Medicare eligibility for customers with permanent resident status 011-44040000

Customers must provide the following documents. They must provide these documents for each person on the enrolment form or submitted in their Digital Medicare enrolment (DME) application:

• A completed Medicare Enrolment form (MS004), or
• Digital Medicare enrolment (DME)
• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

If the customer has not provided proof they have been granted permanent residency with the application, and VEVO confirms that it has been granted, Service Officers can use VEVO as proof.

Note: a person that has been granted a permanent residency visa 12 months before lodging an application with Medicare, requires 2 residency documents.

If the Medicare enrolment form (MS004) is incomplete or documents are missing, Service Officers must request for information:

• attempt to contact the customer once to advise what is required, and
• resubmit their complete application again, if applicable

If contact is unsuccessful:

• issue the appropriate standard letter, and
• pend for future release

If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal.

• To verify documents for enrolments, see the Medicare Document Verification Service (DVS) Portal table
• If a customer fails the DVS check and attends a service centre, see the Customer fails DVS check and attends service centre with issued letter table

Note: if a customer submits a DME application, DVS is completed in the MEE Portal See Digital Medicare enrolments (DME) and the MEE Portal.

Register the customer using the entitlement details and record all documents provided.

• Entitlement Type - Migrant
• Country of relevance - this is the previous country of residence before arriving in Australia
• Start Date
• Visa granted in Australia - Date granted
• Visa granted outside Australia - Date of arrival
• End Date - Not applicable (open Medicare card)
• If the details are correct, select Update

A person living in Australia and has been granted a Permanent protection visa (subclass 866) is eligible for Medicare.

Documents needed to enrol

Customers need the following documents. They must provide these documents for each person on the enrolment form or submitted in their Digital Medicare enrolment (DME) application:

• A completed Medicare Enrolment form (MS004)
• Digital Medicare enrolment (DME), or
• Claim form for persons granted a Refugee, Humanitarian or Protection Visa (SS415)
• Current passport or ImmiCard
• Proof they have been granted an 866 visa from the Department of Home Affairs

If the customer has not provided proof that they have been granted permanent residency with the application, and VEVO confirms that it has been granted, Service Officers can use VEVO as proof.

Note: the SS415 form can also be used to enrol in Medicare, including registering in Medicare Safety Net and the Australian Immunisation Register.

These forms are generally processed by the Refugee Servicing team for both the Centrelink and Medicare components. Where they are unable to complete the Medicare enrolment, this is referred to a Medicare trained Service Officer to complete following the standard enrolment process.

If the Medicare enrolment form (MS004) is incomplete or documents are missing, Service Officers must request for information:

• attempt to contact the customer once to advise what is required, and
• resubmit their complete application again, if applicable

If contact is unsuccessful:

• issue the appropriate standard letter, and
• pend for future release

If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal.

• To verify documents for enrolments, see the Medicare Document Verification Service (DVS) Portal table
• If a customer fails the DVS check and attends a service centre, see the Customer fails DVS check and attends service centre with issued letter table

Note: if a SS415 is submitted, verbal DVS consent is required before confirming identity in the Medicare DVS Portal. See, the Medicare Document Verification Service (DVS) Portal table for consent wording.

Register the customer using the entitlement details and record all documents provided.

• Entitlement Type - Migrant
• Country of relevance - this is the previous country of residence before arriving in Australia
• Start Date
• Visa granted in Australia - Date granted
• Visa granted outside Australia - Date of arrival
• End Date - Not applicable (open Medicare card)

See Step 1 in Applicants for permanent residency eligibility for Medicare

Customers will need the following documents. They must provide these documents for each person on the enrolment form or submitted in their digital Medicare enrolment (DME) application.

• A completed Medicare Enrolment form (MS004), or
• Digital Medicare enrolment (DME)
• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

If the customer has not provided proof they have been granted permanent residency with the application, and VEVO confirms that it has been granted, Service Officers can use VEVO as proof.

Note: if the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal.

• To verify documents for enrolments, see the Medicare Document Verification Service (DVS) Portal table
• If a customer fails the DVS check and attends a service centre, see the Customer fails DVS check and attends service centre with issued letter table

Note: if a customer submits a DME application, DVS is completed in the MEE Portal and the DVS processing form is not required to be completed. See Digital Medicare enrolments (DME) and the MEE Portal.

Register the customer using the entitlement details and record all documents provided.

