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nib Tax Statement Australia 2025: How to Get It and Use It at Tax Time

If you're a nib private health insurance member, you'll receive a private health insurance tax statement each year after 30 June. This short document is essential for your Australian tax return — it tells the ATO what cover you held, how much you paid, and whether you received the government rebate. Getting the details right matters: it affects your rebate entitlement and can determine whether you're liable for the Medicare Levy Surcharge. This guide explains everything you need to know about your nib tax statement for FY 2025-26.

What Is the nib Tax Statement?

Your nib tax statement — formally called a private health insurance statement — is an annual summary issued by nib after the end of each financial year. The ATO requires all registered health insurers, including nib, to issue this statement to members, and members must report the information it contains whenever they lodge a tax return while holding private health insurance.

The statement is not a premium invoice or a bill. Think of it as a reconciliation record: it shows how many days you held cover with nib during the year, how much you paid in premiums, and how much government rebate was applied to your policy. The ATO uses this data to verify your rebate entitlement against your actual income for the year and to confirm you were covered by a complying hospital policy — which is what exempts higher earners from the Medicare Levy Surcharge.

nib is one of Australia's largest health insurers and issues statements for its range of hospital, extras, and combined policies. If you hold a nib policy — including international student health cover (OSHC) or overseas visitor health cover (OVHC) — you'll receive a separate statement for each policy you held during the financial year.

When Does the nib Tax Statement Arrive?

nib typically issues tax statements in late July or early August after 30 June each year. Members who've opted in to digital communications receive the statement by email. You can also download it at any time by logging in to the nib member portal at nib.com.au — go to "My Membership" or "My Documents" and look for your private health insurance statement. If you've registered for the nib app, statements are also available there.

What Does the nib Tax Statement Include?

Your nib tax statement contains several specific fields that you'll enter directly into your tax return. Here's what each one means:

Field on Statement What It Means
Membership numberYour unique nib policy identifier
Days of coverNumber of days your nib policy was active during the financial year (maximum 365)
Benefit codeIndicates the type of cover: hospital only (S), extras only (E), or combined hospital and extras (X)
Premiums paidTotal amount you paid for your nib policy throughout the year (after any rebate reduction)
Government rebate receivedThe rebate amount already applied to reduce your premiums during the year
Insurer detailsnib's ABN and registered insurer name for ATO verification

The four key figures you'll enter into your tax return are: days of cover, benefit code, premiums paid, and government rebate received. Enter these exactly as they appear on your nib statement — the ATO receives the same data directly from nib and will cross-check your return against it.

The Private Health Insurance Rebate: How It Applies to nib Members

The Australian government's Private Health Insurance Rebate subsidises the cost of your nib premiums. Most nib members take this rebate as a premium reduction — meaning nib charges you less each month because the government contributes a portion on your behalf. This is the default option and the most common approach.

Alternatively, you can elect to receive the full rebate as a lump sum tax offset when you lodge your return — in which case you pay the full nib premium throughout the year and claim the rebate back at tax time.

Either way, the ATO reconciles your rebate at year end using your actual income. The rebate is means-tested and decreases as your income rises, disappearing entirely above the top tier threshold. The FY 2025-26 income tiers for singles are:

Income Tier (Single) Rebate (Under 65) Rebate (65–69) Rebate (70+)
Up to $101,000~24.608%~28.710%~32.812%
$101,001 – $118,000~16.405%~20.507%~24.608%
$118,001 – $158,000~8.202%~12.303%~16.405%
Over $158,0000% (nil)0% (nil)0% (nil)

Note: Rebate percentages are indexed annually. Check ato.gov.au for the exact rates applicable to FY 2025-26.

If your income at tax time is higher than the tier estimate you gave nib at the start of the year (which determines how much your premium was discounted), the ATO will require you to repay the excess rebate through your tax return. If your income was lower, you'll receive the difference as an additional tax offset.

