Australia PR Medical Test – 189, 190 Visa for Adult, Child

Australia PR Medical test for TB, AIDS processing time 2 week. Pregnancy chest X ray after child birth. Health Insurance HSA card not allowed. Cost USD $350.

Written by Anil Gupta
  By Anil Gupta          Updated  22 Jun, 19


Australia PR Medical Test – Adult, Child

Australia PR medical test is required for everyone applying for Australian PR using 189 / 190 visa.

  1. Medical Examination (Adult, Child) –
    Doctor will perform Urine test, height – weight, eyesight, ear by looking, throat check by looking.
  2. Chest X-ray Examination (Adult Only)
  3. HIV or AIDS test (Adult Only)
    Simple Blood-based test to detect HIV positive virus.
  4. TB test
    • Adult – If you answered YES to any TB questions.
    • Child – If age is 5-10 years

Girls and ladies should not be on their menstrual period on the day of medical test. A clear urine result is required to pass the medical exam.

Tuberculosis (TB) Detected

If you ever had TB and are now free of TB, you will still need to go through TB detection test. Your Australia PR application will not be denied if you every had or currently have TB.

A kid will need TB test too and will be given a TB detection injection.

Case officer will contact you to get more TB related tested done before they can approve your 189 or 190 PR.

Your PR application will not be approved until you have completely treated your TB and test reports show that you are free of this communicable disease.

Pregnancy – X Ray

Pregnant ladies will not be able to get the X-ray done at the time of medical examination. Australia DIBP will not grant PR until you get the X-ray report after your child birth.

It is recommended to generate HAP ID before your 189 or 190 invite and get X ray done if you are planning for pregnancy or are newly pregnant if it is safe.

Australia PR Medical report is valid for 12 months.

Hepatitis Test

Hepatitis B and C test may be required if you are pregnant or if you intend to work as a doctor, nurse or dentist in Australia.

Hep B check is mandatory for people with tattoos or body piercings.


Ladies with ear piercing will need Hepatitis B test.

AIDS / HIV Positive

Your Australia PR application may not be approved if you are found to have AIDS or HIV virus. The DIBP will take a decision based on the costs on the public health system.

Australia PR Medical Cost

Australia PR medical test cost in USA is USD $350 per adult. Child medical examination for Australian Immigration is USD $60. The cost in USA varies by medical center and may cost you more based on your location.

Australia PR Medical test cost in India is INR 6,000 for Adult and INR 4,000 for child.


Australia Medical Physical examination in Dallas, Texas costs USD $350 per adult but same test in Atlanta, GA costs USD $450 per person.

Is Medical Test in USA Covered by Insurance

Your USA Health Insurance does not cover Australia immigration medical test.

Insurance company claims that it is not a medical necessity and hence it should be paid out of your pocket. You cannot even run the medical test through your health insurance to get a better negotiated rate.

You have to pay for PR tests by cash, debit or Credit card directly to clinic.

An HSA Card cannot be used to pay for Australia immigration physical examination.

Health Savings Account is an account specifically meant for health requirement by necessity and cannot be used for permanent residency tests.

Australia PR Medical Processing Time

The Medical test process takes about an hour to take your blood for HIV examination, test eye sight, record weight and take urine samples.

The medical reports take 7-14 days to be uploaded to Australia Immiaccount in USA. The Authorized medical center uploaded reports are automatically connected to your HAP ID.

You cannot see the reports in your immiaccount. You will only see the message that reports have been uploaded.

People from India have reported that doctors do upload reports within 1 day of tests completion.

Get Australia Medical from India while living in USA?

You can get Australia Medical done from anywhere in world irrespective of your physical location. Many people who are residing in USA get them checked up while they are visiting India.


You are applying for Australia 189 PR from Singapore. You can get your medical test report from India while you were on leisure trip.

Australia PR Rejection – Medical Reasons

Chances of your Australia PR rejection are very high if you are suffering from any of these diseases.

  • Intellectual or functional impairment – loss of functional capacity affecting a person’s ability to work
  • HIV infection
  • Renal or kidney disease or failure – You need regular Dialysis or Kidney Transplant
  • Cancer

DIBP denies permanent residency if the cost of treatment can be more than AUD $40,000 over the next 5 years.

You can apply for health waiver to help get your PR approval if you think that you medical condition will not be a cost burden on Australia Healthcare.

Australia PR Medical Questions

You can Generate HAP ID and get medical done even before getting invitation or submitting your final visa application. Each adult and kid will get a separate HAP ID.

