Medicare eligibility for customers with permanent resident status 011-44040000
This document explains Medicare eligibility for customers who have been granted permanent resident status.
On this page:
Permanent protection visa (subclass 866)
Parent visa (subclass 103 and 804)
Resolution of Status visa (subclass 851)
Refugee and Humanitarian entry to Australia (visa subclass 200 series)
Contributory Parent visa (subclass 143 and 864)
Permanent residents returning to live in Australia
Changing entitlement to Permanent Resident
How to add a consumer end date
Permanent resident
Table 1: describes how to enrol a customer in CDMS as a permanent resident.
Step |
Action |
1 |
Documents needed to enrol + Read more ... Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) application:
Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:
A customer that has been granted a permanent residency visa 12 months before lodging an application with Medicare, requires 2 residency documents. Note: only 2 residency documents are needed for the family application if:
Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information. If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal. Do not save customer documents and letters to desktops or personal H: drives. |
2 |
Document Verification Service (DVS) + Read more ... To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. If a customer submits a DME application, complete DVS in the Medicare Eligibility and Enrolments (MEE) Portal. See Digital Medicare enrolments (DME) and the MEE Portal. |
3 |
VEVO + Read more ... Service Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment through DME, see Digital Medicare enrolments (DME) and the MEE Portal. Does the VEVO check confirm the customer is onshore?
|
4 |
Register the customer + Read more ... Register the customer using the entitlement details:
|
5 |
Record each customer's eligibility documents + Read more ... Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.
For eligibility and residency document details to record in CDMS, see: |
6 |
Issue the Medicare card + Read more ... After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.
See Medicare cards. |
Permanent protection visa (subclass 866)
Table 2: describes how to enrol a customer in CDMS as a permanent resident when they have been granted a Permanent protection visa.
Step |
Action |
1 |
Documents needed to enrol + Read more ... Customers must provide documents for each person listed on/in:
The documents include:
Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:
The customer can use the SS415 form to enrol in Medicare, including registering in Medicare Safety Net and the Australian Immunisation Register. The Refugee Servicing team process these forms for Centrelink and Medicare. Where the Refugee Servicing team cannot complete the Medicare enrolment, it is referred to a Medicare trained Service Officer to complete following the standard enrolment process. Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information. If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal. Do not save customer documents and letters to desktops or personal H: drives. |
2 |
Document Verification Service (DVS) + Read more ... To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. For Medicare eligibility, Service Officers can accept some expired identity documents if they can be successfully verified through the Medicare DVS Portal. If customers cannot provide a travel document which can be verified through DVS, they can use an expired travel document with a current Driver's Licence card. If a customer submits:
|
3 |
VEVO + Read more ... Service Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment via DME, see Digital Medicare enrolments (DME) and the MEE Portal. Does the VEVO check confirm the customer is onshore?
|
4 |
Register the customer + Read more ... Register the customer using the entitlement details:
|
5 |
Record each customer's eligibility documents + Read more ... Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.
For eligibility and residency document details to record in CDMS, see: |
6 |
Issue the Medicare card + Read more ... After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.
See Medicare cards. |
Parent visa (subclass 103 and 804)
Table 3: describes how to enrol a customer who has been granted a Parent visa under subclass 103 and 804.
Step |
Action |
1 |
Documents needed to enrol + Read more ... Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) application:
Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:
A customer that has been granted a permanent residency visa 12 months before lodging an application with Medicare, requires 2 residency documents. Note: only 2 residency documents are needed for the family application if:
Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information. If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal. Do not save customer documents and letters to desktops or personal H: drives. |
2 |
Document Verification Service (DVS) + Read more ... To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal If a customer submits a DME application, complete DVS in the Medicare Eligibility and Enrolments (MEE) Portal. See Digital Medicare enrolments (DME) and the MEE Portal. |
3 |
VEVO + Read more ... Service Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment through DME, see Digital Medicare enrolments (DME) and the MEE Portal. Does the VEVO check confirm the customer is onshore?
|
4 |
Register the customer + Read more ... Register the customer using the entitlement details:
|
5 |
Record each customer's eligibility documents + Read more ... Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.
For eligibility and residency document details to record in CDMS, see: |
6 |
Issue the Medicare card + Read more ... After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.
