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1. The 12-Month Validity Rule

In 2026, the DHA treats health clearances like a “subscription” that expires every year.

  • Scenario A (Reuse): You did your medicals in August 2025 for a Student Visa extension and you are applying for your 485 in May 2026. Since it’s within 12 months, the system should link them automatically.
  • Scenario B (New Exam): You did your medicals in 2023 when you first arrived in Australia. Even if your Student Visa is still active, those results are too old. You will need a new HAP ID and a new appointment.



2. How to Check if Your Medicals “Linked” Automatically

Once you lodge your 485 application and pay the fee:

  1. Log in to ImmiAccount.
  2. Open your 485 application and click “View Details.”
  3. Check the “Health Assessment” tab.
  4. If it says “Health clearance provided,” you are finished! Your old medical has been successfully reused.
  5. If it says “Organise health examinations,” the old one has expired or was not compatible.



3. Compatibility: Is a Student Medical “Enough”?

Not all Student Visa medicals are the same. In 2026, the 485 visa often requires more “rigorous” testing than a standard student visa, especially if you plan to work in certain fields.

Test TypeStudent Visa (Low Risk)Graduate 485 Visa
Medical ExamSometimes waivedAlways Required
Chest X-RayDepends on country riskAlways Required
HIV TestRarely RequiredMay be Required (if working in healthcare)

Warning: Even if your student medical is only 6 months old, if it didn’t include a Chest X-Ray (and your country of origin requires one for a 485), you will still have to go to Bupa for the missing parts.



4. 2026 “Decision Ready” Tip

If you are an Indian, Pakistani, or Chinese graduate (countries considered high-risk for TB), the Department is much stricter about the 12-month cutoff. If your medical is 11 months old when you apply, it will likely expire during processing.Recommendation: If your medical is more than 9 months old, it is safer to get a fresh one. It’s better to pay $400 now than to have your visa delayed for 3 months later in the year.

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