Medicare Levy: exemptions and reductions

Medicare levy-what is it?

Medicare levy-who does NOT have to pay it?

Medicare levy-how much?

Medicare levy - reductions

Medicare levy - the surcharge for high income earners

Changes to Medicare Levy for Pensioners in the 2002 income year

 

Medicare levy-what is it?

Section 785-1 says it all!

An individual who is an Australian resident at any time during the income year is liable to pay Medicare levy based on his or her taxable income. Medicare levy is also payable by some trustees.

Some individuals are entitled to full or partial exemption from the levy, or to relief from it.

However section 785-5 sends you to

the Medicare Levy Act 1986; and

Part VIIB (sections 251R to 251Y) of the Income Tax Assessment Act 1936.

to find the rules about Medicare levy

 

If you refer to section 251 S (1) & (2) of the 1936 Assessment Act you will find that it is a levy, in addition to the tax already payable on taxable income, which is imposed by the Medicare Levy Act (1983).

 

If you want to know the history of the levy, refer to the topic on the rebate for health insurance levy

 

 

Who does NOT have to pay it?

Section 251 T lists 3 classes of persons who do not have to pay the levy.

Look at the first category (251 T <a>)

Answer this question….

 Prescribed persons don't pay the levy!

Yes No

 

Refer section 251 T

 

Prescribed persons do not pay the levy but what are they Refer section 251 U

person entitled to full free medical treatment as a member of the defence force (or his relatives or associates)

person entitled to full free medical treatment under the Veterans Entitlement Acts

person who holds one of the health care cards issued by the Commonwealth without having to satisfy an income test for eligibility (for the card)

a non resident (section 7A(2) deems Norfolk, Cocos (Keeling) & Christmas Islands to be part of Australia, but section 251 U<d> treats their inhabitants as non residents for purposes of the levy)

diplomats and their households if not citizens of, or ordinarily resident in, Australia

tourists (people approved to stay in Australia for less than 6 months who do not qualify for benefits)

.

Answer this question…. Medicare levy -which one pays it?

 

1.Non resident

2.Member of the defence force

3.Person with private medical insurance

4.Pensioner-health benefits card holder

5.Diplomat

6.Overseas tourist

 

(Just enter 1,2,3,4,5 or 6)

 

 

 Section 251 U lists the prescribed persons

 

Bear in mind that section 251U(2) withholds 'prescribed person' status unless all dependants

spouse

child under 16

student child under 25

are also prescribed.

 

Section 251U(3) treats defence, repatriation or health care card holders as prescribed persons for half the levy period if this is not the case.

.

Medicare levy-how much?

Section 251 S(1) requires the levy to be paid at the rate applicable under the relevant Act imposing the levy

This Act is the Medicare Levy Act 1986

Section 6

(1) The rate of levy payable by a person upon a taxable income is 1.5%.

Answer this question….

Taxable income = $10,000

How much Medicare levy will be paid?

(Just enter the amount - no $ sign please)

 

 

 

.015 X $10,000 = 150

 

Do all taxpayers have to pay the levy, regardless of income?

Section 7(1) relieves a person from paying the Medicare levy for the 1998 income year where taxable income does not exceed $13,389.

,

 

Answer this question….

Taxable income = $9560. How much Medicare levy will be paid?

(Just enter the amount - no $ sign please)

 

 

 Refer section 7(1) - answer = 0

 

If a taxpayer is

married at the end of the year (30 June).....Or...

Is entitled to a rebate for a child housekeeper (159J),

housekeeper (159L) or

as a sole parent (159K)

 

.... Section 9(1) uses a different 'floor', referred to as the 'family income threshold' (defined at section 9(5)).

You will understand the definition better after you have studied the topics on dependant's rebates. For the moment we will say that persons included in class 3 & 4 (159J) are

dependent children (under 16) or

student children (under 25)

The family income threshold is $22,594 but this is increased by $2,100 for each 'dependent child'

 

Family income threshold for taxpayer supporting wife-no children

$22,594

Family income threshold for taxpayer supporting wife & 1 child

$24,694

Keep adding $2100 to the threshold floor for each additional child

 

 

Now look again at section 9(1)

If the taxpayer is

'married'..Or..gets the

child housekeeper (159J),

sole parent (159K), or

housekeeper (159L)

rebates, then no levy is payable unless the family income (taxable income of taxpayer - and spouse if there is one -) exceeds the family income threshold of $16,110 + $2,100 x no. Of dependants.

