Applicants for permanent residency eligibility for Medicare 011-44020000
This document explains Medicare eligibility for customers who have lodged an application for permanent residency or a protection visa with the Department of Home Affairs.
On this page:
Applicant for permanent residency
Applicant for a permanent protection visa
Check if a Medicare enrolment is linked to the Department of Home Affairs
Unlink and link a current record
Applicant for permanent residency
Table 1: this table describes how to enrol or extend a customer as an applicant for permanent residency (Conditional Migrant) in CDMS.
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Documents needed to enrolCustomers must provide all the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) or Digital Medicare Extension (DMX) application:
Note: if the customer supplies a bridging visa letter which includes the visa subclass applied for and the application ID, the customer's date of visa application can be confirmed through:
Service Officers must use the information from VEVO if the information from the DIAC link and VEVO do not match. For example, if the DIAC link indicates that the visa has been refused but VEVO indicates that the visa has been lodged, use the information from VEVO. If unsure, Service Officers must contact Medicare and Aged Care - Local Peer Support (LPS) for support. Service Officers must not save customer documents and letters to their desktop or personal H: drive. If the:
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Document Verification Service (DVS)To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. Note: if a customer submits a DME/DMX application, DVS is completed in the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal. | |
VEVOService Officers must complete a Visa Entitlement Verification Online (VEVO) check for all customers listed on the MS004 form. If the customer has submitted their enrolment through DME/DMX application application, see Digital Medicare Enrolments and Extensions in the MEE Portal. Does the VEVO check confirm the customer is onshore?
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Customer does not have permission to workIf a customer does not have permission to work, they must provide evidence of a relationship to a child, partner, or parent that resides in Australia and is either:
Service Officers do not have permission to access customer records to confirm the eligibility of the:
Service Officers must record the relationship documents in CDMS. If relationship documents have been supplied with a previous enrolment application and recorded in CDMS under eligibility documents, relationship documents are not required to be re-supplied. Note:
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Register the customer and enter the entitlement detailsRegister the customer for Medicare using the entitlement details below and record all documents provided in CDMS. To enrol the customer under applicant for permanent residency:
When keying the entitlement end date of 12 months, only the year needs to change. For example, a start date of 01/01/2023 would mean the end date is keyed as 01/01/2024. If the entitlement end date is close to expiry (less than 31 days from the date of processing), the entitlement can be manually extended for 12 months from date of processing. Note: if a customer has requested judicial review (through courts) or Ministerial Intervention following a refused visa, they are not eligible for Medicare. See Table 3 > Step 7 for more information. | |
Record each customer's eligibility documentsService Officers must key all required eligibility documents provided under each customer's Entitlement tab in CDMS. See the Resources page in Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS).
See Document types for Medicare eligibility and enrolment for document details to be recorded in CDMS. | |
Issue the Medicare cardAfter the entitlement has updated:
See Medicare cards. | |
Change of name on an interim Medicare cardCustomers must provide their change of name documents. For an initial enrolment when the customer's name differs between the passport and visa:
Any changes from the Department of Home Affairs updates in CDMS. If there is no DIAC link, the customer's name may be changed once the initial enrolment has been completed. For a previously enrolled customer, change the customer's name if they are currently enrolled under the name held by the Department of Home Affairs. For details about acceptable change of name documents see Change legal name on Medicare record. |
Applicant for a permanent protection visa
Table 2: this table describes how to enrol or extend a customer as an applicant for a permanent protection visa (866) entitlement in CDMS.
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Documents needed to enrolCustomers must provide all the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) or Digital Medicare Extension (DMX) application:
Note: if the customer supplies a bridging visa letter which includes details regarding the visa subclass applied for and the application ID, the customer's date of visa application can be confirmed through:
Service Officers must use the information from VEVO if the information from DIAC link and VEVO do not match. For example, if the DIAC link indicates that the visa has been refused but VEVO indicates that the visa has been lodged, use the information from VEVO. If unsure, Service Officers must contact Medicare and Aged Care - Local Peer Support (LPS) for support. For refugees who do not have photo ID Refugee customers who do not have photo identification can provide a statement by an authorised referee. It must include the:
A referee may be a:
This only applies to applicants or holders of permanent protection visas. All other enrolments must provide photo identification. Service Officers must not save customer documents and letters to their desktop or personal H: drive. If the:
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Document Verification Service (DVS)To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. Note: if a customer submits a DME/DMX application, DVS is completed in the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal. | |
VEVOService Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment through DME/DMX application, see Digital Medicare Enrolments and Extensions in the MEE Portal. Does the VEVO check confirm the customer is onshore?
