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Letters

Questions surround Medicare surcharge

I seek your assistance to provide advice on the Medicare Levy Surcharge in relation to Defence personnel.

While it is clear that permanent service members are exempted persons from the Medicare Levy because they receive medical coverage from the ADF, their incomes that are exempted or half exempted from the Medicare Levy are not exempted when considered for the Medicare Levy Surcharge.

If the combined family income exceeds $100,000, the Defence family has to pay one per cent of its total combined income as a Medicare Levy Surcharge if it has no private health insurance cover.

In some cases, if both members are serving members, the private health insurance may only be needed for one child. If the combined family income is less than $100,000, the family is exempted from the surcharge.

Surely, if a Defence member’s income is exempted or half-exempted from the Medicare Levy, then this income amount should be deducted from the total family income in relation to the Medicare Levy Surcharge test.

Otherwise, no consideration is given to the fact that the Defence member receives medical and dental cover as a condition of service and does not require private health insurance.

When the Medicare Levy Surcharge was introduced, was Defence consulted or did Defence put up a case for the exempted income amounts of its members in relation to the Medicare Levy Surcharge test?

WGCDR Peter Davis
Director Personnel Reserves - Air Force Medicare surcharge?

The official response to the above letter is as follows:

The Government introduced the Medicare Levy Surcharge (MLS) as part of a package of measures designed to encourage people to retain or take up a private health insurance option. Individuals and families on higher incomes, who do not have private patient hospital cover for themselves and all of their dependants (including their spouse or children), may be liable to pay MLS for any period during the income year that they did not have this cover. By removing the member’s income, as you have suggested, from the family income test would undermine the integrity and equity of the system.

Members of the Australian Defence Force (ADF) will be exempt from MLS if they were in an exemption category for the full income year and:

  • did not have any dependants, or
  • if they had dependants, the dependants:
  • were also in an exemption category for the full year, or
  • all had private patient hospital cover for the whole of the income year.

    However, as an ADF member you will be liable for the MLS if:

  • you have dependants who are not prescribed persons and they do not have private patient hospital cover, and
  • you have a taxable income for Medicare levy surcharge purposes above the relevant threshold.

    Accordingly, members who earn above the threshold amounts can prevent the application of the surcharge by obtaining private health insurance for any dependants who are not prescribed persons.

    Although the Defence Taxation Management Office (DTMO) does not provide personal tax advice, they can assist in helping members locate the correct information on taxation matters.

    The contact details for DTMO are: taxation.management@defence.gov.au, fax (02) 6265 2648, phone: 1800 806 053 (in Australia), phone: +61 2 6265 7120 (overseas callers) James Hogan Assistant Director DTMO.

 

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