Health insurance rebate

 
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What is the health insurance rebate?

The Australian Government currently offers a health insurance rebate to all eligible residents, with a green (full) or blue (interim) Medicare card. The rebate is designed to help cover the cost of health insurance premiums and applies to both hospital and extras cover.

The health insurance rebate is income tested, this means that the level of rebate you are eligible for will be dependent on your annual pre-tax income. The level of your rebate is also dependent on the age of the oldest member covered under your health insurance policy.


Claiming the health insurance rebate

The most popular way of claiming the rebate by far is to simply:

Deduct 

Deduct the amount from the cost of your health insurance premium. In fact, many health funds will quote your premium based on the assumption that you’ll choose to claim the rebate this way.
 

Pay up front 

Pay the full amount of your premium up front to your health fund and then claim the rebate as a cash amount from your local Medicare office, or claim it at tax time on your tax return. 
 


Annual rebate changes

From 1 April each year, your rebate contribution from the Australian Government will change based on a weighted average ratio, which is set by regulations provided by the Government.

The change will apply to any premium payments that are made on or after 1 April each relevant year. The rebate will continue to be paid as a percentage of premiums contributed, excluding any Lifetime Health Cover loading that may be applicable.


Income threshold changes from 1 July 2015

From 1 July 2015, the income thresholds will not be adjusted for three years – for 2015/16, 2016/17 and 2017/18. This may affect the tier level, and accordingly the rebate percentage, you are eligible for.

The table below details the different net rebate amounts after taking into account the weighted average ratio and sets out the eligibility based on income and age:
 

  Tier 0 Tier 1 Tier 2 Tier 3
Income thresholds for 2015-16, 2016-17 and 2017-18
Singles' Income Threshold

≤ $90,000

$90,001–$105,000

$105,001–$140,000

≥ $140,001

Families' Income Threshold

≤ $180,000

$180,001–$210,000

$210,001–$280,000

≥ $280,001

Rebate for premiums paid, 1 April 2014 – 31 March 2015
Under 65 years old

29.04%

19.36%

9.68%

No Rebate

65-69 years old

33.88%

24.20%

14.52%

No Rebate

Over 70 years old

38.72%

29.04%

19.36%

No Rebate

Rebate for premiums paid, 1 April 2015 – 31 March 2016
Under 65 years old

27.82%

18.55%

9.27%

No Rebate

65-69 years old

32.46%

23.18%

13.91%

No Rebate

Over 70 years old

37.09%

27.82%

18.55%

No Rebate


NOTE: The family income threshold is increased by $1500 for each Medicare levy surcharge dependent child after the first. Single Parent families are subject to the family income tiers. For more information please consult your tax adviser or contact the Australian Taxation Office.

 


Changes to the health insurance rebate

Choosi will continue to provide updates on our website regarding any changes the Government makes on the health insurance rebate.

If you claim your rebate as a deduction on your premium, your insurer will automatically adjust the deduction for any changes in the rebate for the tier to which you are allocated. However, should your eligible rebate tier change (i.e. your annual taxable income increases or decreases), you will need to notify your health fund so they can make the appropriate adjustments.

If you choose to claim your rebate as a tax offset, the Australian Tax Office will apply the adjusted rebate percentages to determine your correct private health insurance tax offset.


This is general information only and does not take into account your personal objectives, financial situation or needs. You should consider the relevant PDS available on this website prior to purchasing any product. Choosi offers insurance products from a range of brands but does not compare all products available in the market. 

 



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