In most cases, we require visa applicants to meet the Migration Health Requirements. For the majority of visa applicants, completion of a Health Declaration is sufficient to satisfy the health requirement. We require all other visa applicants to undertake an immigration medical examination to determine if they meet the health requirement. This includes all provisional and permanent visa applicants.
The aims of the migration health requirement as set out in the Migration Regulations 1994 are to:
(a) protect the Australian community from public health and safety risks
(b) contain public expenditure on health care and community services
(c) safeguard the access of Australian citizens and permanent residents to health care and community services that are in short supply, (currently this is dialysis and organ transplants).
Learn more about meeting the Migration Health Requirements.
The Significant Cost Threshold is the underpinning policy to ‘contain public expenditure on health care and community services’. The Significant Cost Threshold is the cut-off amount where we determine a visa applicant’s estimated health and community service costs to be ‘Significant’ and therefore do not meet the Migration Health Requirement. The Significant Cost Threshold is currently $51,000.
The Australian Government established the Significant Cost Threshold policy in 1995. We determined that significant costs should be interpreted as a cost that is ‘higher than average annual health and community services costs for an Australian’.
Whilst we have since updated the Significant Cost Threshold amount on a number of occasions to align with the Australian Institute of Health and Welfare data, the definition of ‘significant’ has remained unchanged.
Learn more about the Significant Cost Threshold.
The Department sought the views of the Australian public on the policy settings for the Australian visa Significant Cost Threshold, during a consultation that closed on 17 November 2023.
The Department received 51 submissions on the discussion paper . Nine submissions remain confidential and are not publicly available. Publicly available submissions are available below:
Australian Dental and Oral Health Therapists Association
Australian Human Rights Commission
Health Equity Matters - HALC - NAPWHA - ASHM
Immigration Advice and Rights Centre
Individual Submission 1
Individual Submission 2
Individual Submission 3
Individual Submission 4
Individual Submission 5
Individual Submission 6
Individual Submission 7
Individual Submission 8
Individual Submission 9
Individual Submission 10
Individual Submission 11
Individual Submission 12
Individual Submission 13
Individual Submission 14
Individual Submission 15
Individual Submission 16
Individual Submission 17
Individual Submission 18
Individual Submission 19
Individual Submission 20
Individual Submission 21
Individual Submission 22
Individual Submission 23
Individual Submission 24
Individual Submission 25
Individual Submission 26
KIN Disability Advocacy Inc
Law Council of Australia
Migration Institute of Australia
Office of Khmer - Australian Migration Agents
Refugee Council of Australia
SCALES Community Legal Centre
United Nations High Commissioner for Refugees
Welcoming Disability - Recommendations
Welcoming Disability - Submission
Women With Disabilities Australia