Medicare Levy Surcharge Calculator

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Written by

Laura Crowden

Last Updated 23/07/2025

Our aim is to help you make better informed decisions. That’s why iSelect’s content is produced in accordance with our fact-checking and editorial guidelines.

Find out more about how we make money.

View our Privacy Policy.

What is the Medicare Levy Surcharge?

The Medicare Levy Surcharge (MLS) is an extra tax paid by higher-income earners who don’t hold eligible private hospital cover. It’s designed to ease the stress on our public health system by encouraging higher-income earners to hold private health insurance. This is on top of the 2% Medicare Levy, which is paid by all Australian taxpayers.  

Put simply, if your taxable income is over $101,000 as a single or $202,000 as a couple or family and you don’t have an appropriate level of hospital cover, then you’ll likely need to pay the MLS. Depending on how much you earn, you could be required to pay an additional 1–1.5% tax.

Calculate your Medicare Levy Surcharge

Could taking out eligible private hospital cover help you avoid paying more at tax time?

Use our handy Medicare Levy Surcharge (MLS) calculator to estimate your potential surcharge and learn how eligible private hospital cover could help you avoid paying it.

with a taxable annual income of
$
$0
|$101,000
|$202,000 $316,000+
Good news! Based on what you’ve told us, you may not have to pay the Medicare Levy Surcharge
$0.00 / Yearly

This calculator provides an estimate based on the information entered and current tax regulations. For personalised advice, please consult a registered tax advisor or the Australian Taxation Office.

How can I avoid paying the Medicare Levy Surcharge?

Taking out any level of approved hospital cover with an excess of $750 or less ($1,500 for couples and families) will mean you won’t have to pay the MLS. Keep in mind, ambulance cover or an extras-only policy won’t help you avoid the MLS.

Basic & Basic Plus

Average premiums: $106.94 

Minimal hospital cover.  

Basic commonly purchased for:

Tax purposes 

Basic Plus commonly purchased for: 

Joint reconstructions

Tonsils, adenoids & grommets

Gastrointestinal endoscopy

Dental surgery  

Bronze & Bronze Plus

Average premiums: $125.32 

Lower hospital cover that covers at least 18 clinical categories.

Bronze commonly purchased for:

Chemotherapy, radiotherapy & immunotherapy for cancer

Bronze Plus commonly purchased for: 

Lung & chest  

Medically necessary plastic & reconstructive surgery

Silver & Silver Plus

Average premiums: $187.01 

Medium hospital cover that covers at least 26 clinical categories. 

Silver commonly purchased for:

Heart & vascular systems

Silver Plus commonly purchased for: 

Joint replacements

Cataracts

Pregnancy & birth 

Gold

Average premiums: $263.22 

Highest level hospital cover that must cover in-hospital treatment for ALL 38 clinical categories. 

Gold commonly purchased for:

Unrestricted hospital psychiatric services

IVF  

Pregnancy & birth  

Weight loss surgery 

Source: PrivateHealth.gov.au – June 2024 
Note: All averages are based on singles-only policies with an excess of $750 bought in June 2024. Rebates are not included. 

What are the Medicare Levy Surcharge thresholds?

How much MLS you’ll pay depends on how much you earn, and whether you’re single or part of a couple or family. The table below outlines the current MLS tiers. Keep in mind that if you have more than one child, your income threshold will increase by $1,500 for each dependent child.

   No ChargeTier 1Tier 2Tier 3
SinglesLess Than $101,000$101,001-$118,000$118,001-$158,000$158,001+
Couples and familiesLess Than $202,000 (combined)$202,001-$236,000 (combined)$236,001-$316,000 (combined)$316,000+ (combined)
Medicare Levy Surcharge0%1%1.25%1.5%

Source: PrivateHealth.gov.au – Medicare Levy Surcharge
Note: Effective 1 July 2025.

What are other incentives to get private health insurance?

Private health insurance rebate

The private health insurance rebate is a government scheme to help you pay for private health insurance. Depending on your age and income, you could be eligible to save on your health insurance premium.  

Lifetime Health Cover (LHC) loading

If you get private hospital cover by the 1st July following your 31st birthday, you can avoid having to pay Lifetime Health Cover (LHC) loading down the track. 

Illustration of three people side by side

Age-based discounts for under 30s

Under 30s can score discounted private health insurance. If you take out eligible hospital cover before 30, you may get a discount of up to 10% and keep it until you turn 41.

Frequently asked questions

How can I avoid the Medicare Levy Surcharge?

Does having health insurance mean I’ll pay less tax?

Do I need to take out health insurance before 30 June to avoid the MLS?

What type of health insurance do I need to avoid the MLS?

What’s the difference between the Medicare Levy and the Medicare Levy Surcharge?

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