Healthcare Federal · MS015

Application for a Medicare Entitlement Statement (MS015)

This form is used to apply for a statement showing you were not eligible for Medicare during a financial year, which may exempt you from paying the Medicare levy.

When do you need this form?

You need this form if you were not eligible for Medicare for all or part of a financial year and want to claim an exemption from the Medicare levy on your tax return. This typically applies to temporary visa holders, Australian residents who lived overseas for extended periods, or New Zealand citizens who spent limited time in Australia.

What you'll need

  • Copy of the photo page of your passport
  • Copy of your current visa (if applicable)
  • Letter from Department of Home Affairs about permanent residency application status (if applicable)
  • European Health Insurance Card or other proof of health insurance (for certain countries)

Where to send it

Submit the completed form to Services Australia, who will process your application and send the statement to your nominated address if approved. You can also apply online through myGov for faster processing.

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