You have to answer Yes or No to each question before generating HAP ID

  1. Have you ever got Tuberculosis (TB), treatment for tuberculosis?
  2. Any close household contact with Tuberculosis (TB)
  3. Prolonged medical treatment and/or repeated hospital admissions for any reason, including a major operation or psychiatric illness
  4. Psychological/Psychiatric Disorder (including major depression, bipolar disorder or schizophrenia)
  5. An abnormal or reactive HIV blood test
  6. An abnormal or reactive Hepatitis B or Hepatitis C blood test?
  7. Any Hepatitis B / Hepatitis C / Cancer or Malignancy in the last 5 years
  8. Diabetes
  9. Heart condition including coronary disease, hypertension, valve or congenital disease
  10. Blood condition (including Thalassemia)
  11. Kidney or Bladder Disease
  12. An ongoing physical or intellectual disability affecting your current or future ability to function independently or be able to work full-time (including autism or developmental delay)
  13. An addiction to drugs or alcohol
  14. Are you taking any prescribed pills or medication (excluding oral contraceptives, over-the counter medication and natural supplements)? Please list
  15. Are you pregnant? (Only for Female)

Source: Australia Immigration health requirements


   66 Useful Questions & Answers from comments

  1. Kiloje
    Kiloje 24 Apr, 19 at 5:36 am

    I just lodged for 489 and i have hepatitis b, i have done LFT test and it is good, and HBEAG negative, Viral load is 845 and fibroscan is also okay. I did my medicals today ,the medical officer however decided that he does not need the medical report , my viral load and fibroscan report, neither the HBeag -ve .He only collected the Liver Function test and said i will be okay. I am worried as i don’t want a Co contact on same. I went back next said and he insisted i should not worry.


    • Anil Gupta
      Anil Gupta 24 Apr, 19 at 7:05 am

      You should be fine. Don’t worry.


      • Kiloje
        Kiloje 24 Apr, 19 at 7:06 am

        Thank you. That was fast, i am so glad and at peace. My second question, my wife cannot read unless book is close to her, i am sure she will not read the letters and even bigger ones in eye test, she can read ,…….20/70……… T O Z and above. Will this affect my application if i add her?


        • Anil Gupta
          Anil Gupta 24 Apr, 19 at 7:44 am

          As per my information, the Australia Immigration process only looks for existence of any communicable diseases and the chances of it affecting their country. All other curable diseases including eye sight do not affect chances of your Australia PR.


          • kiloje
            kiloje 24 Apr, 19 at 9:27 am

            Thank you, you are very helpful and i now have peace. I will add them now.


  2. Irfan Iqbal
    Irfan Iqbal 23 Apr, 19 at 2:21 am

    Hello Anil, I got the invitation of 189 visa but my 17 months old daughter have been diagnosed with a disease called “Isovaleric Acidemia” which has caused developmental delay and slow brain activity. It is not a contagious disease. As per doctor’s comment, her brain activity is of a 7-9 months old child. Can this cause an impact on my visa?


    • Anil Gupta
      Anil Gupta 23 Apr, 19 at 6:21 am

      I don’t think your child’s disease will pose any issue with Australia PR.


      • Irfan Iqbal
        Irfan Iqbal 23 Apr, 19 at 6:51 am

        Thanks a lot!


  3. Wayne
    Wayne 2 Apr, 19 at 6:01 pm

    My wife has just cleared her medical , how long does visa take to be granted after this?


  4. Hari
    Hari 25 Mar, 19 at 6:37 pm

    Hi Anil,

    I applied for SC189 a week ago and uploaded all the documents except Medicals. Because, I undergone Medicals in Jul 2018 for 457 dependent visa and informed the doctor about my plan for PR visa too. So, he advised me to go for HIV test as well so that I can use the same medicals for my PR application. Now, when I lodged my application I have mentioned the HAP ID which I used for my medicals in Jul 2018. Is it ok to use my 457 dependent visa medicals for my 189 visa.. Kindly share your thoughts..


    • Anil Gupta
      Anil Gupta 25 Mar, 19 at 7:35 pm

      It should be okay. If anything extra is required, the Case officer will contact and ask your for it.


      • Hari
        Hari 25 Mar, 19 at 11:24 pm

        Ok.. Thanks Anil !


  5. sandeep dahiya
    sandeep dahiya 25 Mar, 19 at 1:30 pm

    Hi Anil,

    My daughter is 9 years old and a spinal Muscular Atrophy Type 2. she cannot walk and stand but is fine intellectually, will there be a challenge in getting the Australian PR for her?



    • Anil Gupta
      Anil Gupta 25 Mar, 19 at 2:47 pm

      I do not think the nature of your daughter’s problem will affect the Australia PR.


      • sandeep dahiya
        sandeep dahiya 26 Mar, 19 at 1:34 am



  6. Raghunath
    Raghunath 12 Feb, 19 at 12:27 pm

    Hello Anil,

    I am in California and I see only one Medical center which is nearby in DIBP list – Berkeley. Should I get the medical tests only in this medical center or there is no restriction?

