The Extended Medicare Safety Net (EMSN) general threshold is for all Medicare cardholders who don’t have concession cards or get Family Tax Benefit Part A.
Once you reach the Extended general threshold of $2,056.30, for the rest of the calendar year you’ll get the Medicare benefit plus whichever is lowest of the following:
- 80% of the out of pocket amount, or
- EMSN benefit caps - read more about the EMSN benefit caps on the Department of Health website
Reaching the out of pocket threshold
Each time you or your family claim from Medicare we keep a tally of the out of pocket amounts during the calendar year.
When your family gets close to the threshold amount we’ll tell you, so you can confirm who’s in your family and get the higher Medicare benefit when your family reaches the threshold.
If you’re single we’ll automatically pay you the higher benefit when you reach the threshold.
The Medicare Safety Net threshold is indexed annually from 1 January.
We calculate the Safety Net on a calendar year, 1 January to 31 December.