Medicare Levy Surcharge Calculator
Medicare Levy Surcharge Calculator
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.
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 Charge | Tier 1 | Tier 2 | Tier 3 | |
| Singles | Less Than $101,000 | $101,001-$118,000 | $118,001-$158,000 | $158,001+ |
| Couples and families | Less Than $202,000 (combined) | $202,001-$236,000 (combined) | $236,001-$316,000 (combined) | $316,000+ (combined) |
| Medicare Levy Surcharge | 0% | 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.
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?
Higher-income earners can avoid paying the MLS simply by taking out private hospital cover. If you earn over $101,000 as a single or $202,000 as a couple or family, then taking out any hospital policy with an excess of $750 or less ($1,500 or less for couples or families) will mean you don’t have to pay the MLS. Keep in mind, only hospital cover – not extras-only or ambulance cover – will help you avoid the MLS.
If you earn under the threshold, you won’t need to pay the MLS regardless of whether or not you hold private hospital cover. But remember, there are plenty of other benefits to having private health insurance!
Does having health insurance mean I’ll pay less tax?
Not necessarily. If your income for MLS purposes is over $101,000 as a single or $202,000 as a couple or family, then holding eligible private hospital cover will mean you’ll avoid paying the additional MLS tax. But if you earn under this amount, then having health insurance won’t make any difference to how much tax you pay.
Do I need to take out health insurance before 30 June to avoid the MLS?
If you’re a higher-income earner, then taking out hospital before 30 June means you’ll avoid paying the MLS next financial year. You need to hold private hospital cover for the whole year to avoid paying the MLS entirely. And remember, extras-only or ambulance cover won’t cut it.
If you take out hospital cover partway through the year, then come tax time you’ll still need to pay the MLS surcharge for the part of the year you were without hospital cover. For example, if you take out hospital cover on 30 June, you’ll only avoid paying the MLS for one day of the current financial year. However, assuming you hold on to it, you won’t have to pay it at all for the following financial year.
What type of health insurance do I need to avoid the MLS?
Only eligible private hospital cover will help you avoid the MLS. If you’re a higher-income earner and only have an extras policy or ambulance cover, you’ll still pay the MLS.
As long as you have approved hospital cover, it doesn’t matter what tier or level you have. As long as it has an excess of $750 or less (or $1,500 or less for couples/families), then holding any hospital policy – basic, bronze, silver, or gold – means you’ll avoid the MLS.
What’s the difference between the Medicare Levy and the Medicare Levy Surcharge?
The Medicare Levy and the MLS are related, but very different. Both help fund Medicare and Australia’s public health system. But while the Medicare Levy is paid by everyone, the MLS isn’t.
The Medicare Levy is a 2% tax paid by all Australian taxpayers to fund Medicare. The MLS, on the other hand, is an additional tax (1–1.5%) paid by Australians earning over a certain amount who don’t have eligible private hospital cover. It’s designed to encourage higher-income earners to take out private cover and reduce the burden on our public health system.
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Health Insurance & Tax
Tax Implications on Health Insurance
The Medicare Levy Surcharge
About the Life Time Health Cover Loading
The Private Health Insurance Benefit Codes
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