Work and daily life
Tax relief on cancer treatment
There are deductions available in India for expenditure on specified illnesses, and cancer is among them. The claim needs a prescribed certificate from a specialist. This page gives no figures deliberately, because rules change; what it can tell you is what to collect and who should work out your claim.
The short answer
Can cancer treatment expenditure be claimed against tax?
There are deductions available in India for expenditure on specified illnesses, and cancer is among them. The claim needs a prescribed certificate from a specialist, and the amount depends on rules that change from year to year and on the patient's age.
This page deliberately gives no figures, because a number printed here would be wrong for somebody reading it next year. What it can do is tell you what to collect, what certificate to ask the hospital for, and who should actually work out your claim.
The certificate is the part patients must arrange
Deductions for a specified illness require a prescription or certificate from a specialist in the prescribed form. Ask your hospital which form they issue and who signs it, because getting this late in the financial year is considerably harder.
Separate claims may also apply
Health insurance premiums, expenditure on a dependant with a disability, and treatment expenditure are treated under different provisions. Which apply to you depends on your situation, so ask about all of them rather than only the one you have heard of.
Take this to a chartered accountant or tax adviser. Getting the form and the section wrong is the commonest reason claims fail.What to collect
The paperwork a claim rests on
- The specialist's certificate
- In the prescribed form, from a specialist with the required qualification, naming the illness. Ask your hospital early which form they issue, who signs it and how long it takes.
- Every original bill and receipt
- Hospital bills, pharmacy receipts, laboratory and scan invoices, blood bank receipts. Originals, in one file, photographed the day they are issued because they fade and get lost.
- Proof of who paid
- Bank statements or card records showing the payments came from you. Cash payments with only a receipt are harder to substantiate, so pay through the bank where you can.
- What the insurer reimbursed
- Deductions are generally reduced by anything you were reimbursed or that an employer paid. Keep the insurer's settlement statements alongside the bills so the net figure is clear.
- Relationship proof, for a dependant
- If you are claiming for a parent, spouse, child or sibling you support. Keep whatever establishes the relationship and the dependence together with the bills.
- The patient's age
- Relevant because limits differ for senior citizens under these provisions. Keep the proof of age in the same file so the adviser does not have to ask for it later.
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How to make sure the claim is possible
Almost all of the failures here are paperwork failures rather than eligibility ones.
Ask for the certificate early
At the start of treatment, not in March. Ask the hospital which form they issue, whether the signing specialist is available, and how long it takes. This is the step that derails most claims.
Ask the hospital
- Which prescribed form they issue
- Who signs it and how to request it
Keep one file from day one
Every bill, receipt, invoice and settlement statement, in date order, photographed as it arrives. Reconstructing a year of treatment expenditure in March is how families lose most of the claim.
Pay traceably where you can
Bank transfer or card rather than cash, so the payment can be linked to you. This matters for substantiating the claim, and it also helps with insurance reimbursement.
Also record
- What the insurer reimbursed, and when
- Anything the employer paid directly
Use a qualified adviser
A chartered accountant or tax adviser working from your documents. The provisions, limits and forms change, and the cost of advice is small against the value of a claim made correctly.
Being straight with you
What this page cannot tell you
It cannot tell you how much you can claim, and it is not tax advice. Limits, eligible expenditure and the prescribed forms are set by rules that change, and they differ with the patient's age and with what has been reimbursed. Any figure here would mislead somebody.
It also cannot tell you whether you personally qualify. That depends on your income, who paid, who the patient is and what insurance covered. Somebody qualified needs to look at your documents.
A deduction is not a refund of your spending
It reduces the income on which tax is calculated. The benefit is therefore a fraction of what you spent, not the whole of it, and it is worth understanding that before building any plan around it.
It only helps if you pay tax
For families below the tax threshold, these provisions do nothing. For them the useful routes are government treatment schemes, charitable trusts and hospital concessions, and the medical social worker is a more important person to see than an accountant.
The file is worth keeping for other reasons too
The same bundle of bills, receipts and settlement statements is what an insurer wants for reimbursement, what a charitable trust asks for, and what a scheme application needs. Building it once serves all of those, so even a family that pays no income tax has good reason to keep it properly from the first appointment rather than assembling it under pressure later.
What to do next
Ask the hospital today which prescribed certificate they issue and who signs it. Start one file for every bill and receipt, photographed as it arrives. Pay through the bank where you can. Record what the insurer reimbursed. And take the whole file to a qualified adviser.
Commonly believed
Four misunderstandings about this
A deduction reduces taxable income rather than refunding expenditure, so the benefit is a fraction of what you spent. Useful, and not a reason to plan your finances as though the money is returning.
The claim generally needs a prescribed certificate from a specialist as well, in the correct form. Bills without that certificate are the commonest reason a claim is refused, and the certificate is harder to get late.
Receipts fade and go missing across months of treatment, and the certificate takes time to arrange. Families who start the file on day one claim considerably more than those who reconstruct it in March.
Deductions are generally reduced by anything reimbursed by an insurer or paid by an employer. Keep the settlement statements with the bills so your adviser can work out the net figure correctly.
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Questions we are asked
Common questions about tax relief
Can cancer treatment be claimed against tax in India?
Deductions exist for expenditure on specified illnesses, and cancer is among them. The claim needs a prescribed specialist's certificate. Take the details to a chartered accountant, since limits and forms change.
What certificate is needed?
A prescription or certificate in the prescribed form from a specialist with the required qualification. Ask your hospital which form they issue and who signs it, early rather than at the end of the financial year.
How much can be claimed?
Limits are set by rules that change and differ with the patient's age, so no figure here would be reliable. Ask a qualified tax adviser working from your documents for the current amount.
Can I claim for a parent or dependant?
These provisions generally cover specified relatives who are dependent on you. Keep proof of the relationship and the dependence with the bills, and ask your adviser which provision fits.
Does insurance reimbursement reduce the claim?
Generally yes. Keep the insurer's settlement statements alongside the bills so the net figure is clear, and mention anything an employer paid directly as well.
What about health insurance premiums?
Premiums are treated under a different provision from treatment expenditure. Ask your adviser about all of the relevant provisions rather than only the one you have heard of.
Is cash payment a problem?
It is harder to substantiate. Pay by bank transfer or card where you can, so the payment can be linked to you. Keep the receipt either way.
We do not pay income tax. Does any of this help?
No, and the useful routes for you are government treatment schemes, charitable trusts and hospital concessions. See the hospital's medical social worker rather than an accountant.
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Sources
- Cancer Research UK — Coping practically with cancer
- Macmillan Cancer Support — Financial support and cancer
- National Cancer Institute — Managing Cancer Care Costs
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