Subclass 189 vs 186 vs 482 Visas: Which One Suits Your Medical Career?

Australia is one of the most popular destinations for international healthcare professionals — and for good reason. With a high demand for doctors, nurses, and allied health workers, there are multiple visa pathways that can lead to a rewarding medical career and permanent residency.

But which visa is right for you?

In this guide, we’ll compare the Subclass 189, 186, and 482 visas – breaking down the key differences in eligibility, sponsorship requirements, benefits, and PR options to help you make an informed decision.


🩺 Who Is This Guide For?

Whether you’re a:

  • General Practitioner, Specialist, or Hospital Doctor
  • Registered Nurse or Midwife
  • Physiotherapist, Psychologist, or Allied Health Professional
    … this breakdown will help you understand which pathway fits your qualifications, goals, and circumstances.

🧭 Overview: The 3 Key Visa Types

VisaTypePR PathwayEmployer Required?
189Skilled Independent VisaYes (Direct PR)❌ No
186Employer Nomination SchemeYes (Direct PR or via 482)✅ Yes
482Temporary Skill Shortage VisaYes (After 2–3 years)✅ Yes

👉 Use the Visa Finder Tool from the Department of Home Affairs to compare options.


🔍 Subclass 189 – Skilled Independent Visa

Best for: Highly qualified professionals who meet the points-tested criteria and want maximum flexibility.

✅ Key Features:

  • Permanent Residency from Day 1
  • No employer sponsorship required
  • Live and work anywhere in Australia
  • Access to Medicare, study options, and citizenship pathway

🎯 Eligibility:

❗ Challenges:

  • Highly competitive
  • Long processing times
  • Not suitable if you want employer support or don’t meet points threshold

🔍 Subclass 186 – Employer Nomination Scheme

Best for: Healthcare workers with an Australian employer willing to sponsor and a desire for direct PR.

✅ Key Features:

  • Permanent Residency upon visa grant
  • Sponsored by a hospital, clinic, or health service
  • 2 streams:
    • Direct Entry Stream
    • Temporary Residence Transition Stream (after working on a 482 visa)

🎯 Eligibility:

  • Must be on the MLTSSL
  • Must have a skills assessment
  • Must be nominated by an Australian employer
  • Usually need 3 years of work experience (Direct Entry)
  • Must be under 45 years old
  • Functional English

🔍 Subclass 482 – Temporary Skill Shortage (TSS) Visa

Best for: Those seeking faster entry into the workforce with employer support – often used as a stepping stone to PR.

✅ Key Features:

  • Temporary work visa (up to 4 years)
  • Employer-sponsored
  • Can lead to Subclass 186 PR after 2–3 years
  • Available for many regional and urban locations

🎯 Eligibility:

  • Sponsored by an approved Australian employer
  • Occupation must be on the MLTSSL or STSOL
  • 2 years’ work experience usually required
  • Must meet English language requirements
  • Skills assessment may be required

🏆 So… Which Visa Is Right for You?

You Are…Best Fit Visa
A high-scoring professional with no employer yetSubclass 189
Already have an employer offering sponsorshipSubclass 186 (Direct Entry)
Want to get to Australia quickly and work while pursuing PRSubclass 482 → 186
Willing to work in regional Australia for added benefitsSubclass 491 or 482 → 186

🌏 Why Consider a Regional Employer?

Many hospitals and clinics in regional and rural Australia are approved sponsors and offer:

  • Faster visa processing
  • Extra PR points
  • Incentives like relocation assistance
  • A higher likelihood of visa nomination or Labour Agreement flexibility

👉 Browse real job opportunities:


🤝 How MedMigration Can Help

At MedMigration, we help healthcare professionals:

  • Understand which visa suits your goals
  • Navigate skills assessments and AHPRA registration
  • Secure job offers and employer sponsorships
  • Plan long-term PR and career pathways in Australia

👉 Learn more about how we can support you on our Services page


✅ Final Thoughts: Choose the Right Visa Strategy

Each visa has its pros and cons — and the best one for you depends on your experience, registration status, job offer, and long-term goals. Whether you’re just starting or ready to lodge your application, having expert guidance can make all the difference.

📩 Contact MedMigration today to take the next step in your Australian healthcare career.

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