See Medicare cards. |
Resolution of Status visa (subclass 851)
Table 4: describes how to enrol a customer who has been granted a Resolution of Status visa subclass 851.
Step |
Action |
1 |
Documents needed to enrol + Read more ... Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) application:
Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:
Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information. If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal. Do not save customer documents and letters to desktops or personal H: drives. |
2 |
Document Verification Service (DVS) + Read more ... To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. For Medicare eligibility, Service Officers can accept some expired identity documents if they can be successfully verified through the Medicare DVS Portal. If customers cannot provide an ImmiCard which can be verified through DVS, they can use an expired ImmiCard with a current Driver's Licence card. If a customer submits a DME application, complete DVS in the MEE Portal. See Digital Medicare enrolments (DME) and the MEE Portal. |
3 |
VEVO + Read more ... Service Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment via DME, see Digital Medicare enrolments (DME) and the MEE Portal. Does the VEVO check confirm the customer is onshore?
|
4 |
Register the customer + Read more ... Register the customer using the below entitlement details:
|
5 |
Record each customer's eligibility documents + Read more ... Service Officers must record 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).
For eligibility and residency document details to record in CDMS, see: |
6 |
Issue the Medicare card + Read more ... After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.
See Medicare cards. |
Refugee and Humanitarian entry to Australia (visa subclass 200 series)
Table 5: describes how to enrol a customer when they have been granted permanent residency under the visa subclass 200 series.
Step |
Action |
1 |
Documents needed to enrol + Read more ... Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) application:
Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:
Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information. If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal. Do not save customer documents and letters to desktops or personal H: drives. |
2 |
Document Verification Service (DVS) + Read more ... To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. For Medicare eligibility, Service Officers can accept some expired identity documents if they can be successfully verified through the Medicare DVS Portal. If customers cannot provide a travel document which can be verified through DVS, they can use an expired travel document with a current Driver's Licence card. If a customer submits a DME application, complete DVS in the MEE Portal. See Digital Medicare enrolments (DME) and the MEE Portal. |
3 |
VEVO + Read more ... Service Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment via DME, see Digital Medicare enrolments (DME) and the MEE Portal. Does the VEVO check confirm the customer is onshore?
|
4 |
Register the customer + Read more ... Register the customer using the entitlement details:
|
5 |
Record each customer's eligibility documents + Read more ... Service Officers must record 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).
For eligibility and residency document details to record in CDMS, see: |
6 |
Address for Refugee and Humanitarian entry to Australia (visa subclass 200 series) + Read more ... New arrivals may change their address often 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. |
7 |
Issue the Medicare card + Read more ... After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.
See Medicare cards. |
Contributory Parent visa (subclass 143 and 864)
Table 6: describes how to enrol a customer when they have been granted a Contributory Parent visa subclass 143 and 864.
Step |
Action |
1 |
Documents needed to enrol + Read more ... Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) application:
Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:
A customer that has been granted a permanent residency visa 12 months before lodging an application with Medicare, requires 2 residency documents. Note: only 2 residency documents are needed for the family application if:
Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information. If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal. Do not save customer documents and letters to desktops or personal H: drives. |
2 |
Document Verification Service (DVS) + Read more ... To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. If a customer submits a DME application, complete DVS in the Medicare Eligibility and Enrolments (MEE) Portal. See Digital Medicare enrolments (DME) and the MEE Portal. |
3 |
VEVO + Read more ... Service Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment via DME, see Digital Medicare enrolments (DME) and the MEE Portal. Does the VEVO check confirm the customer is onshore?
|
4 |
Register the customer + Read more ... Register the customer using the entitlement details:
For more details on persons who hold a temporary Contributory visa 173 or 884, see Ministerial orders and Medicare eligibility. |
5 |
Record each customer's eligibility documents + Read more ... Service Officers must record 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).
For eligibility and residency document details to record in CDMS, see: |
6 |
Issue the Medicare card + Read more ... After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.
See Medicare cards. |
Permanent residents returning to live in Australia
Table 7: describes how to enrol a customer who is a permanent resident and has been residing outside of Australia for more than 12 months that has returned to reside permanently in Australia.
