Things to know
Complete this section if at any time during 2024–25 you either:
- had private health insurance policy cover
- paid for a dependent-person-only policy.
If you don't have your own policy, you may have been covered as a dependent person on your family policy.
We'll use the information at this section to work out your share of any private health insurance rebate entitlement. This may result in a tax offset or liability.
Private health insurance rebate
The private health insurance rebate is an amount the government contributes towards the cost of your private health insurance premiums.
If you are eligible for the private health insurance rebate, you can claim the rebate either:
- through your private health insurance provider – your private health insurance provider will apply the rebate to reduce your private health insurance premiums
- when you lodge your tax return – as a refundable tax offset.
The private health insurance rebate is income tested. If you share the policy, you will be income tested on your share.
Your rebate entitlement:
- depends on your family status on 30 June. Different thresholds apply depending on whether you have a single income or a family income
- is based on the age of the oldest person covered by the policy.
When you lodge your tax return, we calculate your income for surcharge purposes and determine your rebate entitlement. Depending on how you claimed the rebate, and the percentage you claimed, this may result in a tax liability or a tax offset.
- If you haven't claimed the full rebate as a premium reduction, we calculate the rebate amount you're entitled to. This becomes payable to you as a refundable tax offset when we assess your tax return. The tax offset is added together with any other tax offsets that you receive and will appear as a credit in the myTax estimate and on your notice of assessment.
- If you claimed too much rebate as a premium reduction, we recover the amount as a tax liability. This liability will be listed in the myTax estimate and on your notice of assessment as an Excess private health insurance reduction or refund.
Your private health insurance statement
It's optional for registered health insurers to provide you with a private health insurance statement (PHI statement). Your registered health insurer will only provide a PHI statement if you request one.
We aim to pre-fill your tax return by 20 July with private health insurance policies provided to us. You can check our website, at Health fund data to confirm if your health fund has sent us your information.
To add policies not pre-filled, or to check pre-filled policies, refer to your PHI statement information. To obtain your PHI statement information, go to your health insurer's website for details on viewing your PHI statement information online, or to request a printed statement.
Understanding the details on your statement includes information explaining what each label on your statement means.
Dependent person
If you don't have your own policy, you may have been covered as a dependent person on your family policy if you're under 32 years old or are a person with disability.
A dependent person includes a dependent child who is aged under 18 and doesn't have a partner.
For this section, the definition of a dependent person relates to the rules of your health fund.
If you're unsure about whether this applies to you, check your family private health insurance policy details or contact your insurer.
Dependent persons aren't able to claim a private health insurance rebate and don't get their own PHI statement.
However, as a dependent person covered on a private health insurance policy, you need to complete this section so we can verify your health insurance coverage. This will ensure you aren't charged the Medicare levy surcharge (if your income is above the threshold).
Completing this section
If you:
- are an overseas visitor, information and instructions on how to complete the Medicare levy surcharge and this section can be found at Overseas visitors
- have paid for a dependent-person only policy, more information is available at Claiming for dependent-person-only policies.
We pre-fill your tax return with private health insurance policies provided to us. Check them and add any other policies you held, or policy details, that haven't pre-filled.
We may have pre-filled the tax claim code for you based on your last year's tax return.
When checking or adding policies, use your PHI statement information (or family statement information, if covered as a dependent person). If you don't have your PHI statement information, see Your private health insurance statement.
In most cases, there will be 2 lines of information on your PHI statement. One line relates to premiums you paid and rebates you received before 1 April, and the other line relates to premiums you paid and rebates you received on or after 1 April.
At Personalise return, you don't need to make a selection to show private health insurance. It will always be displayed at Prepare return.
At Prepare return, select 'Add/Edit' at the Medicare and private health insurance banner.
At the Private health insurance heading:
- For each of your private health insurance policies that are
- pre-filled, go to step 2
- not pre-filled, go to step 5.
- Is there a 'Record complete' indicator at the pre-filled policy details?
Yes – go to step 3.
