How to do 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
  Anil Gupta    Updated 15 Aug, 23

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

  1. Medical Examination (Adult, Child) –
    The doctor will perform a Urine test, height-weight, eyesight, ear check by looking, and 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 the age is 5-10 years

Girls and ladies should not be on their menstrual period on the day of the 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 the TB detection test. Your Australia PR application will not be denied if you ever had or currently have TB.

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

The Case officer will contact you to get more TB-related tests 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’s birth.

It is recommended to generate a HAP ID before your 189 or 190 invites and get an 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 tests 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 piercings will need a 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 make a decision based on the costs of the public health system.

Australia PR Medical Cost

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

Australian PR Medical test cost in India is INR 6,000 for Adults and INR 4,000 for children.


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

Is Medical Test in the USA Covered by Insurance

Your USA Health Insurance does not cover Australian immigration medical tests.

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 the clinic.

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

A Health Savings Account is an account specifically meant for health requirements 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 eyesight, record weight, and take urine samples.

The medical reports take 7-14 days to be uploaded to the Australia ‘Immiaccount’ in the 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 test completion.

Get Australian medical from India while living in the USA?

You can get Australia Medical done from anywhere in the world irrespective of your physical location. Many people who are residing in the 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 are on a leisure trip.

Australia PR Rejection – Medical Reasons

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

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

Australia PR Medical Questions

You can Generate a HAP ID and get medical done even before getting an 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 the 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


Written by Anil Gupta
  Anil Gupta  
Mentor | Immigration and Finance Journalism | Humor | Opinions are my own