Advance Medicare compensation payment

Your compensation payer can pay us a 10% advance of your compensation payment in some circumstances.

Your compensation payer can pay us a 10% advance of your compensation payment if your:

  • notice of past benefits expired before the date of judgment or settlement, and
  • your compensation is more than $5,000, including all costs

We must get this advance within 28 days of judgment or settlement.

If the compensation payer makes an advance payment, they must tell you in writing:

  • how much they will pay us
  • why the Government can keep some or all the advance payment
  • if the advance payment doesn’t cover the owing amount, you must pay the rest

When we get the advance payment, we’ll send you a Medicare history statement. You must complete and send the statement back within 28 days so we can work out how much you need to pay.

If the amount due is less than the advance payment, we’ll refund you the difference. This can take up to 3 months from the time we get your advance payment and completed documents.

The refund may take longer than 3 months if you’ve been:

  • granted an extension, or
  • asked to review your Medicare history statement

Your compensation payer should read Medicare Compensation Recovery information for insurers.

Page last updated: 23 November 2017