Before you accept your compensation payment
You can find out the amount that will need to be repaid before you accept a compensation payment, called a settlement.
Before you accept
Before you accept a compensation payment, find out the amount you will need to repay for:
- Medicare benefits
- nursing home benefits
- residential care or
- home care subsidies
This will let you know if you have to pay us any money back from your final compensation payment.
To find out the amount, you, your solicitor or the person paying your compensation can request a copy of your Medicare history statement. This statement lists every service you have claimed a Medicare benefit for since the date of your injury or illness.
Requesting a Medicare history statement
To request your Medicare history statement, you need to fill in a Medicare Compensation Recovery Medicare History Statement request form.
No matter who requests your Medicare history statement, it will always be sent directly to you. If you would like your Medicare history statement to be sent to another person, complete and send us a Third party authority form.
When you receive your Medicare history statement, you need to identify the services that relate to your claim. You will also receive a declaration that you must complete to confirm if you also received nursing home benefits, residential care or home care subsidies.
You should also complete the Compensation Recovery details collection form if you are the claimant and you would like us to store your bank account details if you are entitled to a refund from your compensation recovery payment.
Returning your Medicare history statement and declaration
You must return your Medicare history statement, declaration and details collection form if applicable in the supplied reply paid envelope within 28 days.
When these documents are received, we must confirm that the correct services have been identified. We will add up each Medicare benefit that relates to your compensation claim so that we can tell you how much, if any, you need to repay to us.
If you do not return the Medicare history statement and declaration within 28 days, all services will be taken and you will be required by law to repay all the services listed on the Medicare history statement when your compensation case settles. You can ask for a Notice of past benefits to be amended but only within 2 years from the date your compensation case settles.
If you need more than 28 days to identify services and return your Medicare history statement to us, you must call the Medicare Compensation Recovery line and ask for an extension.
However, if your claim reaches judgment or settlement before you return your Medicare history statement, we can’t give you an extension.
How much you need to repay
We will assess your returned Medicare history statement and declaration, and if we are satisfied that you have identified the services that relate to your compensation claim, we will send you and the compensation payer a Notice of past benefits.
The Notice of past benefits shows the amount, if any, that you need to repay when your claim is settled, and is valid for 6 months from the date it is sent to you. It will also list each service you have told us that relates to your compensable injury or illness.