No – go to step 4. - Check each pre-filled statement line panel, including the Tax claim code, and correct if necessary. Don’t combine the statement lines. If unsure of your tax claim code, visit Working out your tax claim code.
Go to step 9. - Select the Tax claim code that applies to you in each statement line panel. If you're unsure of your tax claim code, visit Working out your tax claim code. Check each pre-filled statement line panel and correct if necessary. Don't combine the statement lines.
Go to step 9. - For each private health insurance policy that hasn't pre-filled, select Add and enter information into the corresponding fields
- Select your Health insurer IDExternal Link
- Enter your Membership number.
- From your PHI statement information, for each statement line set up a statement line panel.
Enter each statement line separately, as they appear on your PHI statement. Don’t combine the statement lines.- If you need to enter more statement line panels in myTax, select Add line.
- If you have any statement line panels that you don’t need in myTax, select Delete to remove.
- In each statement line panel, select the Tax claim code that applies to you. If unsure of your tax claim code, visit Working out your tax claim code.
If you select Tax claim code A, B or C, go to step 8.
If you select Tax claim code E or F, go to step 12. - In each statement line panel
- enter Your premiums eligible for Australian Government rebate (at J in your statement information). Don't show a percentage.
- enter Your Australian Government rebate received (at K in your statement information). Don't show a percentage.
- select the Benefit code (at L in your statement information).
- Note: Your PHI statement information should include the name and an identifier that corresponds with these parts of the statement line panel (for example, L for Benefit code).
- In the statement line panel, is Tax claim code C selected?
Yes – go to step 10.
No – go to step 12. - Did you indicate (in Spouse details) that you had a spouse on 30 June 2025?
Yes – go to step 11.
No – go to step 12. - Answer the question Do you want to claim your spouse's share?
To claim your spouse's share, you must meet all the following criteria- you were both covered under the same policy
- you were both covered for the same period
- you were together on 30 June 2025
- your spouse must agree that you will claim.
If you answer Yes, for each of your statement line panels myTax will show your spouse's share in a corresponding read-only panel with Tax claim code D.
Answer No if you're claiming for a dependent-person-only policy or you're claiming only your share of the rebate.
- Select Save.
- Are all your private health insurance policy details included?
Yes – go to step 14.
No – go to step 1. - Select Save and continue when you have completed the Medicare and private health insurance section.
Claiming for dependent-person-only policies
If you paid for a dependent-person-only policy, you may be able to claim a private health insurance rebate for it.
If the parents of the dependent (or dependents) are:
- together, then one of the parents may claim the rebate – this applies regardless of which parent paid the policy
- no longer together, then the payer of the policy must claim the rebate – the payer of the policy doesn't need to be a parent of the dependent.
Working out your tax claim code
Follow these steps to work out your tax claim code.
Step 1: Covered as a dependent person on a policy?
Step 1 – Were you covered as a dependent person on a private health insurance policy?
Dependent person code
Select the code letter that describes your circumstances
|
Circumstances |
Tax claim code |
|---|---|
|
Yes – you were covered as a dependent person on a private health insurance policy. |
Tax claim code F Go to step 3 |
|
No – you weren't covered as a dependent person on a private health insurance policy. |
Go to step 2 |
Step 2: Were you single or married at 30 June 2025?
Step 2 – On 30 June 2025, were you:
- Single – go to Single tax claim codes
- Married or de facto (including if your spouse died during 2024–25 and you didn't have another spouse before 30 June 2025) – go to Married or de facto tax claim codes
|
Circumstances |
Tax claim code |
|---|---|
|
Tax claim code C Go to step 3 |
|
You want to claim both your share and your spouse's share of the rebate for the policy. To do this, you must meet all the following criteria:
Note: You confirm that you're claiming your spouse's share of the rebate at step 11 of Completing this section. This will automatically complete your spouse's share with tax claim code D. |
Tax claim code C Go to step 3 |
|
Your spouse is claiming your share of the rebate for the policy. |
Tax claim code E Go to step 3 |
Step 3: You've worked out your tax claim code
Step 3 – You've worked out your tax claim code. Return to Completing this section.
