Sometimes a tax return shows us a cost that doesn't necessarilyneed to keep occurring.
We had a higher-income client who was paying the MedicareLevy Surcharge (MLS) because they and their spouse didn't haveappropriate private hospital cover. Rather than simply calculating thesurcharge again and moving on, we raised a simple question:
“Have you considered the cost of appropriate private hospitalcover compared with the Medicare Levy Surcharge you're paying?”
They were paying extra taxevery year
The Medicare Levy Surcharge is separate from the ordinary Medicarelevy. Depending on income and family circumstances, higher-income taxpayerswithout appropriate private patient hospital cover can pay an additional 1%to 1.5% of their income for MLS purposes.
For a higher-income family, that can become a significantrecurring cost. But the client had never really compared the cost of thesurcharge against the cost of obtaining appropriate private hospital cover.
We suggested they investigate their options. After obtainingquotes for appropriate hospital cover for both husband and wife,they discovered that the cost of the cover was less than the MedicareLevy Surcharge they would otherwise be paying.
With appropriate cover in place, they could eliminate their MLSexposure for the periods they were appropriately covered, subject to continuingto satisfy the relevant requirements. The ordinary Medicare levy remainedseparate and was not eliminated.
Recurring tax costs areworth questioning
When the same additional tax cost appears yearafter year, it's worth understanding why it's arising and whether the clienthas options.
In this case, the Medicare Levy Surchargewasn't an unavoidable annual cost. Once the client understood why it was beingimposed, they could compare that cost with the cost of appropriate privatehospital cover and make an informed decision about what suited theircircumstances.
Sometimes the importantquestion isn't “How much tax do I owe?” It's “Why am I paying this every year?”
General information only. The Medicare Levy Surcharge is separatefrom the ordinary Medicare levy. MLS liability depends on income for MLSpurposes, family circumstances, dependants and whether appropriate privatepatient hospital cover is held for the relevant period. The cost, suitability,benefits and terms of private health insurance should be considered by theclient with the insurer or an appropriately qualified adviser.
Stay Ahead with Business & Tax Insights
Receive practical business insights, taxation updates and strategic guidance delivered directly to your inbox. Stay informed about legislative changes, emerging opportunities and practical strategies to help you structure, grow and protect your business.

More real-world examples
Explore other situations where a closer look at the numbers, structure or timing helped uncover an opportunity or identify a potential issue.