 

Things ain't always what they seem

You could be excused for thinking that 'legally married' might mean what it seems to mean - this is not the case.

Section 3(3) deems married persons living separately & apart not to be married.

Section 3(4) imposes the definitions used in section 251 R to 251 Y of the Income Tax Assessment Act on the Levy Act. Section 251R(2) deems a man and woman who live together on a bona fide domestic basis to be 'legally married'.

A child is deemed to be dependent upon the parent to whom the family allowance is paid.

 

The shading-in range

Where the taxable income exceeds the threshold figure by a small amount, a special rate applies - refer CCH Master Tax Guide para 2-330 for details.

What is the Medicare levy surcharge?

From 1 July 1997, higher income individuals and families who do not have private patient hospital insurance will pay an extra 1% of their taxable income for the Medicare levy surcharge. This is in addition to the normal 1.5% Medicare levy.

Who will be affected?

You will have to pay the Medicare levy surcharge if you do not have the necessary private patient hospital insurance and you are:

a single person with a

taxable income greater than $50 000

a family with a

combined taxable income greater than $100 000.

 

The family income threshold increases by $1500 for each dependent child after the first.

If your taxable income is below the income threshold, you will not have to pay the Medicare levy surcharge.

If your taxable income is above the income threshold and you take out the necessary private patient hospital insurance cover for you and for all your dependants, you will not have to pay the Medicare levy surcharge.

 

What about taxpayers who are normally exempt from the Medicare levy?

If you are normally exempt from the Medicare levy because you are a prescribed person*, for example a defence force member, and you do not have any dependants, you will not be liable for the Medicare levy surcharge. The amount of your taxable income is not considered in this case.

However, if you have dependants and you are a prescribed person with a taxable income above the threshold, you will be liable for the Medicare levy surcharge if any of your dependants are not prescribed persons and they do not have private patient hospital insurance.

 

How is the Medicare levy surcharge paid?

If you have to pay the Medicare levy surcharge, we will calculate it when you lodge your tax return.

If you are an employee, you can have extra tax instalments deducted from your pay to cover the Medicare levy surcharge. To do this, you will need to fill in a Medicare Levy Variation Declaration and give it to your employer. The Medicare Levy Variation Declaration is available from the ATO.

 

What type of private patient hospital insurance must you have to avoid the surcharge?

You must have private patient hospital insurance cover under a health insurance policy that at least covers the fees and charges in respect of a stay in hospital. Ancillary cover does not constitute private patient hospital insurance.

Who are dependants for the Medicare levy surcharge?

Providing you contribute to their maintenance, your dependants for the Medicare levy surcharge are:

your spouse

any of your children who are under 16 years of age

any of your student children who are under 25 years of age.

If you had a spouse for the whole year and your spouse worked, you are still considered to have maintained your spouse for the whole year.

 

Examples

 

Example 1

Juan is single and he has no dependants. Juan's taxable income is $52 000. He has no private patient health insurance cover. Juan is liable for the additional 1% Medicare levy surcharge as his taxable income is over the $50 000 threshold.

Juan's total Medicare levy liability will be:

Medicare levy - 1.5% of $52 000

780

plus Medicare levy surcharge - 1% of $52 000

520

equals total Medicare levy payable

1300

 

Example 2

Jack and Kathleen are married and have two dependent children. Jack is covered by private patient health insurance but Kathleen and their children are not. Jack's taxable income is $65 000 and Kathleen's taxable income is $40 000.

Jack and Kathleen have to pay the additional 1% Medicare levy surcharge as their combined taxable income is over the $101 500 threshold - $100 000 plus $1500 for each dependent child after the first.

