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Government subsidies
The Australian Government may subsidise the cost of your health cover, depending on your age and how much you earn. This is called the Australian Government Rebate (AGR). If you're eligible for the AGR, it can be claimed in one of two ways:
1. As an upfront reduction on your premium, or
2. At the end of the financial year, when you lodge your tax return.
| Base tier | Tier 1 | Tier 2 | Tier 3 | |
| Income thresholds | ||||
| Singles | Up to $93,000 | $93,001 - $105,000 | $105,001 - $140,000 | $140,001 and above |
| Families | Up to $186,000 | $186,001 - $210,000 | $210,001- $280,000 | $280,001 and above |
| Private Health Insurance Rebate effective from 01 April 2021 – 31 March 2022* | ||||
| Less than 65 years | 24.608% | 16.405% | 8.202% | 0% |
| 65 - 69 years |
28.710% | 20.507% | 12.303% | 0% |
| 70 years+ | 32.812% | 24.608% | 16.405% | 0% |
| Private Health Insurance Rebate effective from 01 April 2022 – 31 March 2023* | ||||
| Less than 65 years | 24.608% | 16.405% | 8.202% | 0% |
| 65 - 69 years |
28.710% | 20.507% | 12.303% | 0% |
| 70 years+ | 32.812% | 24.608% | 16.405% | 0% |
Get cover sooner to avoid extra costs
Once you turn 30, a 2% loading is added to your hospital cover premiums for every year you’re without cover. This charge is called Lifetime Health Cover (LHC) loading. The good news is you have until July 1 following your 31st birthday to sign up, and keep up your hospital cover, and avoid an LHC loading.
Learn more about Lifetime Health Cover loading.
Be aware of government charges
Having hospital cover could save you money. If you don’t have an appropriate level of private hospital cover (for you and all of your dependants*) for a full financial year and you earn more than $90,000 as a single or $180,000 as a couple/family/single parent*, the Australian Tax Office may add an extra charge to your tax bill. It’s called the Medicare Levy Surcharge and it could be up to 1.5% of your income*. Depending on your circumstances, this may end up being more than the cost of getting hospital cover.
Learn more about the Medicare Levy Surcharge.
* 'income' and 'dependants' have specific meanings for Medicare Levy Surcharge purposes. Visit the Australian Taxation Office website to learn more. The income threshold for single parents, couples and families is increased by $1,500 for each MLS 'dependant' child after the first child.
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