A statement you can get from us if you aren’t eligible for Medicare and want to claim the Medicare levy exemption.
The Medicare Entitlement Statement replaces the Medicare levy exemption certificate.
What a Medicare levy exemption is
Taxpayers partly fund Medicare through a levy. This is the Medicare levy.
You may not have to pay the levy if you weren’t eligible for Medicare for all or part of the financial year. You can lodge an exemption to pay the levy with the Australian Taxation Office (ATO). You’ll need a statement from us before you can lodge an exemption.
There are other reasons you may be exempt that you don’t need this statement for.
Read more about Medicare levy exemptions on the ATO website.
Who can get a statement
You can get a statement if you’re not eligible for Medicare for all or part of the financial year.
Not eligible for Medicare
You're not eligible for Medicare if you:
- are a permanent resident of Australia and:
- have been living outside Australia for 12 months or more, or,
- haven’t come back to live in Australia permanently
- haven't applied for permanent residency
- had your permanent residency application withdrawn or refused and you haven't submitted an appeal
You’re also not eligible for Medicare if you:
- are an Australian citizen and have been living overseas for 5 years or more
- are a New Zealand citizen and spend less than 6 months in a 12 month period in Australia
- aren't eligible under a Reciprocal Health Care Agreement
Read more about eligibility for Medicare.
How to get a statement
Complete the Application for a Medicare Entitlement Statement form. Make sure you complete the whole form. Don't forget to sign it.
You’ll need to give us copies of supporting documents.
You may also need to give us proof:
- of your current visa
- you've applied for permanent residency
- your application for permanent residency was refused or withdrawn
- of your appeal through the Migration Review Tribunal, if your application for permanent residency was refused
- of your European Health Insurance Card or other proof of health insurance - it must show an expiry date if you live in:
- the Netherlands
- Belgium, or
A certified copy is a copy of a document that an authorised person, such as a Justice of the Peace, has endorsed. They must have seen the original.
There are lots of people who can certify documents. See the list of authorised witnesses on the Attorney-General’s Department website.
Submit your form
Submit your form and supporting documents by email or post. Send them to the Medicare Entitlement Statement Unit.
To avoid delays:
- use the form on our website - we won't accept old printed versions
- send certified copies of any supporting documents with the form
- if emailing, check documents are in PDF and not password protected
Always use a secure email address to send your personal information. You could be at risk if you send personal information through unsecured email.
When we process your application
We get a lot of applications between July and October. It may take up to 6 weeks to process your application.
We’ll let you know the outcome. We’ll write to you if we don’t approve your application or need more information.
If we approve your application, we’ll send you a statement. This will certify when you weren’t eligible for Medicare.
You'll need to tell the ATO you have a Medicare Entitlement Statement when you do your income tax return. Keep the statement for your records.
They’ll decide if you need to pay the Medicare levy.