Jack and Kathleen's total Medicare levy liability will be:

 

Jack

Medicare levy - 1.5% of $65 000

975

plus Medicare levy surcharge - 1% of $65 000

650

equals total Medicare levy payable

1625

* Even though Jack is covered by private patient hospital insurance, he still has to pay the Medicare levy surcharge because Kathleen and their dependent children are not covered.

Kathleen

Medicare levy - 1.5% of $40 000

600

Plus Medicare levy surcharge - 1% of $40 000

400

Equals total Medicare levy payable

1000

 

 

Changes to Medicare Levy for Pensioners in the 2002 income year

Changes will be made to the tax offsets and Medicare levy thresholds that may affect senior Australians. In addition, people who receive Australian Government pensions but are not of age pension age will be affected by increases to the Medicare levy income threshold.

Legislation has been introduced and if passed will have effect for the 2000-2001 and subsequent income years. To assist practitioners with their preparation for the new tax year below is some information on how the measures are proposed to operate and how the ATO will manage the proposed changes if the legislation is passed. We will inform you of any further developments.

Who does this affect?

The proposed changes to the low income age persons tax offset and the pension tax offset for people who have reached age pension age will mean that these people will not have a tax liability where their income is below the new thresholds in the table below.

Category

Tax

Medicare

 

Original 2001 Threshold

New 2001 Thresholds

New 2001 cut-out for tax offset

Original 2001 Threshold

New 2001 Threshold

Senior Australians

Single

$15,970

$20,000

$37,840

$13,807

$20,000

'Separated by illness'

$15,164

$18,882

$35,202

$13,807

$20,000

Married

$13,305

$16,306

$29,122

$13,807

$20,000

Other Eligible

 

 

 

 

 

Single

$15,970

No change

No change

$13,807

$15,970

'Separated by illness'

$15,164

No change

No change

$13,807

$15,970

Married

$13,305

No change

No change

$13,807

$15,970

The new thresholds for senior Australians apply to taxpayers who are at least 65 years old for males or 61.5 years old for females at 30 June 2001. Different age conditions apply to recipients of pensions from the Department of Veterans' Affairs. The tax offset for senior Australians reduces at the rate of 12.5 cents for each dollar over the new 2001 thresholds and cuts out at the taxable income levels shown on the right hand column of the table.

The thresholds that apply to "Other Eligible" taxpayers relate to those below the age criteria who receive an eligible Australian Government pension. Their income thresholds are unaffected by the proposed measures.

The table also shows the new Medicare levy thresholds that will apply to senior Australians and other eligible taxpayers affected by these changes. There is also an increase in the Medicare levy family income threshold from $23299 to $31729 for those taxpayers who qualify for the senior Australians tax offset.

Implications for Taxpayers in the Pay As You Go (PAYG) Instalment System

A small number of PAYG instalment taxpayers will be entitled to a full or part tax offset and will be able to exit the PAYG Instalment system.

Annual PAYG Instalment notices have already issued to annual payers. Taxpayers who have paid their annual instalment can lodge their 2001 tax return to claim the instalment paid. Taxpayers who have not paid their annual instalment and wish to leave the PAYG system or pay a reduced amount, can call 13 61 40 and ask the ATO to vary their account.

The ATO will identify eligible quarterly payers and remove them from the PAYG Instalment system before the June quarter activity statement issues. Affected taxpayers will be notified.

Activity statements will still need to be lodged if there are obligations other than PAYG Instalments such as GST, PAYG, Tax Withheld or FBT.

2001 Income Tax Return

Senior Australians and other Australian government pension recipients whose taxable incomes are at or below the proposed new thresholds may not be required to lodge an income tax return. However, as usual, those taxpayers claiming a refund of tax credits will need to lodge a tax return.

The changes do not require alteration to return forms. We will use our systems to identify taxpayers who will be affected by the proposed changes. For this purpose we will be making changes to our processing systems. We expect to have these in place early in the new financial year. This won't affect normal processing. Any affected returns will be held and processed immediately after implementation.

Further information on the above will be provided on the ATO Internet site at www.ato.gov.au or contact the ATO on 13 28 62. You can also find the draft legislation and Explanatory Memorandum at www.aph.gov.au .

