Medicare compensation payments

You could get money if someone injures you or makes you ill. We call this compensation.

The payment is to recognise your loss or suffering because of your injury or illness.

You may get your payment from an insurance company, an individual or another company.

When to tell us

Your compensation payer must tell us in writing if:

  • your compensation claim reaches judgement or settlement, and
  • is more than $5,000, including all costs

To do this, they need to complete a Medicare Compensation Recovery Notice of Judgment or Settlement form. Your compensation payer has 28 days from judgement or settlement to send us this form.

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

When you don’t need to tell us

You don’t need to tell us if:

  • your compensation is less than $5,000, including all costs, or
  • within 6 months of making your compensation claim, you have an arrangement to be reimbursed for medical expenses

You don’t need to repay any past benefits or subsidies including:

  • Medicare
  • nursing home
  • residential care, or
  • home care

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

Page last updated: 12 October 2017