Calculations based on

See exactly what the surcharge costs you — and whether private cover beats it

2025–26 ATO thresholds, family adjustments, hospital-cover break-even — instant, private, free.

Your Income

Use your income for MLS purposes — taxable income plus reportable fringe benefits (RFB), reportable super (RESC), net investment losses, and exempt foreign income.

$
Your Household
Family threshold combines both partners' MLS income.
Private Hospital Cover

Held an appropriate hospital policy (not extras-only) for the entire income year?

Enter your income and household, then click Calculate to see your annual surcharge, monthly impact, and whether private cover would save you money.

Compare hospital cover that exempts you from MLS

Any MLS-compliant hospital policy (not extras-only, excess ≤ $750 single / $1,500 family) fully exempts you from the surcharge for the days it's held. Three places Australians shop and compare.

Affiliate disclosure: Velofy may earn a commission if you take out a policy through these links — your premium is unchanged. We don't sell hospital cover ourselves and don't recommend a specific insurer. Always read the Product Disclosure Statement and check the policy meets the ATO's MLS-exemption criteria (basic-tier hospital, max excess $750 single / $1,500 family).

How the Medicare Levy Surcharge works

MLS is an extra 1%–1.5% income-tax penalty for higher earners without private hospital cover — separate from the standard 2% Medicare Levy everyone pays. Four numbers decide what you owe.

New Threshold
$101k

Single threshold for 2025–26

Up from $93,000 — biggest jump since 2014–15. Family: $202,000 + $1,500 per child after the first. Income for MLS purposes includes salary, RFB, RESC and net investment losses.

The Rate Trap
$295

Cost of earning $1 extra at $118,001

MLS applies to your full income, not the excess. $118,001 = $1,475 surcharge; $118,000 = $1,180. The second cliff hits $395 at the $158,001 Tier 3 boundary.

Cover Must Qualify
$750

Max excess for single cover (family $1,500)

Must be an AU-registered hospital policy. Extras-only — dental, optical, physio — does not exempt you.

Timing
1 Jul

Cover must be active by this date

Partial-year cover only exempts the days held. Starting mid-year means daily-apportioned MLS for the gap.

Deeper read: full breakdown in our MLS explainer, or model your full tax position with the Velofy tax calculator.

MLS thresholds and surcharge rates

Three tiers apply for 2025–26. The rate is multiplied by your full income for MLS purposes — not just the bit above the threshold. Family thresholds rise by $1,500 per dependent child after the first.

Tier Single Income Family Income Surcharge Rate
Base Up to $101,000 Up to $202,000 Nil
Tier 1 $101,001 – $118,000 $202,001 – $236,000 1.0%
Tier 2 $118,001 – $158,000 $236,001 – $316,000 1.25%
Tier 3 $158,001 and above $316,001 and above 1.5%
The rate trap: MLS applies to your whole income, not just the excess. Crossing the next tier costs you the rate-difference applied to your full income — sometimes hundreds of dollars for $1 of extra income. Pre-tax salary sacrifice can lower your MLS income and avoid the cliff.

Medicare Levy Surcharge calculator FAQ

What is the Medicare Levy Surcharge income threshold for 2025–26?

For 2025–26, the base income threshold is $101,000 for singles and $202,000 for families. The family threshold increases by $1,500 for each dependent child after the first. Income for MLS purposes is broader than taxable income — it includes reportable fringe benefits, reportable super contributions, and net investment losses.

How is the Medicare Levy Surcharge calculated?

MLS is a flat percentage of your full income for MLS purposes. Tier 1 is 1%, Tier 2 is 1.25%, and Tier 3 is 1.5%. A single earning $130,000 pays 1.25% × $130,000 = $1,625 a year. Importantly, the rate applies to your full income — not just the excess above the threshold — so crossing into a higher tier can cost hundreds of dollars for just $1 of extra income.

How can I avoid paying the Medicare Levy Surcharge?

Take out an appropriate level of private patient hospital cover — not extras-only — with an Australian-registered health fund for the entire income year. The policy excess must not exceed $750 (single) or $1,500 (family). Cover must be active by 1 July to give a full-year MLS exemption. Salary sacrifice into super can also lower your income for MLS purposes and push you below the threshold.

Is hospital cover cheaper than paying the surcharge?

Typical basic hospital cover runs $1,200–$1,800/yr for a single and $2,200–$3,400/yr for a family. If your MLS exceeds the upper bound of these ranges, hospital cover is usually the cheaper option — and you get actual hospital coverage too. Tier 3 earners ($144k+ single / $288k+ family) almost always come out ahead with cover. The calculator above runs the comparison for your specific income.

Does MLS apply if I have hospital cover for only part of the year?

Partial-year hospital cover only exempts you from MLS for the days you held the cover. The ATO calculates MLS on a daily basis — surcharge applies for any day in the income year where you exceeded the threshold and did not hold an appropriate hospital policy. Cover must start by 1 July (or your first MLS-liable day) to give a full-year exemption.

What income is included for MLS purposes?

"Income for MLS purposes" includes: taxable income, total reportable fringe benefits (RFB grossed-up), reportable super contributions (RESC — salary sacrifice and deductible personal contributions), net financial investment losses, net rental property losses, and exempt foreign employment income. It does not include the Medicare Levy itself. This is why someone with $90,000 taxable income but $20,000 of salary sacrifice can still owe MLS — total MLS income is $110,000.