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Lifetime Health Cover (LHC) eligibility in Medicare 011-44080000



Medicare entitlement types and eligibility for LHC letter

This table explains Medicare entitlement types, eligibility to get an LHC letter, and date applicable. A person can request an LHC letter if they are registered for full Medicare benefits.

Note: date of registration means the date the person was enrolled in Medicare.

Medicare entitlement

LHC eligibility

LHC date

Migrants (permanent resident visa)
Newly enrolled in Medicare

Yes

Date of registration (processing date).

Migrants (permanent resident visa)
Previously enrolled in Medicare

Yes

Migrants who have been absent from Australia should get a 'Request for international movement records (IMR)' from the Department of Home Affairs website. An IMR gives a person's entry and exits from Australia.

Migrants must give the IMR to their private health fund to have their LHC loading reassessed.

Enrolled after 1 April 2007

Initial date of registration (processing date).

Enrolled before 1 April 2007

Medicare entitlement start date.

See:

Conditional migrant (applicant for permanent residency)

Yes

Date of registration (processing date).

Applicants for Permanent Protection (866 visa)

Yes

Date of registration (processing date).

New Zealand citizens
Newly enrolled in Medicare

Yes

Date of registration (processing date).

New Zealand citizens
Previously enrolled in Medicare

Yes

New Zealand citizens who have been absent from Australia should get an IMR from the Department of Home Affairs website.

New Zealand citizens must give the IMR to their private health fund to have their LHC loading reassessed.

Enrolled after 1 April 2007

Initial date of registration (processing date).

Enrolled before 1 April 2007

Medicare entitlement start date.

See:

Australian citizens

Newly enrolled in Medicare

Yes

Date of registration (processing date).

Australian citizens

Previously enrolled in Medicare and have been absent from Australia

Yes

Australian citizens who have been absent from Australia must get an IMR from the Department of Home Affairs website.

Australian citizens must give the IMR to their private health fund to have their LHC loading reassessed.

Enrolled after 1 April 2007

Initial date of registration (processing date).

Enrolled before 1 April 2007

Medicare entitlement start date.

Note: before CDMS, when a newborn was added to a family Medicare card, their entitlement date would be the same as the parent. This date could be before their date of birth. In these instances, the Medicare registration date will be the child's date of birth.

See:

Australian citizens

Previously enrolled in Medicare and have not been absent from Australia

No

The LHC letter is not relevant to Australian citizens who have been previously enrolled and have not been absent from Australia.

Norfolk Island residents

Yes

On 1 July 2016, residents of Norfolk Island became eligible for Medicare benefits and therefore became able to purchase Australian private health insurance policies.

Norfolk Island residents who were aged over 31 years at 1 July 2016 had until 30 June 2017 to purchase insurance without incurring an LHC loading. If Norfolk Island residents purchased insurance from or after 1 July 2017, an LHC loading applies.

Younger residents will have until their normal LHC base day of 1 July following their 31st birthday to purchase insurance without incurring an LHC loading.

Reciprocal Health Care Agreement (RHCA)

No

LHC does not apply.

If a written request is received, it must be returned with a Z2781 Lifetime Health Cover does not apply to you letter.

Note: if the customer is now a Conditional Migrant or Migrant, use the date on which the full Medicare entitlement was registered (processed date).

Ministerial orders and Medicare eligibility

Yes

Date of Registration (processing date).

Diplomats

No

LHC does not apply.

If a written request is received, it must be returned with a Z2781 Lifetime Health Cover does not apply to you letter.

Letters

Services Australia has endorsed these letters for use. They are the latest versions. Do not use locally produced letters.

Z0138 Lifetime Health Cover - applicable date

Z2780 Lifetime Health Cover Unable to confirm applicable date - International Movement Record may be required

Z2781 Lifetime Health Cover does not apply to you