If you’re wondering, “Do you pay VAT on health insurance?” The simple answer is no. But you still pay tax in a different way through Insurance Premium Tax (IPT, for short). This is currently set at a standard rate of 12% for most private medical policies. While this might seem like just a different name for the same thing, the rules for how it works and whether you can get that money back are quite different from those for standard VAT. This 2026/27 guide will explain how VAT affects your health insurance, covering: Does VAT Apply to Private Health Insurance? What is Insurance Premium Tax? Are there any IPT exemptions? And much more… Let’s break it down! Do You Pay VAT on Health Insurance? VAT on health insurance is not a cost you need to worry about, as health insurance is currently exempt from VAT. This means when you get a quote for a private medical insurance policy, you won’t see a 20% tax added to the bill. However, even though there is no VAT on health insurance, the government still collects a tax on most insurance policies in the UK. For health insurance, that tax is IPT. As we move into the 2026/27 tax year, the standard IPT rate remains 12%. This is already included in the price your insurer gives you. So, if your premium is £112, the actual cost might be £100 plus £12 in tax, totalling £112. You don’t have to do any maths or file any extra forms to pay it. The insurance company handles the paperwork and pays HMRC. What Is Insurance Premium Tax (IPT)? Since we’ve established that VAT on health insurance doesn’t apply, Insurance Premium Tax (IPT) is a tax the government charges on most general insurance policies, including private medical insurance. It is calculated as a percentage of the premium you pay. So the higher your premium, the more IPT is added. In most cases, health insurance is charged at the standard IPT rate, which is currently 12% of the premium. As discussed above, the tax is not something you pay separately to HMRC; your insurer adds it to your premium and then pays it over to the government. In practice, that means when you see a health insurance quote, the lack of VAT on health insurance means IPT is usually “baked in” to the figure, rather than shown as a separate tax line. Insurers are responsible for registering for IPT, working out how much is due, and paying it. As a policyholder, you do not file IPT returns or deal with the tax directly. Is There Any Way to Claim Back Tax on Health Insurance? One of the biggest differences between IPT and VAT is that IPT cannot be “reclaimed”. If you run a business and are VAT-registered, you are probably used to claiming back the VAT you pay on things like computers or office rent. With health insurance, because it is IPT and not VAT, that money is gone once you pay it. Even if your company is VAT-registered, you cannot list the IPT from your health insurance on your VAT return to claim a refund. However, the good news is that for most businesses, the premium itself (including the tax) is usually a deductible business expense for Corporation Tax purposes, even in the absence of VAT on health insurance reclaims. VAT vs. Insurance Premium Tax on Health Insurance It helps to distinguish what VAT is and what IPT is, because they behave very differently for healthcare businesses. Aspect VAT on health insurance Insurance Premium Tax on health insurance Type of tax Sales tax on goods/services Specific tax on insurance premiums Applies to health insurance? No, VAT on health insurance is exempt Yes, in most cases Standard rate (2026/27) 20% 12% on health insurance policies Can businesses reclaim it? Usually reclaimable if VAT registered Not reclaimable, even for businesses Shown separately on the invoice? Often shown as a separate VAT line Usually built into premium, may show as IPT in breakdown. For VAT, healthcare businesses are used to thinking about input tax and output tax, and whether they can reclaim it. IPT does not work like that at all. It is simply part of the cost of the insurance, and there is no mechanism to reclaim it, even if you are fully VAT-registered. Is Health Insurance a Tax-Deductible Business Expense? Yes, it generally is. If you are paying for health insurance for your employees, HMRC usually views this as a legitimate business expense. This means you can deduct the cost of the premiums (including the IPT) from your total income before you calculate your Corporation Tax. Because there is no VAT on health insurance, you simply deduct the full premium (including IPT) as a business cost. For a healthcare company, this is a helpful way to offset the cost of providing top-tier benefits. However, the rules change slightly if you are a sole trader or a partner in a practice buying insurance just for yourself. In these cases, health insurance is not a deductible business expense. Because it fails HMRC’s ‘wholly and exclusively’ test. Therefore, in those cases, it’s classified as a personal cost rather than a business one, despite the lack of VAT on health insurance. Understanding the Benefit in Kind (BIK) Trap This is where things get a bit more technical for healthcare employers. Even though your business doesn’t pay VAT on the insurance, HMRC still sees the policy as a “perk” with a clear cash value for the employee. Because it’s a benefit, HMRC wants their cut. Historically, most businesses reported this once a year using a P11D form. However, many businesses choose to pay the benefit instead. This just means the tax is taken out of the employee’s pay in real-time each month. Whichever way you choose to report it, there are two costs to remember: For the employee: They pay Income Tax on the premium value. For the business: You must pay Employer’s Class 1A National Insurance, which is set at 15% for the 2026/27 tax year. It’s …

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