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India Medical e-VisaComplete Guide for U.S. Patients

India has a dedicated Medical Visa category — a tourist visa is not valid for treatment. This guide covers the exact requirements, fees, documents, and process for the India e-Medical Visa (e-MV) for American patients traveling for healthcare.

Important: Apply through indianvisaonline.gov.in only. Third-party lookalike sites charge 2–5x the government fee for the same application. The fee is non-refundable.

Visa at a Glance

Key facts — no estimates, no ranges where the exact figure is known.

Visa Category

e-Medical Visa (e-MV)

Dedicated medical category — tourist visa is NOT valid for treatment

Validity

60 days from first arrival

Extendable to 6 months via FRRO for long-term treatment

Entries Permitted

Triple entry

Three entries within the 60-day validity window

Government Fee (US Citizens)

~USD 84–100

Plus 2.5% bank processing charge. Non-refundable.

Processing Time

3–5 business days

Apply at least 4 business days before travel. Not same-day.

Official Application Portal

indianvisaonline.gov.in

Only this URL. Third-party lookalike sites charge 2–5× the fee.

Passport Validity Required

6+ months from arrival date

Plus minimum 2 blank pages for immigration stamps

Entry Points

25 designated airports + 5 seaports

Cannot enter through road crossings or non-designated ports

Source: Ministry of External Affairs, Government of India — indianvisaonline.gov.in. Fee amounts shown are approximate and subject to change.

Required Documents

Every item below is required by the Government of India for e-Medical Visa processing. Missing or incorrectly formatted documents are the primary cause of rejection.

Valid U.S. Passport

Required

Minimum 6 months validity from arrival date. At least 2 blank pages.

Hospital Invitation Letter (Appendix II Format)

Required

Must be issued by a NABH-, MCI-, ICMR-, or CGHS-accredited hospital in India. The letter must be on hospital letterhead, include the treating doctor's signature, specify diagnosis and treatment plan, estimated duration, and treatment cost. This is the most critical document — visa is typically rejected without a properly formatted Appendix II letter.

Recent Passport-Size Photograph

Required

Front-facing, white background, taken within the last 6 months.

Proof of Financial Means

Required

Bank statement showing sufficient funds to cover treatment costs, accommodation, and return travel.

Medical Records / Diagnosis Reports

Required

Recent test results, imaging, biopsy reports, or referring physician's letter documenting the medical condition requiring treatment in India.

Travel Itinerary

Recommended

Confirmed or provisional flight booking showing onward/return travel.

The Appendix II Hospital Letter — What It Must Contain

The hospital invitation letter (Appendix II format) is the most critical document. Indian embassies have rejected visa applications where the letter was missing any of the following elements:

  • Hospital letterhead with NABH / MCI / ICMR / CGHS accreditation number
  • Patient full name (exactly as in passport)
  • Specific diagnosis requiring treatment in India
  • Proposed treatment plan and procedures
  • Treating doctor's name, qualification, and signature
  • Estimated duration of treatment (in weeks or months)
  • Approximate treatment cost in USD or INR
  • Hospital address and contact details

Sultan GHC coordinates this letter directly with the hospital. You do not need to manage this yourself.

Application Process — Step by Step

Five steps from first contact with the hospital to clearing immigration at your arrival airport.

01

Get your Hospital Invitation Letter (Appendix II)

Contact your chosen hospital in India. Request an invitation letter in the official Appendix II format. The hospital must be accredited by NABH, MCI, ICMR, or CGHS. This letter must include your diagnosis, proposed treatment, doctor's name and signature, estimated duration, and approximate cost. Sultan GHC arranges this letter on your behalf — it is included in our patient coordination service.

02

Apply online at indianvisaonline.gov.in

Visit the official portal only. Select "e-Medical Visa." Fill in your personal details, passport information, travel dates, and upload the required documents. Pay the government fee (approx. USD 84–100 for US citizens) plus the 2.5% bank charge. Do not use third-party websites.

03

Receive your ETA by email

Processing takes 3–5 business days. Your Electronic Travel Authorisation (ETA) is emailed to you. Print a physical copy — Indian immigration officers may ask for it alongside your passport. Save a digital backup on your phone.

04

Arrive through a designated airport

Present your ETA printout and passport at immigration. e-Medical Visa holders may only enter through one of the 25 designated international airports or 5 seaports. You cannot enter through land borders.

05

Register with FRRO if staying beyond 180 days

For most nationalities including U.S. citizens: register with the Foreigners Regional Registration Office (FRRO) within 14 days of arrival if your stay will exceed 180 days. For extended treatment (organ transplant, cancer therapy, etc.), apply for a 6-month extension through FRRO.

Medical Attendant Visa (MED-X)

Family members accompanying the patient must apply for a separate Medical Attendant Visa. This is a distinct visa category — a tourist visa is not valid for an attendant accompanying a medical patient.