Step |
Action |
1 |
Documents required to re-enrol in Medicare + Read more ... Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) application:
Note: only 2 residency documents are needed for the family application if:
Acceptance of a Statutory Declaration only occurs where a permanent resident cannot provide any supporting residency evidence to reinstate their Medicare entitlements after residing in Australia for 6 months. See Escalation process for Medicare Eligibility. If the customer was previously enrolled on a Medicare card with other family members, and those members have not returned to reside in Australia, the customer needs to be transferred to a new Medicare card. The customer does not need to complete an Application to copy or transfer from one Medicare card to another (MS011) form. Service Officers must request information from the customer if relevant information on the MS004 is incomplete or documents are missing. See Medicare eligibility and enrolments request for information. If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal. Do not save customer documents and letters to desktops or personal H: drives. |
2 |
Document Verification Service (DVS) + Read more ... To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal If a customer submits a DME application, complete DVS in the Medicare Eligibility and Enrolments (MEE) Portal. See Digital Medicare enrolments (DME) and the MEE Portal. |
3 |
VEVO + Read more ... Service Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment via DME, see Digital Medicare enrolments (DME) and the MEE Portal. Does the VEVO check confirm the customer is onshore?
|
4 |
Amend entitlement details before re-enrolling the customer + Read more ... If a permanent resident has been absent from Australia for more than 12 months:
After establishing eligibility, add the new entitlement details. On CDMS Home page:
In Consumers, select the radio button against the customer to be changed. In Eligibility Status, select the radio button against the Entitlement Type to be changed.
Re-enrol the customer and key the New/Additional Medicare Entitlement details:
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5 |
Record each customer's eligibility documents + Read more ... Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.
For eligibility and residency document details to record in CDMS, see: |
6 |
Update Group Eligibility Start Date and issue a new Medicare card + Read more ... After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address. The customer's group eligibility start date is their most recent entitlement start date.
See Medicare cards. |
Changing entitlement to Permanent Resident
Table 8: describes how to update a customer's entitlement from Conditional Migrant to Migrant.
Step |
Action |
1 |
Changing a Conditional Migrant to a Migrant + Read more ... Where a customer is a Conditional Migrant and their entitlement is updated to Migrant through the Department of Home Affairs immigration (DIAC) link, the customer's entitlement type in CDMS automatically updates and issues a new Medicare card. Where a customer has not been linked to the DIAC link, an update needs to be done manually. |
2 |
Documents needed to enrol + Read more ... Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or listed in their Digital Medicare Enrolment (DME) application:
Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:
Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information. If the DME documents are incorrect, see Digital Medicare enrolments (DME) and the MEE Portal. Do not save customer documents and letters to desktops or personal H: drives. |
3 |
Document Verification Service (DVS) + Read more ... To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal If a customer submits a DME application, complete DVS in the Medicare Eligibility and Enrolments (MEE) Portal. See Digital Medicare enrolments (DME) and the MEE Portal. |
4 |
VEVO + Read more ... Service Officers must complete a VEVO check for all customers listed on the MS004 form. If the customer has submitted their enrolment via DME, see Digital Medicare enrolments (DME) and the MEE Portal. Does the VEVO check confirm the customer is onshore?
|
5 |
Amend entitlement details + Read more ... Amend the entitlement using the entitlement details:
Note: customers eligibility may change from Conditional Migrant to Migrant and can have an entitlement gap. For help to determine end dates and entitlement start dates, contact Medicare and Aged Care - Local Peer Support (LPS). |
6 |
Record each customer's eligibility documents + Read more ... Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.
For eligibility and residency document details to record in CDMS, see: |
7 |
Issue the Medicare card + Read more ... After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.
See Medicare cards. |
How to add a consumer end date
Table 9: describes how to add a Consumer End Date to a customer's Medicare record in CDMS.
Step |
Action |
1 |
Access CDMS home page + Read more ... On CDMS Home page:
Note: a Medicare Payment Integrity (MPI) restriction may be present preventing amendment. If this happens, contact Medicare and Aged Care - Local Peer Support (LPS). See Escalation process for Medicare Eligibility. |
2 |
Change customer's end date + Read more ... In Consumers, select the radio button against the customer to change. In Personal Details:
CDMS reinstates previous personal details values and entitlements to Medicare when a customer end date is removed. Service Officers must update the Group information. |
3 |
Correct and finalise amended details + Read more ...
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