• Entitlement Type - Migrant
• Country of relevance - this is the previous country of residence before arriving in Australia
• Start Date
• Visa granted in Australia - Date granted
• Visa granted outside Australia - Date of arrival
• End Date - Not applicable (open Medicare card)

A person living in Australia and has been granted a permanent residence visa subclass 851 is eligible for Medicare.

Documents needed to enrol as a Migrant

Customers will need the following documents. They must provide these documents for each person on the enrolment form or submitted in their digital Medicare enrolment (DME) application.

• A completed Medicare Enrolment form (MS004), or
• Digital Medicare enrolment (DME)
• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

If the customer has not provided proof they have been granted permanent residency with the application, and VEVO confirms that it has been granted, Service Officers can use VEVO as proof.

Note: if customers are unable to submit a current ImmiCard, an expired ImmiCard with a current Driver's Licence card can be used.

If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal.

• To verify documents for enrolments, see the Medicare Document Verification Service (DVS) Portal table
• If a customer fails the DVS check and attends a service centre, see the Customer fails DVS check and attends service centre with issued letter table

Note: if a customer submits a DME application, DVS is completed in the MEE Portal. See Digital Medicare enrolments (DME) and the MEE Portal.

Register the customer using the entitlement details and record all documents provided.

• Entitlement Type - Migrant
• Country of relevance - this is the previous country of residence before arriving in Australia
• Start Date
• Visa granted in Australia - Date granted
• Visa granted outside Australia - Date of arrival
• End Date - Not applicable (open Medicare card)

A person living in Australia and has been granted one of the following visas, is eligible for Medicare:

• Refugee visa (subclass 200)
• In-country Special Humanitarian Programme visa (subclass 201)
• Global Special Humanitarian Programme visa (subclass 202)
• Emergency Rescue visa (subclass 203)
• Woman at Risk visa (subclass 204)

Customers will need the following documents. They must provide these documents for each person on the enrolment form or submitted in their digital Medicare enrolment (DME) application.

• A completed Medicare Enrolment form (MS004), or
• Digital Medicare enrolment (DME)
• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

If the customer has not provided proof they have been granted permanent residency with the application, and VEVO confirms that it has been granted, Service Officers can use VEVO as proof.

Note: if the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal.

• To verify documents for enrolments, see the Medicare Document Verification Service (DVS) Portal table
• If a customer fails the DVS check and attends a service centre, see the Customer fails DVS check and attends service centre with issued letter table

Note: if a customer submits a DME application, DVS is completed in the MEE Portal See Digital Medicare enrolments (DME) and the MEE Portal.

If a Claim for persons granted a Refugee, Humanitarian or Protection Visa form (SS415) is submitted, verbal DVS consent is required before confirming identity in the Medicare DVS Portal. See, the Medicare Document Verification Service (DVS) Portal table for consent wording.

Register the customer using the entitlement details and record all documents provided.

• Entitlement Type - Migrant
• Country of relevance - this is the previous country of residence before arriving in Australia
• Start Date
• Visa granted in Australia - Date granted
• Visa granted outside Australia - Date of arrival
• End Date - Not applicable (open Medicare card)

The Department of Home Affairs has further information on the Refugee category visas.

New arrivals are often in frequent transition in their first few months in Australia. It is acceptable for this group of customers to have their Medicare card forwarded to their case worker’s PO Box address.

A person living in Australia and has been granted a Permanent Contributory parent visa subclass 143 or subclass 864 is eligible for Medicare as a Migrant.

Customers will need the following documents. They must provide these documents for each person on the enrolment form or submitted in their digital Medicare enrolment (DME) application.

• A completed Medicare Enrolment form (MS004), or
• Digital Medicare enrolment (DME)
• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

If the customer has not provided proof they have been granted permanent residency with the application, and VEVO confirms that it has been granted, Service Officers can use VEVO as proof.

Note: if the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal.

• To verify documents for enrolments, see the Medicare Document Verification Service (DVS) Portal table
• If a customer fails the DVS check and attends a service centre, see the Customer fails DVS check and attends service centre with issued letter table

Note: if a customer submits a DME application, DVS is completed in the MEE Portal. See Digital Medicare enrolments (DME) and the MEE Portal.

Register the customer using the entitlement details and record all documents provided.

• Entitlement Type - Migrant
• Country of relevance - this is the previous country of residence before arriving in Australia
• Start Date
• Visa granted in Australia - Date granted
• Visa granted outside Australia - Date of arrival
• End Date - Not applicable (open Medicare card)

For information on persons who hold a temporary Contributory visa 173 or 884, see Ministerial orders and Medicare eligibility.

