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Retiring in India

Residency routes, healthcare and pension tax · INR

Routes to residency

India has no dedicated retirement or passive-income visa. Long-stay permission is tied to grounds such as employment, business, study or family, and people of Indian origin may instead qualify for an Overseas Citizen of India card. Confirm with the Bureau of Immigration.

Sources: Bureau of Immigration, India

Healthcare

India has no national public health insurance scheme open to foreign residents; there is no bilateral social-security healthcare agreement providing free public hospital access to foreign nationals on long-stay visas or OCI cards. Foreigners can use public hospitals but are generally expected to pay, and most long-term foreign residents rely on private hospitals and private insurance rather than the public system.

Not applicable in the sense of a qualifying period, since there is no enrollment-based public scheme for foreign residents to join; public hospital treatment is available to anyone present but is not a 'free at point of use' insured benefit for foreigners.

Private health insurance is widely used by foreign nationals and OCI cardholders in India; some visa categories (e.g., certain student, work, or long-stay visas) may require proof of adequate health coverage, and private insurers such as Niva Bupa market dedicated expat/OCI health plans, but there is no single uniform national legal mandate confirmed for all long-stay visa holders.

US Medicare: US Medicare does not cover medical care received in India except in extremely limited circumstances defined by federal rules (e.g., certain emergencies involving US territorial waters or specific cross-border situations that do not apply to India); retirees relying on Medicare must generally pay out of pocket or purchase separate international/private insurance for care received in India.

Pension income tax

India taxes foreign pension income of its residents.

Whether India taxes a person's foreign pension depends on residential status under Indian income-tax law. A 'Resident and Ordinarily Resident' (ROR) is taxed on worldwide income, including foreign pensions, and must report foreign retirement accounts in Schedule FA. Returning NRIs/OCIs typically pass through a 'Resident but Not Ordinarily Resident' (RNOR) phase (commonly about 2-3 years) during which foreign-sourced income, including foreign pensions, generally remains outside Indian tax; once a person becomes ROR, foreign pension income becomes taxable in India, subject to relief under India's Double Taxation Avoidance Agreements (DTAAs).

There is a US income tax treaty with India.

Under Article 20 of the India-US income tax treaty, private pensions and annuities are generally taxable only in the recipient's country of residence, while Article 19 assigns taxing rights over government-service pensions primarily to the paying government; Article 20(2) separately addresses Social Security-type payments. US citizens remain subject to the treaty's saving clause, meaning the United States generally retains the right to tax its citizens on worldwide income, including pensions, regardless of residence in India.

Sources: India Travel Insurance Guide · What is an OCI Card? Meaning, Benefits & Application Guide · Understanding Health Insurance for International Travelers and Expats in India · Understanding Taxation of Foreign Retirement Pensions for NRIs in India · Pension Income Tax Rules for NRIs Retiring in India · Tax Vimarsh - NRI/OCI Income Tax Guide · India-United States International Income Tax Treaty Explained · How India Cross-Border Retirement is Taxed Under US Treaty · US-India tax treaty (DTAA) explained

Checked Oct 2026

Customs & etiquette

Religion

Hindu 79.8% · Muslim 14.2% · Christian 2.3% · Sikh 1.7% · other and unspecified 2%

Other countries in South Asia

Sri Lanka

Reference information compiled from the sources cited above and reviewed by hand. Immigration, healthcare and tax rules change and are applied at the authorities' discretion — confirm with the consulate, an immigration adviser or a tax adviser before making plans. Nothing here is tax or immigration advice.

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