fbpx

What Is My Benefit Code For Private Health Insurance? 

Find out all about benefit codes for private health insurance and what they are here with Savvy.

Written by 
Savvy Editorial Team
Savvy's content writing team are professionals with a wide and diverse range of industry experience and topic knowledge. We write across a broad spectrum of finance-related topics to provide our readers with informative resources to help them learn more about a certain area or enable them to decide on which product is best for their needs with careful comparison. Meet the team behind the operation here. Visit our authors page to meet Savvy's expert writing team, committed to delivering informative and engaging content to help you make informed financial decisions.
Our authors
, updated on July 10th, 2023       

Fact checked

At Savvy, we are committed to providing accurate information. Our content undergoes a rigorous process of fact-checking before it is published. Learn more about our editorial policy.

Health Insurance Banner - Middle-aged couple completing their tax returns on their computer

If you’re completing your Australian tax return, you may be wondering what your benefit code is for private health insurance. The benefit code on your private health statement tells the tax office the rebate you’re eligible for, based on your age and personal circumstances.  

Find out all about benefit codes, where to find them and how they may affect your private health insurance tax rebate right here with Savvy.  

What is a benefit code in private health insurance?

On an Australian tax return form, there is a section you’re required to complete which provides the ATO with details of the private health insurance you’ve paid for in that financial year. The details you provide in this section of the tax return (in the form of a tax claim code and a benefit code) will determine the private health insurance rebate you receive. 

The benefit code you must supply is a unique identifier which helps the Australian Taxation Office (ATO) identify the private health insurance coverage you've paid for in that financial year in relation to your age. The code is used to determine the amount of private health insurance rebate you will receive and is based on the age of the oldest person listed on the policy, and the time period when premiums were paid.  

If you didn’t have appropriate hospital cover in the financial year, and so do not supply a relevant benefit code, you may be liable to pay the Medicare Levy Surcharge if you earn an eligible income. 

There are two rows on the form which relate to the months in the year when premiums for health cover were paid. The first row is for premiums paid between 1 July and 31 March, and the second row for premiums paid between 1 April and 30 June. The appropriate codes are as follows*: 

Age of oldest policyholder Benefit Code: 1 July to 31 March Benefit Code: 1 April to 30 June
Under 65
30
31
65-69
35
36
70+
40
41

*Correct as of May 2023. 

How do I know what my correct benefit code is?

Your benefit code can be found on your private health insurance statement which was supplied to you when you first took out your private health insurance policy, or when you first received a quote for your health cover. You can always contact your health fund and request this information again if you can’t find your original policy documents. 

In addition, all health funds must supply policyholders with an annual tax statement. This details the information required by the ATO about the private health insurance you've paid for in that financial year, including the benefit code which applies to you. 

However, your health insurer may no longer send this tax statement directly to you if you've previously submitted your tax return online or through a tax agent. The information may be submitted electronically and may be pre-filled in your electronic tax return. This means you won’t have to manually enter your benefit code, as it will already be in the form. 

What is a tax claim code in relation to health insurance?

A tax claim code is similar to a benefit code in that it tells the tax office about your rebate status. Tax claim codes are either A, B, C, D, E or F, with each one describing a different personal situation. For example, there are codes for single people, single parents, couples and more. 

The code definitions are as follows*:

Code Description
Tax code A
Single adult on 30 June
Tax code B
Single adult on 30 June with dependent child/children
Tax code C
Policyholder with spouse on 30 June (including if spouse passed away during the tax year and policyholder did not have another spouse before 30 June)
Tax code D
Policyholder with spouse on 30 June and claiming their share of rebate because spouse isn't claiming it themselves
Tax code E
Policyholder with spouse on 30 June and agreeing that spouse should claim policyholder's share of rebate because policyholder isn't claiming it themselves
Tax code F
Dependent child covered under a private health insurance policy and not entitled to receive the rebate

*Correct as of May 2023. 

You will need both your tax claim code and benefit code to correctly fill in your tax return, although, as already mentioned, this information may be pre-filled in your tax return if you've previously submitted your tax information electronically.

More questions about benefit codes and private health insurance

What is the private health insurance rebate in Australia?

The private health insurance rebate is a government subsidy that helps to reduce the cost of private health insurance premiums for eligible policyholders. The rebate amount varies depending on the policyholder's age and income, and can either be claimed annually through your tax return or in the form of reduced premiums through your health fund. 

Will my tax professional be able to advise me about my benefit code?

Your tax professional may be able to access your private health insurance tax statement online and see what your benefit code is, or the tax office may already have the relevant details from your health fund when you go to complete your tax return. If not, you can always request this information from your private health insurer. 

Is the private health insurance rebate means-tested?

Yes – the private health insurance rebate is means-tested, which means that your income will affect the rebate you receive. The rebate is reduced as your income increases and may be completely phased out for high-income earners. 

Can I receive the private health insurance rebate if I have Overseas Visitor Health Cover?

No – the private health insurance rebate is only available to eligible Australian residents who hold a complying hospital cover health insurance policy. Those who hold Overseas Visitor Health Cover aren’t eligible for the rebate. 

Helpful health insurance guides

Health Insurance Banner - A smiling woman sitting in a cafe on her laptop

Private Health Insurance Tax

Learn all about private health insurance tax implications with Savvy in our informative guide.  Numerous policies from the Australian government...

Health Insurance Banner - Young woman looking at health insurance documents at a desk

Health Insurance Loading

Nearly 30? Find out what the Lifetime Health Cover loading is and how it may affect you here with Savvy....

Health Insurance Banner - Young woman sitting at her desk looking at customised health insurance on her laptop

Customised Health Insurance

Compare policies and insurers which allow you to customise your health cover with Savvy.  Compare quotes now Instant quotes in...

Health Insurance Banner - Elderly man in a wheelchair being helped by a young nurse

Not-For-Profit Health Insurance

Learn about not-for-profit health insurance providers and how they work here with Savvy.   If you’re considering a new health insurance...

Health Insurance Banner - Couple work out the cost of their health insurance using a calculator

Health Insurance Calculator

 Find out how to calculate your Lifetime Health Cover loading and health insurance rebate with Savvy.  Looking for a health...

Compare health insurance policies online

We can help you compare health insurance policies side-by-side, with affordable hospital, extras and ambulance coverage offers from trusted insurers. Get started with a free quote today!

Disclaimer:

Savvy is partnered with Compare Club Australia Pty Ltd (AFS representative number 001279036) of Alternative Media Pty Ltd (AFS License number 486326) to provide readers with a variety of health insurance policies to compare. Savvy earns a commission from Compare Club each time a customer buys a health insurance policy via our website. We don’t arrange for products to be purchased from these brands directly, as all purchases are conducted via Compare Club.

Savvy’s comparison service is provided by Compare Club. Compare Club compares selected products from a panel of trusted insurers and does not compare all products in the market.

Any advice presented above or on other pages is general in nature and doesn’t consider your personal or business objectives, needs or finances. It’s always important to consider whether advice is suitable for you before purchasing an insurance policy.

For any further information on the variety of insurers compared by Compare Club or how their business works, you can read their Financial Services Guide.

Health Insurance Banner - Middle-aged couple completing their tax returns on their computer

We'd love to chat, how can we help?

By clicking "Submit", you agree to be contacted by a Savvy broker and to receive communications from Savvy which you can unsubscribe from at any time. Read our Privacy Policy.