Australian Government Private Health Insurance Rebate
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Australian Government Private Health Insurance Rebate
The Australian Government Rebate on private health insurance provides a reduction in the premium cost of private healthcare. It is recognition by the Australian Government that Australians with private healthcare are making a substantial financial contribution not only to their own healthcare but also to Australia’s healthcare system.
It also recognises the fact that private healthcare users take pressure off the public system, especially with respect to public hospitals.
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How is it calculated?
The Government’s rebate on private health insurance is currently adjusted annually on 1 April based on the Rebate Adjustment Factor which takes into account growth in the Consumer Price Index and the industry weighted average premium increase.
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The Rebate Adjustment Factor for 2021 is 0.982 and the industry weighted average premium increase for 2021 is 2.74 per cent.
The private health insurance rebate is income tested and applies to hospital, general treatment and ambulance policies. It does not apply to overseas visitors cover. The Lifetime Health Cover component of a premium is not eligible for the Australian Government Rebate on private health insurance.
The table below details the different rebate amounts and Medicare Levy Surcharge levels.
| Singles | $90,000 or less | $90,001 – $105,000 | $105,001 – $140,000 | $140,001 and above |
|---|---|---|---|---|
| Couples/ Families |
$180,000 or less | $180,001 – $210,000 | $210,001 – $280,000 | $280,001 and above |
Rebate entitlementBased on age and income from 1 April 2021 to 31 March 2022 |
||||
| Base Tier | Tier 1 | Tier 2 | Tier 3 | |
| 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% |
Medicare Levy Surcharge |
||||
| All ages | 0.0% | 1.0% | 1.25% | 1.5% |
Note: The rebate levels are adjusted annually on 1 April based on the Rebate Adjustment Factor. It is calculated in accordance with the Private Health Insurance (Incentives) Amendment Rules 2013 (No.1).
Single parents and couples (including de facto couples) are subject to the family tiers. For families with children, the income thresholds are increased by $1,500 for each child after the first.
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The income thresholds are effective 1 July 2014 and are indexed annually. The income thresholds will remain the same from 1 July 2015 to 30 June 2023 (Pausing indexation of the Medicare Levy Surcharge and Private Health Insurance Rebate Thresholds – extension)
- For the thresholds applicable from 1 April 2020 – 31 March 2021, see the Department of Health’s Private Health Insurance Circular 24/20.
- For the thresholds applicable from 1 April 2019 – 31 March 2020, see the Department of Health’s Private Health Insurance Circular 8/19.
- For the thresholds applicable from 1 April 2018 – 31 March 2019, see the Department of Health’s Private Health Insurance Circular 8/18.
- For the thresholds applicable from 1 July 2017 – 31 March 2018, go to the ATO website.
- For the thresholds applicable from 1 July 2016 – 31 March 2017, go to the ATO website.
- For the thresholds applicable from 1 April 2016 to 30 June 2016, go to the ATO website.
- For the thresholds applicable from 1 July 2015 to 31 March 2016, go to the ATO website.
- For the thresholds applicable from 1 July 2014 to 31 March 2015, see the Department of Health’s Private Health Insurance Circular 27/14.
- For the previous thresholds from 1 April 2014 to 30 June 2014, see the Department of Health’s Private Health Insurance Circular 22/14.
- For the previous thresholds for the 2013-14 year, see the Department of Health’s Private Health Insurance Circular 21/13.
- For the previous thresholds for the 2012-13 year, see the Department of Health’s Private Health Insurance Circular 14/12.
Still have questions, please refer to our FAQs about the Australian Government’s Private Health Insurance Rebate.
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Australian Government Private Health Insurance Rebate
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