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Extended Medicare Safety Net Concessional and FTB (A) threshold

This table shows details of the Extended Medicare Safety Net (EMSN) Concessional and FTB (A) threshold.

Threshold amountWho it is forHow it is calculatedWhat the benefit is
Extended Concessional and FTB (A)$610.70Concession cardholders and families eligible for Family Tax Benefit (Part A)Out-of-pocket cost80% of out-of-pocket costs or the EMSN benefit cap for out-of-hospital services (whichever is the lower amount)

The EMSN concession threshold is for concession cardholders and families eligible for Family Tax Benefit (Part A).

We will pay 80 per cent of the out-of-pocket costs, or the EMSN benefit cap, whichever is the lower amount, for out-of-hospital Medicare Benefits Schedule services, after a threshold of $610.70 per family or individual per calendar year is reached.

Eligible concession cards are those issued by us, or the Department of Veterans’ Affairs, including:

  • Commonwealth seniors' health card
  • Health care cards
  • Pensioner cards.

If you are a concession cardholder at any time during a calendar year, you are eligible for the concession threshold for the remainder of that year, starting from your eligibility date.

Family Tax Benefit (Part A) (FTB (A)) is an annual tax benefit to help families with the cost of raising children. The start date of your EMSN FTB (A) eligibility will depend on how and when you get your FTB (A) payment.

If you:

  • get it as a fortnightly installment, you’re eligible for the remainder of the calendar year from the date of your payment
  • defer your payment, you’re eligible for the remainder of the calendar year from the date of the deferment, or
  • get a lump sum payment, you’re eligible for the remainder of the calendar year from the date of payment or for the following calendar year. For more information call us on 132 011.

Disclaimer: It is your responsibility to understand that how you choose to receive your payment/s determines your EMSN FTB (A) eligibility.

Eligibility for FTB (A)

You may get Family Tax Benefit (Part A) if you:

  • have a dependent child under 21 years of age (including a foster child), in your care for at least 35 per cent of the time, or
  • have a dependent full-time student aged 21 to 24 in your care for at least 35 per cent of the time, and
  • have income under a certain amount and permanently live in Australia, and
  • are an Australian citizen, a New Zealand citizen, the holder of a permanent visa or the holder of certain temporary visas. Read more about Family Tax Benefit (A) and your eligibility for it.