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Private Health Insurance Rebates and Your Income Tier

The Private Health Insurance Rebate is an amount the government contributes towards the cost of your Private Health Insurance Premiums.

 

The Rebate is on an Income Tested basis which means your eligibility to receive it depends on your Income for Surcharge Purposes. If you have a higher income, your Rebate entitlement may be reduced, or you may not be entitled to any Rebate at all.

 

The Rebate can be claimed for premiums paid for a Private Health Insurance policy that provides private patient hospital cover, general cover (known as extras), or combined hospital and general cover.

 

If you meet the eligibility requirements for a Private Health Insurance Rebate, you can claim your Rebate as either :

  • A premium reduction which lowers the policy price charged by your insurer
  • A refundable tax offset when you lodge your tax return

 

When you lodge your Tax Return, we will test your Income against the Income Thresholds to determine the level of Rebate you are entitled to receive. If there was more than one adult on your Private Health Insurance Policy when the premiums were paid, you will be tested on your share of the policy.

 

Depending on how you claimed the Rebate, and the percentage you claimed, this may result in a Tax Liability and/or a Tax Offset.

 

If you claim too much Private Health Insurance Rebate as a premium reduction, we recover the amount as a Tax Liability. This liability will be listed on your Notice of Assessment as an Excess Private Health Insurance Refund or Reduction (Rebate Reduced).

 

If you have not received your full Private Health Insurance Rebate entitlement, we calculate the Rebate amount you are entitled to, which becomes payable to you as a Refundable Tax Offset when we assess your Tax Return. The Tax Offset is added together with any other Tax Offsets that you receive and will appear as a credit on your Notice of Assessment.

 

 

Rebate if the oldest person covered on your policy is under 65 years old in 2019–20

Income for surcharge purposes
Rebate for 1 July 2019 – 31 March 2020
Rebate for 1 April 2020 – 30 June 2020*
$90,000 or less for a single person
25.059%
25.059%
$90,001 – $105,000 for a single person
16.706%
16.706%
$105,001 – $140,000 for a single person
8.352%
8.352%
$140,001 or more for a single person
Not eligible
Not eligible
$180,000 or less for a family
25.059%
25.059%
$180,001 – $210,000 for a family
16.706%
16.706%
$210,001 – $280,000 for a family
8.352%
8.352%
$280,001 or more for a family
Not eligible
Not eligible

*The government did not change the rebate percentage on 1 April 2020.

Rebate if the oldest person covered on your policy is 65 to 69 years old in 2019–20

Income for surcharge purposes
Rebate for 1 July 2019 – 31 March 2020
Rebate for 1 April 2020 – 30 June 2020*
$90,000 or less for a single person
29.236%
29.236%
$90,001 – $105,000 for a single person
20.883%
20.883%
$105,001 – $140,000 for a single person
12.529%
12.529%
$140,001 or more for a single person
Not eligible
Not eligible
$180,000 or less for a family
29.236%
29.236%
$180,001 – $210,000 for a family
20.883%
20.883%
$210,001 – $280,000 for a family
12.529%
12.529%
$280,001 or more for a family
Not eligible
Not eligible

*The government did not change the rebate percentage on 1 April 2020.

Rebate if the oldest person covered on your policy is 70 years old or older in 2019–20

Income for surcharge purposes
Rebate for 1 July 2019 – 31 March 2020
Rebate for 1 April 2020 – 30 June 2020*
$90,000 or less for a single person
33.413%
33.413%
$90,001 – $105,000 for a single person
25.059%
25.059%
$105,001 – $140,000 for a single person
16.706%
16.706%
$140,001 or more for a single person
Not eligible
Not eligible
$180,000 or less for a family
33.413%
33.413%
$180,001 – $210,000 for a family
25.059%
25.059%
$210,001 – $280,000 for a family
16.706%
16.706%
$280,001 or more for a family
Not eligible
Not eligible

*The government did not change the rebate percentage on 1 April 2020.

Does single or family thresholds apply?

More information

Your status on 30 June
Single Thresholds
Family Thresholds
Income included in income test (full year)
You were single
Yes
No
Yours
You had a spouse
No
Yes*
Yours and your spouse’s
You were a single parent
No
Yes*
Yours
You separated from your spouse during the year and were single with no dependent children
Yes
No
Yours
You separated from your spouse during the year and were single with dependent children
No
Yes*
Yours
You were single for part of the year and then had a spouse and no dependent children
No
Yes
Yours and your spouse’s
You were single for part of the year and then had a spouse and dependent children
No
Yes*
Yours and your spouse’s
Your spouse died during the year and you were single and had no dependent children
No
Yes
Yours and your spouse’s
Your spouse died during the year and you were single and had dependent children
No
Yes*
Yours and your spouse’s

*The family income threshold is increased by $1,500 for each Medicare levy surcharge dependent child after the first child.