Superannuation Surcharge

The Government also proposes to make three changes to improve the operation of the termination payments surcharge. These include a change to the calculation of adjusted taxable income so that individuals who receive moderate termination payments and who otherwise do not have high incomes will have a reduced or no surcharge liability.

The other two amendments will remove the sunset provisions applying to termination payments surcharge and superannuation contributions surcharge; and remove the termination payments surcharge liability from the excessive component of an employer ETP.

More information on the Superannuation changes will be available at www.ato.gov.au/super.

Medicare Levy Rates and Threshold 2000/2001

 

The Medicare Rate is 1.5% of Taxable Income. The approved new rates and thresholds to apply in the 2000/2001 income year are the following (in bold figures):

Eligible Senior Australian

2000/2001

Thresholds/Rates

Shading in Range

Individuals

$20 000

$20 001 – $21 621

Married Couple/Family

$31 729

$31 730 – $34 302

Additional for each Dependant

$2 140

 

Upper Dependant Value

$2 313

 

Shading Rate

20%

 

Family Reduction Rate

18.50%

 

Days Levy Applies

365

 

 

Under Age Pensioner

2000/2001

Thresholds/Rates

Shading in Range

Individuals

$15 970

$15 971 – $17 264

Married Couple/Family

$23 299

$23 300 – $25 188

Additional for each Dependant

$2 140

 

Upper Dependant Value

$2 313

 

Shading Rate

20%

 

Family Reduction Rate

18.50%

 

Days Levy Applies

365

 

OTHER AUSTRALIANS

2000/2001

Thresholds/Rates

Shading in Range

Individuals

$13 807

$13 808 - $14 926

Married Couple/Family***

$23 299

$23 300 - $25 188

Additional for each Dependant

$2 140

 

Upper Dependant Value

$2 313

 

Shading Rate

20%

 

Family Reduction Rate

18.50%

 

Days Levy Applies

365

 

 

***The figures applicable to married taxpayers also apply to taxpayers who are entitled (or would have been entitled had the laws applicable to rebates not been amended with effect from 1 July 2000) to a sole parent, child/housekeeper or housekeeper rebate

 

 

LOW INCOME AGED PERSONS THRESHOLDS 2000-2001

Individual TaxpayerS

Eligible Senior Australian

 

$20 000

 

$20 001 - $ 21 621

 

$21 621

Underage Pensioner

$15 970

$15 971 - $17 264

$17 264

Other Australians

$13 807

$13 808 - $14 926

$14 926

Married taxpayer # (ELIGIBLE SENIOR AUSTRALIANS)

with The following number of

Children and/or students

0

$31 729

$31 730 - $ 34 302

$34 302

1

$33 869

$33 870 - $ 36 616

$36 616

2

$36 009

$36 010 - $38 929

$38 929

3

$38 149

$38 150 - $41 243

$41 243

4

$40 289

$40 290 - $ 43 556

$43 556

5

$42 429

$42 430 - $ 45 870

$45 870

6

$44 569**

$44 570** - $48 183***

$48 183***

Married taxpayer # (UNDERAGE PENSIONER or OTHER AUSTRALIANS)

with The following number of

Children and/or students

0

$23 299

$23 300 - $25 188

$25 188

1

$25 439

$25 440 - $27 501

$27 501

2

$27 579

$27 580 - $29 815

$29 815

3

$29 719

$29 720 - $32 128

$32 128

4

$31 859

$31 860 - $34 442

$34 442

5

$33 999

$34 000 - $36 755

$36 755

6

$36 139**

$36 140** - $39 069***

$39 069***

# The figures applicable to married taxpayers also apply to taxpayers who are entitled (or would have been entitled had the laws applicable to rebates not been amended with effect from 1 July 2000) to a sole parent, child/housekeeper or housekeeper rebate

** Where there are more than 6 dependent children or students, add $2,140 for each extra child or student

*** Where there are more than 6 dependent children or students, add $2,313 for each extra child or student

 

 

 

 

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