Visa Type
e-Medical Attendant Visa (MED-X)
Eligible Attendants
Immediate blood relatives only — spouse, parent, child, or sibling
Maximum (US Citizens)
2 attendants per patient
Application Timing
Must apply simultaneously with the patient visa, not after
Validity
Matches the patient's visa duration exactly
Additional Documents
Proof of relationship (birth/marriage certificate) + copy of patient's approved visa
Apply together, not separately. Attendant visa applications must be submitted simultaneously with the patient visa application. If the patient visa has already been approved, the attendant cannot apply for MED-X after the fact. Plan both applications at the same time.

Designated Entry Airports

Medical e-Visa holders may only enter India through these 25 international airports. Entry through land borders or non-designated ports is not permitted.

Delhi (IGI)
Mumbai (CSIA)
Chennai (MAA)
Bengaluru (KIA)
Hyderabad (GMR)
Kolkata (NSCBI)
Ahmedabad (SVPI)
Kochi (CIAL)
Goa (GOI)
Pune (PNQ)
Amritsar (RJSS)
Tiruchirappalli (TRZ)
Lucknow (CSIA)
Jaipur (JAI)
Calicut (CCJ)
Guwahati (LGB)
Varanasi (VNS)
Nagpur (NAG)
Coimbatore (CJB)
Mangalore (IXE)
Visakhapatnam (VTZ)
Chandigarh (IXC)
Bhubaneswar (BBI)
Srinagar (SXR)
Trivendrum (TRV)

All five medical destination cities (Delhi, Mumbai, Chennai, Bengaluru, Hyderabad) are on the approved list. Exit may be through any authorized Immigration Check Post.

Long-Stay Treatments — Extension via FRRO

The initial e-Medical Visa is valid for 60 days. Treatments such as organ transplants, bone marrow transplants, multi-cycle chemotherapy, or complex cardiac surgeries with extended recovery may require longer stays. India allows extensions through the Foreigners Regional Registration Office (FRRO).

Initial Visa

60 days

Triple entry. Issued with the e-Medical Visa. No action required.

FRRO Extension

Up to 6 months

Apply at FRRO after arriving in India with hospital documentation confirming ongoing treatment need.

MHA Approval

Beyond 6 months

Exceptional cases only. Requires Ministry of Home Affairs approval. FRRO files on behalf of patient.

Registration requirement: U.S. citizens must register with FRRO within 14 days of arrival if the stay will exceed 180 days. Registration is done online at indianfrro.gov.in. Late registration may result in penalties at departure.

Frequently Asked Questions

Can I use a tourist visa for medical treatment in India?

No. The Government of India requires a specific e-Medical Visa for patients seeking treatment. A tourist visa does not permit medical treatment and could result in denial of entry or legal complications.

How long does it take to get the India Medical e-Visa?

3 to 5 business days from the date of application submission. The official portal advises applying at minimum 4 business days before travel. Same-day processing is not available.

What is the Appendix II hospital letter and who issues it?

Appendix II is the official Government of India format for the hospital invitation letter required with every Medical e-Visa application. It must be issued by an Indian hospital accredited by NABH, MCI, ICMR, or CGHS. It must include: patient name, diagnosis, proposed treatment, doctor's name and signature, hospital accreditation details, estimated treatment duration, and approximate cost.

My treatment in India will take more than 60 days. What do I do?

The initial e-Medical Visa is valid for 60 days with triple entry. For longer treatments such as organ transplants, bone marrow transplants, or multi-cycle cancer therapy, you can apply for an extension of up to 6 months through the Foreigners Regional Registration Office (FRRO) after arriving in India. Further extensions beyond 6 months require Ministry of Home Affairs approval.

Can my spouse accompany me to India?

Yes. Up to 2 attendants (for US citizens) may accompany the patient on a Medical Attendant Visa (MED-X). Attendants must be immediate blood relatives — spouse, parent, child, or sibling. They must apply simultaneously with the patient, not separately after visa approval. Attendants cannot apply for MED-X if the patient's visa has already been approved.

Can I enter India through any airport?

No. Medical e-Visa holders may only enter through 25 designated international airports and 5 designated seaports. You cannot enter through land borders or non-designated ports. All major medical hubs (Delhi, Mumbai, Chennai, Bengaluru, Hyderabad) are on the approved list.

Is the India Medical e-Visa fee refundable if rejected?

No. The government fee is non-refundable regardless of the outcome. Sultan GHC assists all patients with the hospital letter and document review before application to minimize rejection risk.

Does Sultan GHC assist with the Medical Visa process?

Yes. Sultan GHC coordinates the hospital invitation letter (Appendix II format), reviews your document checklist before submission, and guides you through the application process step by step. Visa facilitation is included in our concierge service at no additional charge.

How Sultan GHC Supports Your Visa Process

Navigating a foreign visa system while managing a medical situation is stressful. Sultan GHC handles the administrative side so you can focus on your health.

Coordinate the Appendix II hospital invitation letter on your behalf
Verify that your chosen hospital is NABH/MCI accredited
Review your complete document package before you submit
Advise on travel dates to ensure processing window is met
Guide you on the FRRO extension process if your treatment is extended
Arrange airport pickup with our ground team in India
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Sultan GHC

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