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Customer does not have permission to workIf a customer does not have permission to work, they must provide evidence of a relationship to a child, partner, or parent that resides in Australia and is either:
Service Officers do not have permission to access other customer records to confirm the eligibility of the:
Record the relationship documents in CDMS. If relationship documents have been supplied with a previous enrolment application and recorded in CDMS under eligibility documents, relationship documents are not required to be re-supplied. Note:
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Register the customer and enter the entitlement detailsRegister the customer for Medicare using the entitlement details below and record all documents provided in CDMS. To enrol the customer as an applicant for permanent protection:
The Resources page has an allowable extension period table. When keying the entitlement end date of 12 months, only the year needs to change. For example, a start date of 01/01/2023 would mean the end date is keyed as 01/01/2024. If the entitlement end date is close to expiry (less than 31 days from the date of processing), the entitlement can be manually extended for 6 months from date of processing. Note: if an application for a protection visa is refused by the Department of Home Affairs before the customer lodges their enrolment application to enrol with Medicare, the customer:
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Record each customer's eligibility documentsService Officers must key all required eligibility documents provided under customer's Entitlement tab in CDMS. See the Resources page in Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS).
See Document types for Medicare eligibility and enrolment for document details to be recorded in CDMS. | |
Issue the Medicare cardAfter the entitlement has updated:
See Medicare cards. | |
Change of name on an interim Medicare cardCustomers must provide change of name documents. For an initial enrolment when the customer's name differs between the passport and visa:
All changes from the Department of Home Affairs update in CDMS. If there is no DIAC link, the customer's name can be changed once the initial enrolment has been completed. For a previously enrolled customer, change the customer's name if they are currently enrolled under the name held by the Department of Home Affairs. |
Appealing a visa refusal
Table 3: this table describes document and eligibility requirements for a customer who has appealed the Department of Home Affairs' decision to refuse their visa application.
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Determine the appeal pathwayA customer may have a refused visa decision being reviewed through one of the following pathways:
What evidence of appeal has the customer provided? Judicial review or Ministerial InterventionThe customer has provided judicial review or Ministerial Intervention documents. Judicial review and Ministerial Intervention do not support Medicare eligibility. No evidence providedRequest evidence from the customer. Service Officers must attempt to contact the customer to ask for evidence of a current appeal with ART:
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ART evidence and documents requiredCustomers must provide all the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) or Digital Medicare Extension (DMX) application:
The customer must be appealing the refusal of a Medicare-eligible visa category to be eligible for Medicare during the appeals process. A Department of Home Affairs notice for the refused visa must be supplied if the visa subclass is not listed on the customer's:
If the customer's expired identity document:
See Expired Identity documents on the Background page Is the ART evidence dated within the last 12 months?
Request updated evidence from the customer. Service Officers must attempt to contact the customer to ask for evidence of a current appeal with ART:
See Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS) if there are extenuating circumstances that prevent the customer from providing additional evidence to confirm they have an ongoing appeal of their visa refusal with the ART. | |
Check documents providedHas the customer provided all the required documents?
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Document Verification Service (DVS)To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. Note: if a customer submits a Digital Medicare Enrolment (DME) or Digital Medicare Extension (DMX) application, DVS is completed in the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal | |
VEVO check result for a refused visaService Officers must complete a VEVO check for all customers listed on the Medicare enrolment (MS004) form. A customer's VEVO check result will show a 'No' answer to the 'Applicant for Permanent Residency' question when their Permanent Residency visa application has been refused. VEVO also shows if the customer has permission to work. If the VEVO check confirms the customer is:
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Assess entitlementIf a customer is currently at judicial review or Ministerial Intervention, they are not eligible for Medicare. If the customer has provided evidence of judicial review (notice of filing or court documents) or ministerial intervention, go to Step 7. New enrolmentIf an applicant for a permanent visa or protection visa is refused by the Department of Home Affairs before the customer lodges their enrolment application with Medicare, the customer:
See Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS). Extension requestIf an applicant for a permanent visa or protection visa is refused by the Department of Home Affairs, the customer:
See Table 4 to extend their Medicare entitlement. | |
Judicial Review and Ministerial InterventionJudicial Review and Ministerial Intervention do not support Medicare eligibility. Customers are not eligible for Medicare if they are seeking:
Note: if a customer under judicial review or Ministerial Intervention is a UMA or meets RHCA eligibility criteria, they may still be eligible for Medicare.