A permanent resident who has been absent from Australia for 12 months or more, can be reinstated in Medicare when they provide evidence that they have returned to Australia to live.

For information on New Zealand citizens returning to live, see Medicare eligibility for New Zealand citizens.

The following documents must be provided with a completed Medicare Enrolment Application form or Digital Medicare enrolment (DME):

• Current passport, and
• 2 residency documents, or
• Commonwealth Statutory Declaration

Note: a Statutory Declaration is only required where a permanent resident is unable to provide any supporting residency evidence to reinstate their Medicare entitlements after 6 months.

If the applicant was enrolled on a Medicare card with other family members, and those members have not returned to reside in Australia, then the applicant needs to be transferred to a new Medicare card. The applicant does not need to complete an Application to copy or transfer from one Medicare card to another (MS011) form.

Note: if the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal.

• To verify documents for enrolments, see the Medicare Document Verification Service (DVS) Portal table
• If a customer fails the DVS check and attends a service centre, see the Customer fails DVS check and attends service centre with issued letter table

Note: if a customer submits a DME application, DVS is completed in the MEE Portal See Digital Medicare enrolments (DME) and the MEE Portal.

Register the customer using the entitlement details and record all documents provided.

• Entitlement Type – Migrant
• Country of relevance – this is the previous country of residence before arriving in Australia
• Start Date
• Visa granted in Australia – Date granted
• Visa granted outside Australia – Date of arrival
• End Date – Not applicable (open Medicare card)
• Action any warning messages and Validate
• If the details are correct, select Update

Customers will need the following documents. They must provide these documents for each person on the enrolment form or submitted in their digital Medicare enrolment (DME) application.

• A completed Medicare Enrolment form (MS004), or
• Digital Medicare enrolment (DME)
• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

If the customer has not provided proof they have been granted permanent residency with the application, and VEVO confirms that it has been granted, Service Officers can use VEVO as proof.

Note: if the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal.

• To verify documents for enrolments, see the Medicare Document Verification Service (DVS) Portal table
• If a customer fails the DVS check and attends a service centre, see the Customer fails DVS check and attends service centre with issued letter table

Note: if a customer submits a DME application, DVS is completed in the MEE Portal. See Digital Medicare enrolments (DME) and the MEE Portal.

To change a person’s entitlement, Service Officers must:

• add sighted documents to CDMS
• add the new entitlement details
• change the group details (if applicable), and issue a new Medicare card

See Amend customer entitlement details in the CDMS for Medicare for details.

In Entitlement Details, add the entitlement details as required:

• Entitlement Type - Migrant
• Country of Relevance - this is the previous country of residence before arriving in Australia
• Start Date
• Visa granted in Australia - Date granted
• Visa granted outside Australia - Date of arrival
• End Date - not applicable (open Medicare card)

Eligibility Update (select if the entitlement details keyed are to apply to all listed customers).

On the CDMS home page:

• select Amend on consumer details
• key the Medicare card number, in ID Number field
• select Personal

Note: a Medicare Payment Integrity (MPI) restriction may be present preventing amendment. If this happens, please contact Medicare and Aged Care - Local Peer Support (LPS). See Escalation process for Medicare Eligibility.

In Consumers, select the radio button against the customer to be changed.

In Personal Details:

• Add a new customer end date:
• Key the date in Consumer End Date field
• Select the reason from Consumer End Reason field
• Select the source from Consumer End Notification Source field
• Amend a customer end date:
• Over key the date in Consumer End Date field
• If the reason for the end date notification is not displayed, select the source from Consumer End Reason field
• If the source that supplied the customer end date notification is not displayed select the source from Consumer End Notification Source field
• Important: read the following information before commencing to delete a customer end date:
• If the Consumer End Reason is Linked to Another Consumer Record do not delete the end date. Check the individual’s comments tab for details about the primary record. Continue to amend the PRIMARY record as required. If there are issues amending the primary record, stop processing and contact the Medicare Consumer Data Integrity Unit
• Delete a customer end date
• Delete the date in the Consumer End Date field
• Select a blank value in the Consumer End Reason field
• Select a blank value in the Consumer End Notification Source field

Note: CDMS reinstates previous personal details values and entitlements to Medicare when a customer end date is removed. A Service Officer needs to update the group information.

• Select Validate, an information message displays informing whether the details were acceptable
• Select OK to acknowledge the message
• Select Validate, the Confirm Amended Medicare Card Details screen displays the changes
• Select Change to change any details
• Select Update once the details are corrected