will be required to submit valid medical bills to your Employer. Some companies, instead of taking actual physical medical bills from the employees, just take declaration to the effect that the employee has actually incurred medical expense for self or family. In this case the Employee is required to maintain the actual medical bills and may be required to present the same to the Income Tax authorities in case of any scrutiny of the Income Tax Return.

Please note that Medical Expense Reimbursement of Rs. 15,000 is over and above the deduction under under Section 80D of the Income Tax Act available for Medical / Health Insurance Premium – Mediclaim Premium.


    • Yes, doctor consultation for Self, spouse or other dependants duly supported with bill from the doctor would be allowed under Medical Reimbursements

  1. company payment full amount with deducted tax for medical allowance but somehow i missed put up for reimbursement. can i avail benefit at time of return filled. Pls give full clarity for the same

  2. If there's Mrs.A married and staying in 1 state in India & her parents are staying in another state,,Is it valid that Mrs. A can submit her parents bill pertaining to another state for reimbursement of medical expenses of Rs. 15,000/-.

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