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As far as I know, if you have applied for the visa and you wife with you, then you can apply for medicare since 186 visa is permenant. You need to go to a medicare branch taking with you your passports and a proof that you have applied for the permenant visa. They will give you an application to fill then they will put you in the system and you will receive your medicare card within 2 weeks.
 

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If you are in the nomination stage then you cannot get medicare. If your nomination has been approved and your company submitted the visa application, then I think you will be able to apply for medicare.
 
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