Sometimes a tax return shows us a cost that doesn't necessarily need to keep occurring.
We had a higher-income client who was paying the Medicare Levy Surcharge (MLS) because they and their spouse didn't have appropriate private hospital cover. Rather than simply calculating the surcharge again and moving on, we raised a simple question:
“Have you considered the cost of appropriate private hospital cover compared with the Medicare Levy Surcharge you're paying?”
They were paying extra tax every year
The Medicare Levy Surcharge is separate from the ordinary Medicare levy. Depending on income and family circumstances, higher-income taxpayers without 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 significant recurring cost. But the client had never really compared the cost of the surcharge against the cost of obtaining appropriate private hospital cover.
We suggested they investigate their options. After obtaining quotes for appropriate hospital cover for both husband and wife, they discovered that the cost of the cover was less than the Medicare Levy Surcharge they would otherwise be paying.
With appropriate cover in place, they could eliminate their MLS exposure for the periods they were appropriately covered, subject to continuing to satisfy the relevant requirements. The ordinary Medicare levy remained separate and was not eliminated.
Recurring tax costs are worth questioning
When the same additional tax cost appears year after year, it's worth understanding why it's arising and whether the client has options.
In this case, the Medicare Levy Surcharge wasn't an unavoidable annual cost. Once the client understood why it was being imposed, they could compare that cost with the cost of appropriate private hospital cover and make an informed decision about what suited their circumstances.
Sometimes the important question 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 separate from the ordinary Medicare levy. MLS liability depends on income for MLS purposes, family circumstances, dependants and whether appropriate private patient hospital cover is held for the relevant period. The cost, suitability, benefits and terms of private health insurance should be considered by the client with the insurer or an appropriately qualified adviser.
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