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Australia MLS vs Private Health Calculator

Calculate your exact Australian Medicare Levy Surcharge (MLS) across all four full-income cliff tiers, expand your complete Income for Surcharge Purposes (ISP) formula, find your PHI Rebate-adjusted break-even monthly premium, and simulate 10-year Lifetime Health Cover (LHC) loading.

Income for Surcharge Purposes (ISP) breakdown

ATO adds back fringe benefits, reportable super & investment losses, less exempt super

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Hospital cover quote & 10-year LHC loading parameters

31+ Lifetime Health Cover adds +2% per year uninsured (capped at 70%)

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Data as of Nov 2026 · thresholds are FY2025–26 (singles $97k / $113k / $151k) · Source: ATO private health insurance rebate & MLS tiers. Tier thresholds are indexed annually — confirm the current year's tiers on the ATO page before relying on a figure

How the ATO calculates ISP, Cliff MLS, PHI Rebates & 10-year LHC

1. Income for Surcharge Purposes (ISP): ISP = Taxable_Income + Reportable_Fringe_Benefits + Reportable_Super + Net_Investment_Loss − Exempt_Super_Lump_Sum. Negative gearing or salary sacrificing into super does not lower your ISP.

2. Full-Income Cliff (Not a Marginal Rate): Single thresholds are $97,000 (0%), $97,001–$113,000 (1.0%), $113,001–$151,000 (1.25%), and $151,001+ (1.5%). Family thresholds double the single tiers ($194k / $226k / $302k) plus +$1,500 for each dependent child after the first. Earning $1 over a tier applies the percentage to your entire ISP.

3. PHI Rebate & 10-Year LHC Loading: Under-65 PHI rebate rates are 24.288% (Base), 17.288% (Tier 1), 8.644% (Tier 2), and 0% (Tier 3). Each year after age 30 without hospital cover adds +2% LHC loading (up to 70%) onto your base premium for 10 continuous years of cover.

1. Full-Income Cliff MLS & ISP Formula Breakdown

ISP: A$128,000 · Active Tier: Tier 2 (1.25%)

Expanded ISP formula: A$118,000 (taxable) + A$0 (fringe) + A$10,000 (super) + A$0 (inv. loss) − A$0 (exempt super) = A$128,000
⚠ Warning — this is a cliff, not a marginal rate: MLS multiplies your ENTIRE A$128,000 ISP by 1.25% = A$1,600/yr. If mistakenly calculated as a marginal bracket tax, it would only be A$348/yr (a +A$1,253/yr cliff difference!).
Full-year MLS penalty (uninsured cliff)
A$1,600
1.25% × full A$128,000 ISP (A$133/mo)
Break-even monthly premium (after rebate)
A$133/mo net
Gross pre-rebate ceiling: A$146/mo (with 8.644% PHI rebate)
Your quote net monthly cost
A$109/mo
A$1,311/yr after 8.644% rebate & +8% LHC
Annual net verdict (Policy vs MLS)
+A$289 saved
Max base quote w/ LHC: A$134/mo (A$1,610/yr)

2. MLS Cliff Step Chart (Annual ISP vs Annual MLS Tax)

Three vertical cliff jumps at A$97,000, A$113,000, and A$151,000

T1: A$97kT2: A$113kT3: A$151kYou: A$128,000 → A$1,600/yr
Actual MLS Cliff Tax (1.0% / 1.25% / 1.5% on entire ISP)If mistakenly calculated marginally (A$348/yr)
MLS TierISP Threshold (AUD)Full-Income MLS RatePHI Rebate (<65)Annual MLS at Your ISP
Base TierUp to A$97,0000.00%24.288%A$0
Tier 1A$97,001 – A$113,0001.00%17.288%A$1,280
▶ Tier 2 (Active)A$113,001 – A$151,0001.25%8.644%A$1,600
Tier 3A$151,001+1.50%0.000%A$1,920

4. 10-Year Lifetime Health Cover (LHC) Loading Simulator

Benchmark base premium: A$1,320/yr · Current age 34 vs Planned entry age 38

10-yr LHC surcharge (enter at age 34)
A$1,056
+8% loading = +A$106/yr × 10 yrs
10-yr LHC surcharge (enter at age 38)
A$2,112
+16% loading = +A$211/yr × 10 yrs
Extra 10-yr LHC penalty from 4-yr delay
+A$1,056
10-yr total policy cost: A$14,171 vs A$13,115

My MLS Check — Printable Anonymous Summary

Zero personal identifiers stored or printed — safe to keep with your tax records

Anonymous EOFY Checklist · No name, TFN, or address recorded
Check ItemYour CalculationNotes / ATO Rule
ISP (Income for Surcharge Purposes)A$128,000A$118,000 tax + A$0 RFBA + A$10,000 super + A$0 loss − A$0 exempt
Applicable Tier & Cliff MLSTier 2 (1.25%) → A$1,600/yrCliff tax on full ISP (marginal mistake would be A$348/yr)
Break-Even Monthly PremiumA$133/mo net (A$146/mo gross pre-rebate)Includes 8.644% PHI rebate; policy must be Hospital cover (excess ≤$750 single / ≤$1,500 family)
10-Year LHC Loading ProjectionA$2,112 over 10 yrs at age 38 (+16%)vs A$1,056 at age 34 (+8%)
Built from user complaints

What people hate about the other tools

We read the reviews of the incumbents before writing this page. Every complaint below maps to a decision in the tool above.

  • spending 50c to avoid $1 of tax is well worth it — yet official ATO tools never compare MLS tax directly against Basic Hospital premiums.
    r/AusFinance (Reddit) · no break-even comparison
    In this toolCalculates your exact break-even weekly and monthly premium after PHI rebate so you see if Basic cover beats the tax.
  • Taxpayers get blindsided by the MLS cliff because they forget reportable super, fringe benefits, and investment losses are added back to income.
    r/AusFinance (Reddit) · ISP add-backs & cliff tax
    In this toolIncludes full ISP add-back fields and applies the 1%-1.5% cliff rate to total MLS income rather than marginal brackets.
  • High earners buying insurance in June think it waives the full year's MLS, not realizing exemptions only apply pro-rata for insured days.
    r/AusFinance (Reddit) · mid-year pro-rata confusion
    In this toolIncludes a policy start-date slider to calculate exact pro-rata insured days and remaining MLS tax for the fiscal year.

One-line difference: Full-income MLS cliff calculator with ISP add-backs, 31+ LHC loading, pro-rata days, and exact PHI break-even premium.

How this is paid for

Free, and honestly labelled ads

Free + Affiliate & Ads

Free no signup, no card

  • Full-income MLS cliff tax with salary sacrifice & fringe add-backs
  • Maximum monthly Basic Hospital premium break-even point calculator
  • Age 31+ LHC 2%/yr loading, family +$1,500/child & pro-rata day slider

Why there is no paywall deliberate

This tool never touches a server, so it costs almost nothing to run. Ads are labelled, never interstitial, and never placed between you and a result.

Pricing benchmarked against what the incumbents charge. See the full monetization map →

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