Overseas visitors
If you're an overseas visitor, how you complete Medicare levy surcharge and Private health insurance in myTax depends on your circumstances, such as if:
- you have an overseas health insurer
- you have a complying health insurance policy
- you're not eligible for Medicare
- you have overseas student or overseas visitor health cover
If you have an overseas health insurer
If your private health insurance provider is an overseas provider that isn't registered in Australia, you:
- won't be eligible for any rebate on your policy
- may need to pay the Medicare levy surcharge if you don't meet the conditions for a Medicare levy exemption.
When completing myTax, you should:
At Medicare levy surcharge
- Answer No to the question Were you and all your dependants covered by an appropriate level of private patient hospital cover from 1 July 2024 to 30 June 2025?
- Indicate the Number of days you do not have to pay the surcharge.
- In some instances, myTax may determine for you that you don't have to pay the Medicare levy surcharge.
- Otherwise, see Medicare levy surcharge to determine what to enter into Number of days you do not have to pay the surcharge.
At Private health insurance
- Not show any Private health insurance policies.
If you have a complying health insurance policy
You'll need to determine if you're eligible for Medicare.
If you're not eligible for Medicare, see If you're not eligible for Medicare.
If you're eligible for Medicare, you can ask for a PHI statement from your insurance provider if you:
- have an Australian-registered complying health insurance policy
- are a private health insurance incentive beneficiary (PHIIB).
When completing myTax, if you and all your dependants were covered under a complying health insurance policy for the full year with the appropriate level of private patient hospital cover, you should:
At Medicare levy surcharge
- Answer Yes to the question Were you and all your dependants covered by an appropriate level of private patient hospital cover from 1 July 2024 to 30 June 2025?
At Private health insurance
- Show your Private health insurance policies. For more information, see Completing this section.
If you're not eligible for Medicare
If you're an overseas visitor who isn't eligible for Medicare, you're not entitled to any private health insurance rebate.
However, you can still purchase a complying health insurance policy with an Australian-registered health insurer. You will need to confirm the details of your PHI statement information. Your PHI statement information will include the amount of premiums paid (at label J), while the rebate received at label K will be zero ($0).
If the complying health insurance policy provides you and all your dependants with the appropriate level of private patient hospital cover, you will be eligible to claim an exemption from the Medicare levy surcharge.
When completing myTax, you should:
At Medicare levy surcharge
- Answer No to the question Were you and all your dependants covered by an appropriate level of private patient hospital cover from 1 July 2024 to 30 June 2025?
- Indicate the Number of days you do not have to pay the surcharge.
- In some instances, myTax may determine for you that you don’t have to pay the Medicare levy surcharge.
- If not, and you and all your dependants, including your spouse, were covered under the appropriate level of private patient hospital cover for the full year, enter 365 into Number of days you do not have to pay the surcharge.
- Otherwise, see Medicare levy surcharge to determine what to enter into Number of days you do not have to pay the surcharge.
At Private health insurance
- Not show any Private health insurance policies.
Overseas student or overseas visitor health cover
If you're an overseas visitor, you can purchase Overseas student health coverExternal Link (OSHC) or Overseas visitors health coverExternal Link (OVHC) from an Australian-registered health insurer. These aren't complying health insurance policies, and you won't be eligible for the private health insurance rebate.
When completing myTax as an overseas visitor with OSHC or OVHC, you should:
At Medicare levy surcharge
- Answer No to the question Were you and all your dependants covered by an appropriate level of private patient hospital cover from 1 July 2024 to 30 June 2025?
- Indicate the Number of days you do not have to pay the surcharge.
- In some instances, myTax may determine for you that you don’t have to pay the Medicare levy surcharge.
- Otherwise, see Medicare levy surcharge to determine what to enter into Number of days you do not have to pay the surcharge.
At Private health insurance
- Not show any Private health insurance policies.