The Finance Algorithm

Medicare Levy Calculator

Calculate your Medicare levy and Medicare Levy Surcharge. See if you qualify for a reduction or exemption, and whether you need private health insurance.

Updated October 2026Built and checked by MaverickHow it's calculatedReport an error

Your numbers

Updates as you type
$
$85k

Your annual taxable income

Affects MLS thresholds and Medicare levy reduction

Children under 21 or full-time students under 25

The MLS applies to high earners without private hospital cover

$
$0

Used for MLS family income threshold

35y

Affects Lifetime Health Cover loading calculations

The button asks our AI to explain these figures in words.

Medicare levy & surcharge

Medicare levy

$1,700

2%, reduced near the low-income threshold

MLS

Not applicable

0% rate

Total levy

$1,700

Basic hospital cover

$1,066

median a year after your 24.1% rebate

You're under the MLS threshold: no surcharge

MLS applies only if you don't hold compliant private hospital cover.

  • You
  • Active band
  • Other bands
Base (0%)$105kTier 1 (1%)$123kTier 2 (1.25%)$164kYou$85k

How it works

All Australian residents pay the Medicare levy: a 2% tax on taxable income that funds the public healthcare system. But it doesn't stop there. High-income earners without private hospital cover also pay the Medicare Levy Surcharge (MLS): an additional 1% to 1.5%. This calculator works out both, and compares the surcharge with the median Basic hospital premium for your cover type, after your rebate, from the Private Health Insurance Ombudsman's policy data.

  1. 1Enter your taxable income.
  2. 2Select your family status (single, couple, or family).
  3. 3Add the number of dependent children if applicable.
  4. 4Indicate whether you have private hospital cover.
  5. 5Enter your spouse's income if applicable.
  6. 6See your Medicare levy, any MLS, and how the MLS compares with the median Basic hospital policy.

The figures today

Half of the Australians who paid tax in 2023–24 had a taxable income under about $71,000, and the top 10% earned more than about $157,000, from the ATO's statistics.

The typical hospital policy anyone can buy costs $145.50 a month for a single at Bronze, $224.68 at Silver and $386.13 at Gold, before the government rebate, in October 2026 data.

Worked examples

Single Earner Without Health Cover

Jake earns $150,000 and doesn't have private hospital cover.

Medicare levy: $3,000 (2%). MLS at 1.25% (his income is in the $123,001-$164,000 band): $1,875. Total Medicare-related tax: $4,875. The median Basic hospital policy for a single was $1,405 a year in October 2026, $1,292 after his 8% rebate, so the surcharge costs him about $583 more than that cover would.

Low-Income Reduction

Maria is a student earning $31,000 from part-time work.

At $31,000, Maria is in the Medicare levy reduction zone ($28,011-$35,013). Her reduced levy is 10c for each dollar over $28,011: $299 instead of the full $620 (2%). At $28,011 or less, she'd pay no Medicare levy at all.

Questions people ask

Can I be exempt from the Medicare levy?
Yes, in limited circumstances: you're a foreign resident for the entire year, you have an exemption category (serving in defence forces abroad, etc.), or you hold a Medicare Entitlement Statement. Low-income earners may be exempt or pay a reduced rate. You cannot opt out simply because you don't use Medicare.
What counts as 'compliant' private health insurance for MLS?
Only private hospital cover with an excess of $750 or less for singles ($1,500 for families) qualifies. It must include psychiatric, rehabilitation, and palliative care cover. Extras-only or ambulance-only policies do not satisfy the MLS requirement.
How does the Private Health Insurance Rebate work?
The government provides an income-tested rebate on private health premiums, using the same 4 income tiers as the MLS. For 2026-27 (singles, under 65): under $105,000 gets the highest rebate (roughly mid-20s %), $105,001-$123,000 a reduced rebate (roughly mid-teens %), $123,001-$164,000 a smaller rebate (around 8%), and over $164,000 gets 0%. The exact percentage is reset each 1 April by the Rebate Adjustment Factor: check the current rate on your policy or via the ATO. The rebate can be applied as a premium reduction or claimed at tax time.

The terms, in plain English

Medicare Levy
A 2% tax on taxable income for all Australian residents to fund the public healthcare system. Most residents pay this; low-income earners may qualify for reduction or exemption.
Medicare Levy Surcharge (MLS)
An additional 1-1.5% levy on high-income earners who don't have compliant private hospital cover. Applies to singles over $105,000 and families over $210,000 (2026-27).
Lifetime Health Cover (LHC)
A government initiative that adds 2% to your private health insurance premium for every year past age 30 that you didn't have hospital cover. The loading is removed after 10 continuous years of cover.
Private Health Insurance Rebate
An income-tested government rebate that reduces the cost of private health insurance premiums. The percentage decreases as income increases.

Official sources