Tip: Notify nib if Your Income Changes

If your income changes significantly during the year — due to a pay rise, new job, investment income, or other circumstances — update your income estimate with nib as soon as possible. This ensures the correct rebate tier is applied and avoids an unexpected repayment when you lodge your return. You can update your income tier via the nib member portal at nib.com.au or by calling nib on 13 16 42.

How to Use Your nib Tax Statement in Your Tax Return

Whether you lodge via myTax, a registered tax agent, or third-party software like etax or H&R Block, you'll need to complete the Private Health Insurance section of your return. Here's how to do it step by step:

Step 1: Locate your nib tax statement

Log in to nib.com.au → My Membership → My Documents. Download your annual tax statement. Alternatively, check your registered email inbox — nib sends statements electronically in late July or early August. Keep the statement open while you complete your return, as you'll need the exact figures printed on it.

Step 2: Open the Private Health Insurance section in myTax

Log in to myGov and open myTax. Navigate to the "Private health insurance policy details" section and click "Add". myTax will guide you through questions about your insurer and coverage type.

Step 3: Enter your nib statement details

Enter your membership number, insurer name (nib Health Funds Ltd), benefit code, days of cover, total premiums paid, and the government rebate already received. Each of these fields maps directly to your nib tax statement. Do not estimate or round these figures — enter them exactly.

Step 4: Let the ATO reconcile your rebate

Based on your income and the details entered, myTax automatically calculates whether you received too much or too little rebate during the year. If you received too much (because your income was higher than estimated), the excess is added to your tax liability. If you received too little, the difference is applied as a tax offset.

myTax often pre-fills your private health insurance details automatically, using data that nib reports directly to the ATO. Always check the pre-filled details against your actual nib statement before lodging — pre-fill data can sometimes contain errors, and you're responsible for the accuracy of your own return regardless of what is pre-filled.

nib Tax Statement and the Medicare Levy Surcharge

Your nib tax statement is also central to determining whether you're liable for the Medicare Levy Surcharge (MLS). The MLS is an additional tax — on top of the standard 2% Medicare Levy — that applies to higher-income earners who did not maintain an eligible hospital cover policy for the full financial year.

In FY 2025-26, the MLS applies if your income exceeds $101,000 (for singles) and you did not hold continuous, complying hospital cover. The surcharge rates are:

Your nib tax statement — specifically the days of cover field and the benefit code confirming you hold hospital cover — is what demonstrates to the ATO that you maintained an eligible hospital policy. If you held nib hospital cover for all 365 days, you're fully exempt from the MLS. If there was a gap (for example, you cancelled your policy mid-year, changed insurers without continuous cover, or switched to an extras-only policy), you may be liable for MLS for those uncovered days.

Important: Extras-Only Cover Does Not Exempt You from the MLS

nib extras-only policies (covering dental, optical, physio, and similar) are not complying hospital policies for MLS purposes. To be exempt from the Medicare Levy Surcharge, you must hold a complying hospital policy. Check your benefit code on your nib statement — hospital cover is indicated by benefit code "S" (hospital only) or "X" (combined hospital and extras). If your benefit code is "E" (extras only), you are not exempt from the MLS, regardless of your income.

Use our Medicare Levy Calculator to estimate your MLS exposure, or our Take-Home Pay Calculator to see your full tax picture including Medicare obligations for FY 2025-26.

What If You Can't Find Your nib Tax Statement?

If you can't locate your nib tax statement, here's where to look and what to do:

Don't lodge your tax return without the correct private health insurance details. Errors in this section can cause an incorrect rebate calculation, an ATO review, or an unexpected adjustment to your assessment later. If you're waiting for your nib statement, it's better to wait a few extra weeks before lodging than to guess or estimate.

Quick Summary: nib Tax Statement Checklist

Your nib tax statement is one part of a broader tax picture. Use our free Australian tax calculators to understand your full position for FY 2025-26:

🧮 Related Calculators

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Sarah Chen, CPA

Certified Practising Accountant · 10+ years in Australian tax advisory

This article has been reviewed by Sarah Chen to ensure accuracy and alignment with current ATO guidelines. Sarah is a CPA with over a decade of experience in Australian personal tax, superannuation, and payroll compliance.

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