Navigating the Medicare Levy Surcharge Threshold:

What You Need to Know


The Medicare Levy Surcharge (MLS) is an additional tax that higher-income earners in Australia may have to pay on top of the standard Medicare levy. Understanding the MLS threshold and how it applies to your situation is crucial to ensuring you meet your tax obligations and maximize your potential savings. In this comprehensive blog post, we'll dive into the details of the Medicare Levy Surcharge Threshold, explore the threshold requirements, and provide valuable insights to help you navigate this important aspect of your finances.

Understanding the Medicare Levy Surcharge

The Medicare Levy Surcharge is a tax imposed by the Australian government on individuals and families who do not have adequate private hospital insurance and earn above a certain income threshold. The primary purpose of the MLS is to encourage higher-income earners to take out private health insurance, which can help reduce the burden on the public healthcare system.

The Medicare Levy Surcharge is calculated as a percentage of your taxable income, and the rate can vary depending on your income level and family status. The current MLS rates are as follows:

  • Singles with an income above $90,000: 1% of your taxable income
  • Couples/families with a combined income above $180,000: 1% of your combined taxable income

It's important to note that the MLS is charged in addition to the standard Medicare levy, which is currently set at 2% of taxable income.

The Medicare Levy Surcharge Threshold

The Medicare Levy Surcharge threshold refers to the income level at which the surcharge becomes applicable. As mentioned earlier, the current thresholds are:

  • Singles: $90,000
  • Couples/families: $180,000

These thresholds are subject to annual indexation, so staying up-to-date on any changes is essential to ensure you're aware of your obligations.

Determining Your Income for the MLS Threshold

When calculating your income for the purposes of the Medicare Levy Surcharge, the Australian Taxation Office (ATO) considers your taxable income, which includes:

  • Wages and salaries
  • Business income
  • Investment income (e.g., dividends, interest, rental income)
  • Reportable fringe benefits
  • Reportable superannuation contributions

It's important to note that the Medicare Levy Surcharge threshold is based on your individual or combined taxable income, not your gross income. This means that deductions and tax offsets can significantly determine whether you fall above or below the threshold.

Exceptions and Exemptions

There are a few exceptions and exemptions to the Medicare Levy Surcharge that you should be aware of:

  1. Low-income earners: If your taxable income falls below the MLS threshold, you are exempt from the surcharge, regardless of your private health insurance status.
  2. The elderly and pensioners: Individuals who are eligible for the Commonwealth Seniors Health Card or hold a valid Department of Veterans' Affairs Gold Card are exempt from the MLS.
  3. Temporary residents: Temporary residents in Australia, such as international students or temporary work visa holders, are not subject to the Medicare Levy Surcharge. If you are not entitled to Medicare here, fill out a Medicare levy exemption form and send it to the address at the bottom of the form.
  4. Residents of Norfolk Island: Individuals who are residents of Norfolk Island are exempt from the Medicare Levy Surcharge.

Understanding these exceptions and exemptions can help you determine whether the MLS applies to your specific circumstances.

Strategies for Avoiding the Medicare Levy Surcharge

If your income exceeds the MLS threshold, there are several strategies you can explore to avoid or reduce the surcharge potentially:

  1. Obtain private hospital insurance: You can avoid the Medicare Levy Surcharge by taking out an eligible private health insurance policy. It's important to ensure that your policy meets the minimum coverage requirements set by the government.
  2. Reduce your taxable income: Strategies such as making additional superannuation contributions, claiming eligible deductions, or restructuring your investments can help lower your taxable income and potentially keep you below the MLS threshold.
  3. Claim the private health insurance rebate: The Australian government offers a private health insurance rebate, which can effectively reduce the cost of your premiums and potentially keep you below the MLS threshold.
  4. Adjust your income and family structure: For couples or families, you may be able to strategically manage your income sources and family structure to stay below the combined MLS threshold.

It's important to note that these strategies should be carefully considered and implemented in consultation with a qualified tax professional to ensure compliance with relevant laws and regulations.

Calculating the Medicare Levy Surcharge

Calculating the Medicare Levy Surcharge can be a straightforward process, but it's essential to have the necessary information at hand. Here's a step-by-step guide:

  1. Determine your taxable income: As mentioned earlier, your taxable income includes wages, business income, investment income, and other relevant sources.
  2. Identify your filing status: Are you filing as a single individual or as part of a couple/family?
  3. Check the current MLS threshold: Refer to the income thresholds mentioned earlier to determine if your income falls above the relevant threshold.
  4. Calculate the surcharge: If your income exceeds the threshold, multiply your taxable income by the applicable MLS rate (1% for singles, 1% for couples/families).

For example, if you're a single individual with a taxable income of $100,000, your Medicare Levy Surcharge would be calculated as follows:

Taxable income: $100,000 MLS rate: 1% Medicare Levy Surcharge: $100,000 x 1% = $1,000

It's important to note that the Medicare Levy Surcharge is calculated and paid as part of your annual tax return.

Compliance and Reporting Requirements

To ensure compliance with the Medicare Levy Surcharge, there are specific reporting requirements that you must fulfill:

  1. Private health insurance information: If you have private health insurance, your insurer will provide you with a Private Health Insurance Statement (also known as a PHI statement) that you'll need to include in your tax return.
  2. Tax return reporting: You must report your taxable income and private health insurance status on your annual tax return. The ATO will use this information to determine if the Medicare Levy Surcharge applies to you.
  3. Penalties for non-compliance: Failure to accurately report your income and private health insurance status or pay the Medicare Levy Surcharge when applicable can result in penalties and interest charges from the ATO.

Staying on top of these compliance and reporting requirements is crucial to avoid any issues with the Australian Taxation Office.


The Medicare Levy Surcharge is an essential consideration for higher-income earners in Australia. By understanding the MLS threshold, determining your eligibility, and exploring strategies to potentially avoid or reduce the surcharge, you can optimize your tax planning and ensure you meet your financial obligations.

Remember, navigating the complexities of the Medicare Levy Surcharge can be challenging, so it's always a good idea to consult with a qualified tax professional who can provide personalized advice and guidance based on your specific circumstances. With the correct information and planning, you can make informed decisions and take control of your tax situation.