The Minister of Health has warned health insurers to focus on providing value to customers when they apply to increase their premiums over the next few weeks. Private health insurers are allowed to raise premiums once a year only, subject to government approval. Insurer applications for 2026 premium increases are due in November, with approved...
Some ACT residents are being hit with shock bills for public hospital treatment, new figures show. Following news this week that health insurance premiums for ACT residents may rise by at least $180 next year, an analysis of billing records has revealed the high Gaps being paid for Canberra hospital treatment. Data from Private Healthcare...
With public hospitals under strain, health insurers are paying out greater sums for private patient treatment, new data shows. Quarterly health insurance statistics released by the Australian Prudential Regulation Authority, which regulates the industry, showed a significant increase in the amount paid for Hospital Cover claims in the June 2025 quarter. Health insurers paid $4.98...
New data from the Australian Tax Office shows that the number of people being charged the Medicare Levy Surcharge (MLS) has almost quadrupled over 6 years. Data found 768,537 Aussies paid the MLS in the 2022-23 financial year, up from 196,807 in 2017. An article in The Australian says the increase is due to rising...
Australians treated with natural therapies may soon be able to claim rebates on Extras Cover. Following a review completed last year, the government has reinstated 7 of the 16 natural therapies that were removed from private health insurance cover in 2019. The health insurance industry is now developing framework to cover: Private Healthcare Australia, the...
Bupa members who had Hospital Cover claims rejected between 1 May 2018 and 31 August 2023 may be entitled to compensation. The health insurer has announced it incorrectly rejected “mixed coverage” claims – claims for 2 or more treatments at a time – and certain other types of claims during this period. Bupa has apologised...
Members of Teachers Health and TUH are about to become part of the sixth largest health insurer in Australia. The two not-for-profit insurers have announced they will merge next week on 1 July, forming a combined insurer that will cover 500,000 people, Teachers Health said. TUH said the merger will bring some small benefits to...
Australians uncertain about whether or not to get health insurance could find the decision a little easier next week, as of 1 July. Those who don’t have Hospital Cover and earn over a certain income threshold get charged the Medicare Levy Surcharge at tax time – a levy of between 1% and 1.5%. For some...
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In this Guide, we explain the Medicare Levy and the Medicare Levy Surcharge. The Australian Government uses the Medicare Levy to help fund Medicare. You will have to pay the Medicare Levy on your taxable income unless you are eligible for an exemption. If you earn over a certain amount and do not have an...
Yes. If you are from a country that has a reciprocal healthcare agreement with Australia enabling you to access Medicare and you earn over the Medicare Levy Surcharge threshold, you can avoid the Surcharge by buying an approved Hospital Cover insurance policy. Unfortunately, this type of insurance provides limited benefits for Hospital Cover and you...
You can avoid paying the Medicare Levy Surcharge by taking out a private health insurance policy that includes Hospital Cover. The excess on your Hospital Cover needs to be: These types of health insurance do not allow you to avoid paying the Medicare Levy Surcharge:
The Medicare Levy Surcharge is 1%, 1.25% or 1.5% depending on: The income thresholds for 2024-2025 are: Singles Income Rate $97,000 or less 0% $97,001 – $113,000 1.0% $113,001 – $151,000 1.25% $151,001 or more 1.5% Single parents, Couples and Families* Income Rate $194,000 or less 0% $194,001 – $226,000 1.0% $226,001 – $302,000 1.25%...
The Medicare Levy Surcharge is an extra charge you have to pay if you do not have Hospital Cover. It is designed to encourage you to take out Hospital Cover and use the private health system. The Australian government’s larger objective is to reduce pressure on Australia’s public health system. If you have to pay...
If you want to apply for a Medicare Levy Exemption, you can do this as part of your tax return. You need a Medicare Entitlement Statement (MES) to apply for an exemption. You need a Medicare Entitlement Statement for each year you want to get an exemption. When you lodge your tax return, you need...
A Medicare Levy Exemption is when you do not have to pay the Medicare Levy. You may be entitled to the Exemption if you meet any of these criteria: If you successfully apply for a Medicate Levy Exemption, you do not have to pay the Medicare Levy for all or part of the year.
The Medicare Levy is a tax you pay to help fund some of the cost of Australia’s public health system, known as Medicare. Australians help pay for Medicare through 2 income taxes: The Medicare Levy is 2% of your taxable income (in addition to the tax you pay on your taxable income). Depending on you...