Knowledge topic

Medicare and Public Health After Gaining PR Through Visa 186

One of the important benefits of gaining permanent residence through the subclass 186 is full access to Medicare. If you previously had no Medicare while on a subclass 482, this is a significant change.

Who gets Medicare after the subclass 186

A permanent resident through the subclass 186 is eligible for Medicare from the day the visa is granted. There is no waiting period for Medicare — this differs from many other Centrelink benefits.

How to enrol in Medicare

  1. Visit your nearest Medicare Service Centre or use Medicare online
  2. Bring: your passport, visa grant letter (or VEVO printout), and proof of address
  3. Complete Form IM010 (Enrolment in Medicare)
  4. Receive your Medicare card by post within 2–4 weeks

While you wait for the card, you can use Medicare with a temporary Medicare number.

What Medicare covers

Medicare pays for:

  • GP visits: fully covered if the doctor bulk-bills; if they do not bulk-bill, you pay the gap
  • Specialists: Medicare covers the allowed portion — usually 85% of the schedule fee
  • Public hospital: stays in a public ward, public surgery
  • Tests, X-rays, scans: covered by Medicare under the schedule

Medicare does not cover:

  • Dental (only some emergency cases through public services)
  • Glasses and contact lenses
  • Prescription medicines (covered by the PBS — Pharmaceutical Benefits Scheme)
  • Cosmetic procedures

Pharmaceutical Benefits Scheme (PBS)

Alongside Medicare, permanent residents have access to the PBS — the scheme that subsidises prescription medicines. The current co-payment is much lower than the market price. The PBS is especially valuable for people with chronic conditions.

Medicare Levy

As a tax resident, you pay the Medicare Levy of 2% of your taxable income each year — calculated automatically in your tax return. This is how Medicare is funded.

The Medicare Levy is reduced or waived if your income is below a certain threshold.

Medicare versus OVHC/private health insurance

Medicare provides a foundation of health cover. Many permanent residents still choose to buy private health insurance in order to:

  • Be admitted to a private hospital
  • Choose their own doctor
  • Cover dental and glasses
  • Avoid the Medicare Levy Surcharge if their income is high

If your income is over $93,000 a year (single), you should consider private hospital cover to avoid an additional Medicare Levy Surcharge of 1–1.5%.

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Sources for this page

Figures on this page link to the official sources below, with verification status shown where each figure appears.

  1. servicesaustralia.gov.au servicesaustralia.gov.au · legislation
  2. servicesaustralia.gov.au servicesaustralia.gov.au · legislation
  3. DHA — Employer Nomination Scheme (subclass 186) visa immi.homeaffairs.gov.au · government source
  4. DHA — ENS 186 Direct Entry stream immi.homeaffairs.gov.au · government source