Medicare Compensation Recovery

If you get more than $5,000 compensation, the payer will tell us so we can check if you get other benefits for your injury.

You need to know

Compensation payments

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

Read more about Medicare compensation payments

Paying back care costs

When your claim reaches settlement or judgment and is more than $5,000 including legal costs, you must repay all care costs relating to your injury or illness.

Read more about paying back Medicare compensation care costs

Paying back Medicare benefits

When you get compensation for an injury or illness, you aren’t eligible to also receive benefits that relate to that injury or illness.

Read more about paying back Medicare benefits

Affect to your income support payments

Money you get for your injury or illness counts as income. Find out how this could affect your income support payments if you get them.

Read more about Centrelink Compensation Recovery.

First steps

When your compensation claim reaches judgment or settlement

You’ll get a compensation payment when your claim reaches judgment or settlement.

Read more about when your Medicare compensation claim reaches judgement

Advance payment

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

Read more about an advance Medicare compensation payment

Sharing your information

You must give us written permission before we can share your information with someone else.

Complete the Medicare Compensation Recovery third party authority form and send it to us. Then we can talk to a third party about your claim.

Contacting us

You’ll need to submit forms to us about your compensation. To do this, post, email or fax them to us. You can also make enquiries about your compensation claim this way.

Existing customers

If we disagree with your Medicare history statement

We’ll ask you to review your Medicare history statement if we think you haven’t listed services used for your injury or illness.

Read more about your Medicare history statement

Asking for a review of your repayment amount

You may ask for a review if we have told you that you have to repay all the services listed on your Medicare history statement.

Read more about asking for a review

Related subjects

Related payments and services

Page last updated: 23 November 2017