    Thank you,


    • Anil Gupta
      Anil Gupta 12 Feb, 19 at 3:49 pm

      You have to do medical in the authorized center only as they have access to upload your reports directly on Australia Immiaccount.
      You cannot upload the reports yourself. It has to be done by approved medical center.


      • Raghunath
        Raghunath 13 Feb, 19 at 11:05 am

        Thank you Anil. Will my kids also get HAP ID? or will they be linked to main applicant? Request your inputs.


        • Anil Gupta
          Anil Gupta 13 Feb, 19 at 11:30 am

          Kids will get their own HAP ID separately.


  7. Shree
    Shree 9 Feb, 19 at 10:27 am

    I had TB 20 years ago and has scar on lungs nad have never again suffered from it.How would this be treated for Visa


    • Anil Gupta
      Anil Gupta 9 Feb, 19 at 2:09 pm

      You should declare that you had TB at the time of generating HAP ID.
      I don’t think it will be an issue if you do not have TB now. Doctor will run a test again.

      Doctors take a test that can find out if you ever had TB if you dot declare.
      If they find it themselves, then it will affect your application adversely as it will considered as a lie.


  8. Sebastian
    Sebastian 14 Jan, 19 at 9:47 am

    Hi Anil,
    Can you please clarify my doubt. Do we know what kind of medical tests will be conducted for 3 year old kid. My son has speech delay and is able to understand everything. I am currently in US and i suspect my son may not answer any questions from doctor if asked to do. If this will be a problem for visa approval, then i prefer to wait for 6-12 more months and try after my son speaks normal rather than spending $5K for visa fees and medicals. Do the doctors specifically test for developmental delays during the tests?. If you have any insights please let me know.


    • Anil Gupta
      Anil Gupta 14 Jan, 19 at 10:04 am

      Doctor does communicate with kid for tests.
      I do not think that speech delay can be a reason to deny visa or PR. The main thing that visa officer looks for is the presence of communicable diseases like HIV or TB or something similar.

      Doctor does test kid’s throat, eye and ear to find any infections though.
      It is your choice if you want to apply right away or want to wait.


      • Sebastian
        Sebastian 28 Jan, 19 at 8:52 pm

        hi Anil,
        Thank you very much!. I did completed my medical test for the family (myself, son and wife). The doctor did not see any abnormalities with my son, he dint test his speech ability and infact did not spend much time with my son. I received the test results today and it says his medical is passed and no more action is required. Can i safely say that i can proceed with the application or will my son be referred to see pediatrics separately?. Please let me know.


        • Anil Gupta
          Anil Gupta 9 Feb, 19 at 10:02 am

          You can safely lodge your application. No further tests are required now.


          • Sebastian
            Sebastian 9 Feb, 19 at 10:12 am

            Thank you Anil 🙂


  9. Kumar
    Kumar 13 Nov, 18 at 2:26 pm

    Hi Anil,

    I have one question. I have received the invitation of SC 189 . I have submitted the visa application last week and paid the fees. (Self, Spouse, child).

    I have generated the HAP IDs before submitting the visa application. Should I go for medical tests before case officer is assigned to my visa application? Or I can wait also?

    As you know, medical test will be valid for only 1 year and I need to stretch that time so that I do not need to go for medical again. Can I wait for another 2 3 months so that I can buy maximum time for visiting Australia? Or since I have generated the HAP ID separately then I have to undergo medical asap?

    Please let me know if you need more information.


    • Anil Gupta
      Anil Gupta 13 Nov, 18 at 2:44 pm

      Official guidance says that you should get your medical done as early as possible.

      If you wait for case officer to tell you to get medical done, you will easily add another 60 days of processing time to your application visa grant.
      If you get medical done before visa officer starts working on your case, it is possible that there is no need for case officer to contact you and all your papers are complete. In that case, case officer will simply grant you visa.

      It is your choice. I recommend getting it done now.


      • kumar
        kumar 15 Nov, 18 at 1:30 pm

        Thanks a lot Anil for your help and information. I am highly obliged. I am currently living in the US and waiting for my visa extension. I am getting relocated to different city in next few days so need to wait for the medical appointment in new city. If we get the medical done and are not able to travel AUS within one year then re medical test will help or we cannt use the PR anymore?


        • Anil Gupta
          Anil Gupta 15 Nov, 18 at 1:38 pm

          You will get an initial entry date once you get your Australia PR. You will have to travel to Australia at-least once before this date to activate your PR.
          Medical is needed only once for getting the PR.


          • Kuldeep Ahuja
            Kuldeep Ahuja 16 Nov, 18 at 11:18 am

            Hi Anil Gupta, Am i Planning for Australia PR and looking for Good Consultant for the same. Will you provide Consultancy, if yes then how to reach you.Please let me know.


            • Anil Gupta
              Anil Gupta 16 Nov, 18 at 11:22 am

              Hi Kuldeep,
              I am not a consultant.
              You can ask me any questions you have for Australia PR here free of cost.


