PIC 4007 – Health Waiver for Australian Visa Applicants

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PIC 4007 Health Waiver

PIC 4007 Health Waiver: How to Succeed in Your Submission

A failed medical exam does not have to end your visa hopes. PIC 4007 lets the Department grant a visa despite high projected healthcare costs—if you lodge a persuasive health-waiver submission.
This guide answers the full range of searches from “pic 4007 health waiver” and “hiv health waiver” to “how to succeed in health waiver Australia.”

Table of Contents

1. PIC 4007 vs PIC 4005 – Key differences

Criterion

PIC 4005

PIC 4007

Applies to

Temp. visas (e.g., 482, 600)

Most permanent visas & some temps

Waiver possible?

No – health must be met outright

Yes – delegate may waive

Basis of refusal

Medical cost above threshold, risk to public health

Same, but waiver grounds considered

Typical use case

Short-term worker, tourist

Partner 820/801, 186, 187, 189, 190

Take-home: If your visa is eligible for PIC 4007, you can submit a health-waiver argument; PIC 4005 offers no second chance.

2. Who can request a PIC 4007 waiver?

You must:

  1. Hold or be applying for a visa class (e.g., Partner, ENS 186, GSM 189/190).
  2. Have failed the medical examination on cost grounds only (not public-health risk like active TB).
  3. Provide a waiver submission with supporting evidence before decision or within natural-justice period.

3. High-cost conditions – HIV, autism & others

Condition

Why costs trigger 4007

Evidence to address

HIV

Antiretroviral therapy + specialist reviews

Current CD4, viral load, Medicare cost offsets

Autism

NDIS therapy projections, schooling support

Private-funding plans, state disability programs

Organ transplant, CF, dialysis

Lifetime treatment > AU $51 000

Specialist letters, private-insurance cover

4. How to succeed in a PIC 4007 health-waiver submission

  1. Order your medical report and specialist prognosis.
  2. Quantify cost offsets – private insurance, personal funds, state services, family support.
  3. Demonstrate compelling circumstances – Australian citizen spouse, lengthy residence, critical skills.
  4. Address “undue burden” test with actuarial or doctor letter.
  5. Package evidence in a numbered bundle and lodge via ImmiAccount before the s56 deadline.

5. Writing an effective PIC 4007 waiver letter

Structure

  1. Heading & applicant details
  2. Background – visa subclass, medical condition, cost estimate
  3. Compelling circumstances – family, community ties, skills shortage
  4. Cost-mitigation table – insurance, own funds (AUD)
  5. Conclusion & request – ask delegate to exercise waiver.

6. Timeline, fees & pitfalls

Item

Timeframe

Tip

Health exam result

Usually 2–4 weeks

Download “HAP letter” immediately

s56 natural-justice period

28 days

Request 28-day extension if FOI docs pending

Waiver decision

1–5 months

Attach updated medical reports if >6 months old

Common pitfalls

Late submission · generic templates · no cost offsets

Always tailor letter; include actuarial cost table

7. FAQ – PIC 4007 & health waivers

Please see the below FAQs.

8 · Next steps

At Jade Immigration Lawyers, we assist clients navigating the complex PIC 4007 process with professionalism and care. We:

  • Assess your visa subclass and waiver eligibility
  • Review Form 884 and MOC opinions
  • Draft persuasive health waiver submissions
  • Gather expert reports and family support documentation
  • Represent clients in s56/s57 responses or AAT appeals if needed

Ready to take the next step?

Speak with Jade Immigration Lawyers today – we’re here to help you.

📞 Call us: 0485 907 989
📧 Email: jade@jadeimmigrationlawyers.com.au
📝 Submit an online enquiry or
📅 Book a consultation now to get personalised immigration advice from our experienced team. We assist clients across Australia and internationally.

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FAQ

Find answers to common questions about our Public Interest Criteria (PIC) services and processes. If you need further assistance, please contact us. 

What is a PIC 4007 health waiver?

It allows certain visa applicants to receive a visa despite failing the health requirement under PIC 4005, if compelling circumstances exist.

What types of visas allow for PIC 4007 waivers?

Partner, child, humanitarian, protection, and some skilled visas may allow for waivers—student or visitor visas generally do not.

Can HIV lead to a health waiver refusal?

Yes, but many applicants with HIV succeed when their condition is well-managed and they have strong family or humanitarian grounds.

Does autism always fail the health criteria?

Not automatically; waiver success depends on therapy-cost estimates and family support.

What’s the difference between PIC 4005 and 4007?

PIC 4005 is the health test; PIC 4007 provides the option to waive it in specific visa types when justified.

Do I need a lawyer for a health waiver submission?

While not mandatory, legal assistance significantly improves the chances of success due to the complexity of the submission.