The process to take will depend on the enrolment application date of lodgement (DOL). This applies for both DME/DMX and manual enrolments. For a DOL:
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DOL is on or after 29 September 2026 (29/09/2026)Follow the relevant steps below depending on if the customer has current eligibility recorded in CDMS or not. Customer has current entitlement in CDMS
Add comments in PaNDA/DME as per below (depending on the circumstances).
Customer’s entitlement is expired
Add comments in CDMS Personal as per below (depending on the circumstances).
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DOL is on or before 28 September 2026 (29/09/2026)For enrolment applications with a DOL before 29/09/2026, that include judicial review or Ministerial Intervention documents they must be escalated. Follow the procedure below. If the customer has questions about an escalated enrolment, they can be told that an outcome will be provided to them in writing. Manual enrolmentsService Officers must:
Digital Medicare enrolments (DME) and Digital Medicare extensions (DMX)In the Medicare Eligibility and Enrolments (MEE) Portal: Service Officers must:
LPS/SO4 staff must:
Note: if the DME/DMX is not recategorised to ME_DME_ENROLMENT_ESC first, Service Officers:
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Extend a Medicare card
Table 4: this table describes how to extend an eligible customer's Medicare card.
Note: if a customer has submitted a digital Medicare enrolment application, the Medicare card can be extended in the MEE portal. See Digital Medicare Enrolments and Extensions in the MEE Portal.
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Document Verification Service (DVS)To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. Note: if a customer submits a DMX application, DVS is completed in the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal. | |
VEVOService Officers must complete a VEVO check for all customers listed on the Medicare enrolment (MS004) form or DMX application. If the VEVO check confirms the customer is:
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Customer does not have permission to work
Note:
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On CDMS Home page
A Medicare Payment Integrity (MPI) restriction may be on the record. This prevents any changes. If this occurs, see the Comments in Group. If required, contact Medicare and Aged Care - Local Peer Support (LPS). Note: sensitive or safety concern messages may show on the record. Service Officers must acknowledge these warnings, failing to check indicators may cause serious harm or distress to customers. | |
Checking eligibility entitlement is correct in CDMSService Officers must check that the existing entitlement in CDMS matches the entitlement in the documents submitted by the customer. Select Entitlement. Does the Entitlement Type in CDMS match with the visa name/subclass on the customer's the Department of Home Affairs notice?
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DIAC link Client StatusService Officers must complete the following for all ART refused enrolment or extension applications. Select Amend DIAC link button in the Entitlement screen. If the Client Status shows:
If Amend DIAC link button does not show, go to Step 7. Note: the Immigration Clients tab cannot be selected if there are no details available from the Department of Home Affairs about the customer's client status. | |
If Amend DIAC link button is not showingIf Service Officers do not have the Amend DIAC link button, the customer's Client Status must be checked:
The Department of Home Affairs linked records show under Possible Matches. The Client Status will show:
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Adding documents to CDMSService Officers must key all required eligibility documents provided under each customer's Entitlement tab in CDMS. See the Resources page in Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS)
Do not record the same document details if they are already correctly recorded in eligibility documents. Note: when relationship documents have been previously submitted and recorded in CDMS and are still relevant, do not request these again. See Document types for Medicare eligibility and enrolment for document details to be recorded in CDMS. | |
Extend the entitlement and issue a replacement cardThe Resources page has details about extension periods. Once eligibility is established, extend the entitlement details. Select the Card Request tab. In the Group Eligibility End Date field:
An information message shows stating if the details were acceptable or not. Select OK to acknowledge the message. If not acceptable, make changes as required. Do not change the Group Eligibility Start Date unless there has been a gap in the customer's entitlement period. Note:
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Check if a Medicare enrolment is linked to the Department of Home Affairs
Table 5
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On CDMS Home page
The Department of Home Affairs linked records show under Recorded External IDs. The issuing party shows as IMMIGR. The Recorded External IDs does not show for records not linked. Note: if a customer has submitted a DME/DMX enrolment application, the link to the Department of Home Affairs can be checked in the MEE portal. See Digital Medicare Enrolments and Extensions in the MEE Portal. |
Unlink and link a current record
Table 6: this table describes how to unlink and link a DIAC record for a customer. This process is only for Service Officers experienced in Medicare Enrolments and Eligibility. For help, contact MEE Local Peer Support (LPS).
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On CDMS Home page
Note: if a customer has submitted a Digital Medicare Enrolment (DME) or Digital Medicare Extension (DMX) application, the link to the Department of Home Affairs can be updated in the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal. | |
Select the record to unlinkIn:
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Unlink the recordSelect Unlink. The following warning messages show:
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Unlink and link the customer
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Update and finalise the record
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