            • Kuldeep Ahuja
              Kuldeep Ahuja 28 Jan, 19 at 8:51 pm

              Thanks, Please help with the Scope of System Administrator 262113 in Visa 189,190 & 489 Australia.


            • Anil Gupta
              Anil Gupta 9 Feb, 19 at 10:01 am

              You need at least 75 points to have any realistic chance of getting an invite.
              As per 11 Nov draw, people with 80 points got the invitation.


          • Kumar
            Kumar 15 Dec, 18 at 11:56 am

            Hi Anil,

            Thanks a lot for your guidance. I have completed my medicals and my doctor has submitted the results to Aus Immigration authorities on 13 Dec. I submitted the PR SC189 application on 12 Nov and still case officer is not assigned. I have one question:

            I generated the HAP ID before filing the visa application. Hence in my IMMI account there are two separate applications.
            1. SC189
            2. Medicals

            Do I need to link these applications? Because how the case officer will come to know that my medicals are also completed?

            Please let me know if you need more information.


            • Anil Gupta
              Anil Gupta 15 Dec, 18 at 3:33 pm

              Is there an option to connect the two medicals? I am not sure how this can be done if possible.


            • Kumar
              Kumar 15 Dec, 18 at 9:08 pm

              Hi Anil,

              Sorry for the confusion. There are not two medicals. Medical test was submitted once only. Just asking how to connect the medical with SC189 application?


            • Anil Gupta
              Anil Gupta 16 Dec, 18 at 7:13 am

              When you had rwcerece invitation, did you sign in to the existing immiaccount (that you created earlier for medical) or created a new immiaccount login after clicking ‘accept’ invitation?

              If your signed in using the existing immiaccount, your medicals will be automatically connected to your EOI and visa application.


            • Kumar
              Kumar 16 Dec, 18 at 2:30 pm

              Hi Anil,

              I have only one IMMI account and both SC189 and medical applications are present in the same account. I never created any separate account for medicals before getting the invite.

              I received the invite on 12 Oct 2018 and created the account on 13th Oct 2018 and started with the SC189 application. Parallely I initiated new application manually for medicals in the same account to get the HAP IDs. I didn’t want to wait for the CO to come and provide the HAP IDs.

              SC189: Submitted on 12Nov 2018
              Medical: Submitted by doctor on 14th Dec 2018.

              Will the case officer be aware that medicals are already submitted for myself and family?

              Thanks a lot.


            • Anil Gupta
              Anil Gupta 16 Dec, 18 at 3:08 pm

              In that case, you don’t need to do anything. Your medicals are automatically connected to your application.


            • kumar
              kumar 17 Dec, 18 at 12:34 am

              Hi Anil,

              This is a big relief to me. Thanks a ton for your guidance….


            • Kumar
              Kumar 20 Mar, 19 at 12:05 pm

              Hi Anil, Hope you are fine. I have received Request for more Information from AUS Authorities. We did not change the last name of my wife to match my last name on her passport. Her 10th 12th Graduation marksheets are also with old name. However, in the marriage certificate her last name was changed. My daughter’s passport also has her changed last name. Request for more evidence for my wife states” Please provide an explanation and evidence of difference in surnames”. What should I do in this case?


            • Anil Gupta
              Anil Gupta 20 Mar, 19 at 5:25 pm

              Your question about surname change proof is out of scope of this article. I have added it to our forum and answered it there.

              You can ask follow up question of forum itself. We answer within 1-24 hours.


  10. Venkat
    Venkat 25 Oct, 18 at 8:21 pm

    Hi Anil,

    Can you please let me know where can I get HAP ID? Do we get appointment quickly in US? I assume this is not as time consuming as Indian PCC which an take upto 4-6 weeks. Also, can we do before we get ITA (I’m expecting ITA in Nov round) to save time?


    • Anil Gupta
      Anil Gupta 25 Oct, 18 at 8:49 pm

      Use this step by step process to generate HAP ID:

      Medical reports are uploaded directly to immiaccount website by doctors and they take 7-14 days.

      The doctors appointment might take time in USA.

      Yes, you can do it before getting ITA but I recommend doing it after ITA.


      • Venkat
        Venkat 26 Oct, 18 at 9:27 am

        Thanks Anil. In Step 8 (Health declarations), Does any applicant intend to work as, or study to be a doctor, dentist, nurse or paramedic during their stay in Australia?

        Does this mean does the primary application or dependents intend to “work as a doctor, dentist, nurse or paramedic” or “study to be doctor, dentist, nurse or paramedic”? My EOI is for 261313 and I’m not claiming any points for my wife and she is not in the field of medicine as well.


        • Anil Gupta
          Anil Gupta 26 Oct, 18 at 9:50 am

          Then, you should answer ‘No’.


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