Medicare Levy Exemption Application - Foreign Residents

(last updated) 28/03/2014)

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Medicare levy is payable by individuals residing and working in Australia who are eligible for Medicare. Persons who are NOT entitled to Medicare can seek an exemption from the Medicare levy in their income tax return. To obtain an exemption, you must NOT be eligible for Medicare and must apply for Medicare Levy exemption certification.
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To claim an exemption from the Medicare levy in your income tax return, you may be required to supply a copy of your Medicare levy exemption certification to the Australian Taxation Office (ATO) if requested.

Eligibility for Medicare Levy Exemption Certificate:

You may be eligible for Medicare levy exemption if you:
  • do not hold an Australian permanent resident visa and have not applied for a permanent resident visa.
  • did not reside in one of the following countries prior to entering Australia – the United Kingdom, Northern Ireland, Italy, Malta,Sweden the Netherlands, Finland, Norway, Belgium or Slovenia.These countries have a Reciprocal Health Care Agreement with Australia.
  • are an Australian citizen residing overseas for 5years or more(this excludes diplomats, defence force personnel or an employee of the Australian government).
  • are a New Zealand citizen that has been residing in Australia for less than 6 months.

How To claim an exemption:

  • Application Form - application with a separate form is required for each financial year (ie 1 July to 30 June) and must be submitted to Dept. Human Resources.
  • On processing the application form the Sept of Human Resources we will send you the certificate, or a response which details the reason your certification was refused.
  • You should not apply for certification for the current financial year unless you are leaving Australia and will be submitting a final income tax return before the end of the financial year.
  • If a tax agent prepares the application, the tax agent must complete the Tax agent details under question 19 of the application form.

Documents required:

The following documents must be submitted when lodging an application for Medicare levy exemption certification.
  • Completed Medicare levy exemption certification application form (3169)
  • Certified copy of the photo page of your passport
  • Evidence of visa(s) to cover the period you are claiming

Where Do I Get an Application Form?

See this link for a pdf of the application form:


Mail the application form with supporting documents to:

Medicare Levy Exemption Unit
Department of Human Services
GPO Box 9822
Adelaide  SA  5001

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