Note: The family income threshold is increased by $1,500 for each Medicare levy surcharge dependent child after the first child.
To claim the private health insurance rebate, regardless of your residency status in Australia, you must:
- have a Complying health insurance policy with an Australian-registered health insurer
- be eligible for Medicare
- be a Private health insurance incentive beneficiary
- have an income for surcharge purposes that is less than the Tier 3 income threshold. If your income is above Tier 3 then you will not get any rebates. See chart below
Note
- "Single" and "Family" is per LEGAL MARITAL STATUS. It has nothing to do with the number of persons covered.
2020
| if the oldest person covered on your policy is under 65 years old | if the oldest person covered on your policy is 65 to 69 years old | If the oldest person is 70 years old or older | ||||
| Income for surcharge purposes | 1 July 2019 – 31 March 2020 | 1 April 2020 – 30 June 2020 (Note 1) | 1 July 2019 – 31 March 2020 | 1 April 2020 – 30 June 2020 (Note 1) | 1 July 2019 – 31 March 2020 | 1 April 2020 – 30 June 2020 (Note 1) |
| $90,000 or less for a single person | 25.06% | 25.06% | 29.24% | 29.24% | 33.41% | 33.41% |
| $90,001 – $105,000 for a single person | 16.71% | 16.71% | 20.88% | 20.88% | 25.06% | 25.06% |
| $105,001 – $140,000 for a single person | 8.35% | 8.35% | 12.53% | 12.53% | 16.71% | 16.71% |
| $140,001 or more for a single person | Not eligible | Not eligible | Not eligible | Not eligible | Not eligible | Not eligible |
| $180,000 or less for a family | 25.06% | 25.06% | 29.24% | 29.24% | 33.41% | 33.41% |
| $180,001 – $210,000 for a family | 16.71% | 16.71% | 20.88% | 20.88% | 25.06% | 25.06% |
| $210,001 – $280,000 for a family | 8.35% | 8.35% | 12.53% | 12.53% | 16.71% | 16.71% |
| $280,001 or more for a family | Not eligible | Not eligible | Not eligible | Not eligible | Not eligible | Not eligible |
Note:
- The family income threshold is increased by $1,500 for each Medicare levy surcharge dependent child after the first child.
- Note 1: The government did not change the rebate percentage on 1 April 2020.
2019
| oldest person < 65 years old | oldest person on policy is 65 - 69 | oldest person on policy is > 70 | ||||||
| Tier | Income for surcharge purposes | MLS if you don't have PHI | 1 July 2018 – 31 March 2019 | 1 April 2019 – 30 June 2019 | 1 July 2018 – 31 March 2019 | 1 April 2019 – 30 June 2019 | 1 July 2018 – 31 March 2019 | 1 April 2019 – 30 June 2019 |
| SINGLE | ||||||||
| Base single | $90,000 or less for a single person | 0% | 25.42% | 25.06% | 29.65% | 29.24% | 33.89% | 33.41% |
| tier 1 single | $90,001 – $105,000 for a single person | 1% | 16.94% | 16.71% | 21.18% | 20.88% | 25.42% | 25.06% |
| tier 2 single | $105,001 – $140,000 for a single person | 1.25% | 8.47% | 8.35% | 12.71% | 12.53% | 16.94% | 16.71% |
| tier 3 single | $140,001 or more for a single person | 1.50% | Not eligible | Not eligible | Not eligible | Not eligible | Not eligible | Not eligible |
| FAMILY | ||||||||
| base family | $180,000 or less for a family | 0% | 25.42% | 25.06% | 29.65% | 29.24% | 33.89% | 33.41% |
| tier 1 family | $180,001 – $210,000 for a family | 1% | 16.94% | 16.71% | 21.18% | 20.88% | 25.42% | 25.06% |
| tier 2 family | $210,001 – $280,000 for a family | 1.25 | 8.47% | 8.35% | 12.71% | 12.53% | 16.94% | 16.71% |
| tier 3 family | $280,001 or more for a family | 1.50% | Not eligible | Not eligible | Not eligible | Not eligible | Not eligible | Not eligible |
Last modified: 27 Jun 2019 QC 49964

Reference
Last modified: 27 Jun 2019 QC 49964
Calculator Last modified: 27 Jun 2019 QC 25965
