13/07/2026
We get it, the names don't help!
Here’s a quick breakdown:
👉 Medicare levy = an amount most of us pay (in addition to tax) to help fund Medicare
👉 Medicare levy surcharge = an extra charge you MAY need to pay if:
- you earn above a certain amount, and
- you and your family don't have appropriate private hospital cover.
Both payments are calculated when you lodge your return, so you might see one, or both included in the calculation of your tax payable or refund.
If you have to pay Medicare levy or Medicare levy surcharge or both, the amount you pay depends on your income.