Spoiler alert: If you’re on the wrong visa or you didn’t get your Medicare exemption certificate, the ATO might charge you up to $3,000 extra tax — even if you were never eligible to use Medicare.
Welcome to the confusing world of M1/M2 codes, temporary visas, and Medicare Levy exemptions. Don’t worry — we’re unpacking it below.
Wait, What Is the Medicare Levy?
If you live and work in Australia, you’re usually required to pay a 2% Medicare Levy. It’s automatically calculated on your tax return — unless you claim an exemption or reduce it based on your income or visa status.
The Catch: You Might Be Paying It… When You Don’t Have To
If you’re on any of the following visa types and didn’t have access to Medicare, you may be eligible to exempt yourself from the levy:
✅ Student Visa (500)
✅ Temporary Graduate Visa (485)
✅ Working Visa (e.g. 482, 457)
✅ Dependent Visas (on the above)
✅ Some Bridging Visas
✅ Working Holiday Makers (417, 462)
BUT — you’ll need to apply for a Medicare Levy Exemption Certificate.
The $3,000 Mistake We See Every Year
If you don’t claim the exemption:
- A single person earning $150,000 pays $3,000 Medicare levy.
- But if you’re exempt? You pay $0.
Even if your tax return says you’re a temporary resident, the ATO won’t apply the exemption automatically. You must:
- Get the exemption certificate from Services Australia
- Lodge it with your tax return
Bonus Trap: M1 and M2 Codes Explained
Inside your tax return are two Medicare fields:
- M1: Full exemption — used when you’re eligible all year
- M2: Reduction based on low income or part-year exemption
▶️ Most temporary residents will need to apply M1
▶️ If you became a PR during the year, you might need M1 + M2 combo
What About Commonwealth Countries?
If you’re from countries like:
- UK, New Zealand, Italy, Sweden, Belgium, Norway, Malta, etc…
You probably had a reciprocal Medicare agreement. That means:
- You get a Medicare card
- You must pay the Medicare Levy — no exemption
What You Can Do Now
✅ Not sure what you should’ve paid last year? We’ll check it.
✅ Haven’t claimed your exemption yet? We’ll guide you step-by-step.
✅ PR during the year? We’ll calculate your M1/M2 split exactly.
Final Word: Don’t let a visa status cost you thousands. Whether you’re on a graduate visa, newly permanent, or left Australia halfway through the year — this stuff matters. And no, the ATO won’t tap you on the shoulder to fix it for you