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Attachment C-The Health Matrix
Whilst most visa subclasses are subject to meeting the health requirement as set out in Public Interest
Criteria 4005 and 4007 (Schedule 4 of the Migration Regulations 1994), not all visa applicants are
required to undertake an Immigration Medical examination (IME). Most visa applicants satisfy the
health requirement after having completed a health declaration only.
Instrument IMMI 15/144 – Required Medical Assessment, uses a risk based approach to determine the
type of IME and processes a visa applicant will need to undergo for the purpose of ‘meeting’ the health
requirement. It does not make a distinction between visa applicants applying overseas or from whin
Australia.
While the Health Matrix does not focus solely on Tuberculosis (TB), the core component is the
applicant’s country TB risk level (using WHO collected data on the prevalence rate of TB at a national
level). This is assessed together with the applicant’s period of stay in Australia, as it increases the
health risks to the community.
Current Health Matrix (IMMI 15/144) – Minimum IME required for visa applicants.
Temporary stay in
Temporary stay in
Permanent and provisional visa
Australia of less
Australia of 6 months
applicants
than 6 months
or more
Lower TB risk applicant
No Immigration
No Immigration medical Applicants must complete a medical
(A citizen of a country listed in
medical examination
examination required
examination, chest x-ray (if 11 years
Schedule 1 of the Instrument
required unless
unless special
or over),
specified in clauses 4005(1)(aa) and special significance
significance applies.
HIV test, a serum creatinine/eGFR (if
4007(1)(aa), and who has not spent
applies.
15 years or over) and any special
three or more consecutive months in
significance requirements must be
the last five years in a country not
met.
listed in Schedule 1).
Higher TB risk applicant
No Immigration
Applicants must
Applicants must complete a medical
medical examination
complete a medical
examination, chest x-ray (if 11 years
(Any applicant other than above)
required unless
examination, chest x-
or over), HIV test
special significance
ray (if 11 years or over), (if 15 years or over), serum
applies.
serum creatinine/eGFR
creatinine/eGFR (if 15 years or over),
(if 15 years or over) and TB screening test (if aged from 2 to
any special significance under 11 years) and any special
requirements must be
significance requirements must be
met.
met.
Special significance requirements
Visa applicants intending to engage in the activities outlined below will also need to undergo health
examinations to assess their health risks.
Situation / intended activity
Required Immigration Medical examinations
Likely to work or be a trainee at an Australian childcare centre
Chest x-ray, a medical examination, latent TB screening test
(including preschool and creche)
and serum creatinine/eGFR
Intending to work as (or study to be) a doctor, dentist, nurse or
Chest x-ray, medical examination, HIV, latent TB screening
paramedic
test, serum creatinine/eGFR, Hepatitis B and Hepatitis C
Likely to enter a health care facility and from a higher risk
Chest x-ray, a medical examination, latent TB screening test
country
and serum creatinine/eGFR
Pregnant and intending to give birth in Australia
Hepatitis B test
Aged 75 years and older (Subclass 600 visitor visas)
Medical Examination and serum creatinine/eGFR
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Attachment D – Temporary Onshore Immigration Medical Examination
Client Price List (Temporary CPL) from 1 July 2023 to 31 October 2023
Table 1 – Temporary 28% CPL (applicable 1 July 2023 to 31 October 2023)
Table 1 sets out the temporary 28% increase to the base CPL, which has been approved to mitigate some of
the impacts of the temporary streamlined visa policy flexibility. Should this temporary policy flexibility cease,
the CPL will revert to the base level and will apply the date of the Policy Change Notice.
Current Temporary 28%
Base Fee (from 1 November
Service Description
Fees (to 31 October 2023)
2023 to expiry of Contract)
Medical Examination and Chest X-ray
$441.70
$345.10
Medical Examination only
$318.90
$249.10
Chest x-ray only
$164.70
$128.70
Syphilis (Pathology as part of medical
$56.30
$44.00
exam)
Hepatitis B (Pathology as part of medical
$79.40
$62.00
exam)
Hepatitis C (Pathology as part of medical
$79.40
$62.00
exam)
HIV (Pathology as part of medical exam)
$68.60
$53.60
TB Screening Test Interferon-Gamma
$126.00
$98.40
Release Array (IGRA)
Paediatric Chest x-ray – 2 x Chest x-rays
$171.30
$133.80
comprised of Posterior Anterior (PA) and
Lateral view
Chest x-ray Lordotic view
$164.70
$128.70
HIV Pathology (not part of a medical
$111.50
$87.10
exam)
Hep B Pathology (not part of a medical
$122.10
$95.40
exam)
Hep C Pathology (not part of a medical
$122.10
$95.40
exam)
Syphilis Pathology (not part of a medical
$99.20
$77.50
exam)
Liver Function Tests (LFTs)
$41.70
$32.60
(supplementary testing)
Serum Creatinine (supplementary testing) $22.90
$17.90
Hepatitis C RNA testing (supplementary
$222.60
$173.90
testing)
Hepatitis B DNA testing (supplementary
$296.40
$231.60
testing)
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Table 2 - In-Home Assessment fees (applicable 1 July 2023 to 31 October 2023)
Table 2 sets out the fees for in-home assessments with the 28% temporary increase applied to the base
CPL fees.
Current Temporary 28%
Base Fee (from 1 November
Service Description
Fees (to 31 October 2023)
2023 to expiry of Contract)
<100kms of the nearest dedicated and/or
$528.50
$412.90
purpose-built clinic location
100-150kms of the nearest dedicated
$1,158.70
$905.20
and/or purpose-built clinic location
>150km from the nearest dedicated
To be priced on a case-
To be priced on a case-by-
and/or purpose-built clinic location
by-case basis.
case basis.
Table 3 - Carer Visa Assessment fees (applicable 1 July 2023 to 31 October 2023)
Table 3 sets out the fees for carer visa assessments with the 28% temporary increase applied to the base
CPL fees.
Current Temporary 28%
Base Fee (from 1 November
Service Description
Fees (to 31 October 2023)
2023 to expiry of Contract)
Carer Visa Examination (in-centre)
$483.60
$377.80
Carer Visa Home Examination: Less than
$652.70
$509.90
10kms from nearest centre (Zone 1)
Carer Visa Home Examination: 10-20kms
$805.40
$629.20
from nearest centre (Zone 2)
Carer Visa Home Examination: 20-30kms
$961.00
$750.80
from nearest centre (Zone 3)
Carer Visa Home Examination: More than $1,113.60
$870.00
30kms from nearest centre (Zone 4)
Carer Visa Assessment (on papers) - This $422.70
$330.20
is for exceptional circumstances only.
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Attachment E – Comparative Analysis of Migration Medical Services Provider - Alternate Options
s. 47C(1)
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s. 47C(1)
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s. 47C(1)
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s. 47C(1)
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