Understanding MLS Threshold Changes
The Medicare Levy Surcharge thresholds determine the income level at which you begin paying an additional 1%–1.5% tax if you don't hold private hospital cover. These thresholds have changed significantly over the past decade:
- 2014-15 to 2022-23: Thresholds were frozen at $90,000 (singles) and $180,000 (families). As wages grew, more taxpayers were caught by the MLS — a phenomenon known as “bracket creep.”
- 2023-24: A modest increase to $93,000 / $186,000, the first change in 9 years.
- 2024-25: Thresholds remained at $93,000 / $186,000 (unchanged from 2023-24).
- 2025-26: A significant jump to $101,000 / $202,000 — removing an estimated 800,000 taxpayers from MLS liability.
This calculator shows what the same income would have cost you in MLS across each of these periods, letting you see the real dollar impact of these threshold changes.
Frequently Asked Questions
What does the Year-Over-Year MLS Comparison show?+
Why were MLS thresholds frozen for so long?+
How much can the 2025-26 threshold increase save me?+
Does this calculator account for income changes between years?+
Do family thresholds change the same way?+
More MLS Tools
Main
MLS Calculator
Calculate your current MLS liability and compare it against hospital cover costs.
Threshold
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Find the maximum you can earn before hitting a specific MLS tier.
Optimizer
MLS Avoidance Optimizer
Compare strategies to minimise your MLS — pay it, buy cover, or restructure.
Sources
Last updated: April 2026
Disclaimer
This calculator provides estimates based on published ATO thresholds and is intended for general information only. It does not constitute financial or tax advice. For advice specific to your situation, consult a registered tax agent or financial adviser. All calculations run in your browser — no data is stored or sent to any server.