Your Lifetime Health Cover base day: the deadline that follows your 31st birthday

Enter your age on 1 July 2026 and how long you would wait: the calculator adds the loading you would carry for ten years and the surcharge paid in the meantime.

Waiting 3 years costs you

$4,185

Loading 2 % if you join now, 8 % after 3 years, plus the surcharge in the meantime at today's tier 1 rate.

Extra loading over the 10 loaded years$735
Surcharge paid while you wait (3 years)$3,450
Premium saved meanwhile (net of rebate)-$3,085

Thresholds and premiums held at their 2026-27 level; both move every year.

How this is computed

Prepared by Radif Partners · How the figures are built · thresholds read on ato.gov.au, premiums from privatehealth.gov.au data · not tax advice

Your Lifetime Health Cover base day is, for most people, the 1 July following your 31st birthday. Hold private hospital cover on that day and keep it, and you will never pay a loading. Miss it, and the first policy you buy later carries 2 % extra for every year you were over 30 on the 1 July before you joined, for ten years. If you turn 31 in March 2027, your base day is 1 July 2027; if you turned 31 in September 2026, it is also 1 July 2027. Someone born in May 1995 turned 31 in May 2026 and reached their base day on 1 July 2026: buying in August 2026 already costs 2 %. On the cheapest single policy in Victoria, $1,225 a year before the rebate, each 2 % of loading adds about $25 a year. Under 31 there is no loading at all, and some insurers give younger people an age-based discount.

Finding your own date

The base day depends only on your date of birth, unless one of the special cases below applies. Take the date of your 31st birthday, then go forward to the next 1 July. The examples cover the people turning 31 around now.

The 1 July that follows the 31st birthday.
Date of birth31st birthdayLHC base dayLoading if you join after it, before the next 1 July
15 March 199515 March 20261 July 20262 %
2 July 19952 July 20261 July 20272 %
30 June 199630 June 20271 July 20272 %

PrivateHealth.gov.au words the rule as the later of 1 July 2000 or the 1 July following your 31st birthday. The ATO puts it from the other side: you do not pay the loading if you are under 31, or if you hold an appropriate level of private patient hospital cover before your base day (ATO). Only private hospital cover from an Australian registered insurer counts. Extras cover, Overseas Visitors Health Cover, Overseas Student Health Cover and foreign insurance do not.

What one year of hesitation costs

The loading is easy to underrate because it starts small. At 2 %, on the cheapest exempt single policy in Victoria, it adds $25 a year. But it applies for ten years, and it grows with every 1 July you let pass.

Cheapest single hospital policy in Victoria that avoids the surcharge, $102.10 a month before the rebate, PrivateHealth.gov.au file of 1 October 2026. Premium held flat.
Years after the base dayLoadingExtra per yearExtra over the 10 loaded years
under one2 %$25$245
14 %$49$490
26 %$74$735
38 %$98$980
512 %$147$1,470
920 %$245$2,450

Those figures are on the cheapest policy available. On a policy three times the price, every figure triples. The rebate does not soften it, because the rebate is worked out on the premium without the loading.

Waiting from your base day

Waiting 5 years costs you

$1,231

Extra loading over the 10 loaded years$1,231
Surcharge paid while you wait (5 years)$0
Premium saved meanwhile (net of rebate)-$4,671
Open the waiting cost calculator →

Below the surcharge threshold, the loading is the only stick

For someone on $115,000, waiting also means the Medicare levy surcharge: $1,150 a year at the 2026-27 tier 1 rate, against $1,028 for the cheapest Victorian policy after the tier 1 rebate, so the surcharge is the dearer option even before the loading is counted. Below $105,000 there is no surcharge, and the decision rests on the loading and on what you want the cover for. A 31 year old at the base tier pays $930 a year for that policy after the 24.118 % rebate. Is private health insurance worth it weighs the two sides at each income.

Three common mistakes

The first is counting from the birthday instead of from the 1 July after it. Turning 31 does not start the loading; the following 1 July does, and that date can be almost a year away. The second is thinking that any policy will do. A policy with extras only, an insurance policy from another country, or Overseas Visitors Health Cover kept from before permanent residence does not count as hospital cover for the loading. The third is cancelling soon after the base day. Holding cover on the base day protects you, but a later gap counts against your lifetime allowance of 1,094 days, and once that is used a loading returns on rejoining.

A fourth, less common, is believing that a loading is permanent. It is removed after ten years of continuous hospital cover, so a person who joins at 33 with a 6 % loading pays it until about 43 and then pays the same premium as everyone else. The ten year removal page counts down the months.

Young people and the age-based discount

Since 1 April 2019, insurers may offer people aged 18 to 29 a discount on hospital premiums: 2 % for each year under 30, up to 10 % for those who join between 18 and 25 (PrivateHealth.gov.au). The discount stays until 41, then falls by 2 % each year. It is the mirror image of the loading, but voluntary: an insurer can offer it on some products and not others, and a person covered as a dependant on a family policy cannot have it. Our premiums are the full prices of the file, before any such discount.

When the date moves

Two groups have a different base day. New migrants have until the later of their usual base day and the first anniversary of their full Medicare registration (new migrants). Australian citizens and permanent residents who were overseas on their base day have until the first anniversary of their return (returning from overseas). Members of the ADF on continuous full-time service whose care is provided through the ADF, and people listed on a DVA Gold Card, are treated as holding hospital cover. The full rule is on the Lifetime Health Cover loading page.

Questions people ask about this

When exactly is my Lifetime Health Cover base day?

For most people, the 1 July that follows the 31st birthday. A person who turns 31 on 2 July has almost a full year; one who turns 31 on 30 June has one day. Exceptions move the date for new migrants and for Australians who were overseas on that 1 July. The base day is never earlier than 1 July 2000, when the scheme began.

I had cover on my 31st birthday but cancelled before 1 July. Is that enough?

No. What counts is holding hospital cover on the base day itself. PrivateHealth.gov.au gives the case of Chloe, who turned 31 in January 2019, held cover on her birthday, cancelled in March and took out a new policy in September. Her base day was 1 July 2019, she had no cover on it, and she pays a 2 % loading.

Does the loading start the day after my base day or a year later?

At once. Join the day after your base day and you were 31 on the 1 July before joining, so the loading is 2 %. Each further 1 July without cover adds 2 %: someone who was 32 on the 1 July before joining pays 4 %, and someone who was 35 pays 10 %. The loading then stays fixed for the ten loaded years.

Can I keep an age-based discount if I join before 30?

Insurers may offer up to 10 % off hospital premiums to people who join between 18 and 29, 2 % for each year under 30. The discount is kept until 41, then reduced by 2 % a year. It is optional for the insurer, and dependants on a family policy cannot receive it.

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Official sources for this page

Prepared by

Independent publisher of Medicare levy surcharge, rebate and Lifetime Health Cover calculators for Australian taxpayers

Rules and premiums last checked on · Editorial policy · Contact

Surcharge and rebate figures follow the ATO tables for 2026-27; premiums come from the PrivateHealth.gov.au file and change every 1 April. Your notice of assessment and your insurer's quote are what count. General information, not tax, legal or financial advice.

Income year 2026-27, tax year 2026, last updated, ATO thresholds and PrivateHealth.gov.au premiums read on