Medicare Safety Net thresholds 011-43080100

Medicare Safety Net (MSN) threshold amounts

Table 1: this table lists the MSN thresholds for the current and previous year. The threshold amounts are indexed annually from 1 January.

Also see Services Australia website:

What are the thresholds > 2025 Medicare Safety Nets thresholds for details about:

Medicare Safety Net	Threshold 2024	Threshold 2025
Original Medicare Safety Net (OMSN)	$560.40	$576.00
Extended Medicare Safety Net (EMSN) - General	$2,544.30	$2,615.50
Extended Medicare Safety Net (EMSN) - Concessional and Family Tax Benefit Part A	$811.80	$834.50

Table 2

Verified cost type

Calculation

Calculation of gap amount for Original Medicare Safety Net (OMSN) threshold

Frank goes to the doctor and the doctor charges $150 for the service provided. In this example, the MBS schedule fee for the MBS item is $100.

The standard Medicare benefit for out-of-hospital services is 85% of the schedule fee. To calculate the gap amount:

The $15 gap amount contributes towards reaching Frank's OMSN threshold.

Calculation of out of pocket (OOP) expense for the EMSN threshold.

Using the details from the above example, the OOP is calculated as follows:

Frank's $65 OOP expense contributes towards reaching the EMSN threshold.