Intensive Care Ambulance Paramedic — Subclass 491 Pathway
Skilled Work Regional (Provisional) visa · 5 years provisional → PR pathway via Subclass 191
At a glance
- Visa
- Subclass 491 — Skilled Work Regional (Provisional) visa
- Points test
- Yes — points-tested via SkillSelect
- Sponsor
- State nomination or eligible family sponsor
- Eligibility list
- MLTSSLSTSOLROLCSOL
- Base fee
- from $4,640 (check immi.gov.au for current fee)
- Processing time
- ~8-15 months (median)
Skills assessment for this occupation
Assessing Intensive Care Ambulance Paramedic for migration purposes is handled by: VETASSESS.
Each occupation has a single designated assessing authority — refer to the occupation page for the body that assesses it.
Intensive Care Ambulance Paramedic × Subclass 491 — pathway overview
Intensive Care Ambulance Paramedic (ANZSCO 411112) is listed on the Short-term Skilled Occupation List (STSOL) and Core Skills Occupation List (CSOL) and is eligible for the Subclass 491 Skilled Work Regional (Provisional) visa. This five-year provisional visa requires a state or territory nomination or family sponsorship from regional Australia. Intensive Care Ambulance Paramedics provide advanced life support including airway management, cardiac monitoring, drug administration, and complex trauma care for critically ill patients in the pre-hospital setting, working alongside standard Ambulance Officers in state and territory emergency services. Applicants must lodge an Expression of Interest through SkillSelect and be under 45 at the time of invitation. At least Competent English is required, and a skills assessment from VETASSESS must be completed before lodging the EOI. State and territory governments nominating under Subclass 491 each set their own occupation demand criteria and may impose additional requirements. The Subclass 491 application fee is approximately AUD 4,640, with processing typically taking eight to fifteen months. Visa holders must live, work, and study in regional Australia for the duration of the visa. After three years of regional residence and meeting an income threshold, holders may apply for permanent residence through the Subclass 191 Permanent Residence (Regional) visa. For advice tailored to your individual circumstances, always consult a registered MARA migration agent.
Content last generated: 2026-06-26
Key requirements
High-level criteria for Subclass 491. Verify every requirement on immi.gov.au before applying.
- Under 45 years of age at invitation
- Competent English (IELTS 6 or equivalent)
- Positive skills assessment in a nominated occupation
- State/territory nomination OR eligible regional family sponsor
- Live, work, and study only in a designated regional area
- Health and character requirements
Other visa pathways for Intensive Care Ambulance Paramedic
- 186Details →Employer Nomination Scheme visa
Permanent employer-sponsored visa for workers nominated by an approved sponsor.
- 190Details →Skilled Nominated visa
Permanent visa for workers nominated by a state or territory government.
- 482Details →Skills in Demand visa
Employer-sponsored temporary visa (formerly TSS) for occupations on the relevant list.
- 494Details →Skilled Employer Sponsored Regional visa
Five-year employer-sponsored provisional visa in regional Australia, with a path to PR.
State nominations for Intensive Care Ambulance Paramedic
States currently nominating this occupation — see the dedicated pages for state-specific criteria.