• Private health insurance rebate

    The private health insurance (PHI) rebate is an amount the government contributes towards the cost of your private health insurance premiums. Your eligibility to receive a PHI rebate depends on your single or family income for surcharge purposes.

    You can receive the rebate upfront through a reduction in the cost of your premiums you pay to your insurer, or in the form of a refundable tax offset when you lodge your tax return.

    Since 1 April 2014, the rebate percentage has been adjusted annually by a rebate adjustment factor.

    We may send you a letter about your PHI rebate if we receive information from Medicare Australia and your health fund showing you may not be entitled to the level of rebate claimed in your tax return.

    The letter will include a schedule showing the relevant information from your tax return compared with information we hold.

    See also:

    Understanding your PHI rebate schedule

    Below is a sample PHI rebate schedule. Keep in mind that your schedule will contain your own details and may not look exactly like this one.

    Sample PHI rebate schedule

    Private health insurance rebate schedule for the year ended 30 June 2015

    Your income for surcharge purposes

    $185,123

    The amount of private health insurance rebate you have received

    $776

    The amount of private health insurance rebate you are entitled to

    $517

    The difference between the rebate you have received and the amount you may be entitled to

    $259

    Tax return information

    B - Health insurer ID

    C - Membership number

    J - Your share of premiums paid in the financial year

    K - Your share of Australian Government rebate received

    L - Benefit code

    Tax claim code

    ABC

    G12345

    $1,313

    $381

    30

    A

    B - Health insurer ID

    C - Membership number

    J - Your share of premiums paid in the financial year

    K - Your share of Australian Government rebate received

    L - Benefit code

    Tax claim code

    ABC

    G12345

    $1,422

    $395

    31

    A

    Private health insurance policy details

    B - Health insurer ID

    C - Membership number

    J - Your share of premiums paid in the financial year

    K - Your share of Australian Government rebate received

    L - Benefit code

    Tax claim code as determined by the ATO

    ABC

    G12345

    $1,313

    $381

    30

    C

    B - Health insurer ID

    C - Membership number

    J - Your share of premiums paid in the financial year

    K - Your share of Australian Government rebate received

    L - Benefit code

    Tax claim code as determined by the ATO

    ABC

    G12345

    $1,422

    $395

    31

    C

    The following definitions will help you understand your schedule:

    • Your share of premiums paid in the financial year– The amount of premiums paid during the financial year eligible for the rebate. This figure is split between each adult covered by the policy.
    • Your share of Australian Government rebate received - The amount the Australian Government has paid towards your private health insurance.
    • Benefit code - These codes relate to the level of rebate you are entitled to based on your age.
    • Private health insurance policy details – The details of your private health insurance policy, as provided to us from your private health fund. It includes the name of the fund, the amount of premiums you paid, and your share of Australian Government rebate received.

    Next step:

    Last modified: 11 Feb 2016QC 41725