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ARTICLE · 26 MARCH 2025

Understanding Medicare's role in your New South Wales compensation claim

If you receive a compensation payout for an injury >$5,000, you must inform Medicare & repay any related medical costs they covered.

AustraliaLitigation, Mediation & Arbitration

If you've been injured in a motor vehicle accident (MVA), workplace incident, or another compensable event, you may be required to repay Medicare for medical expenses it has covered. Understanding how Medicare interacts with your claim can help you avoid delays and unexpected deductions from your compensation payout.

Why does Medicare get involved?

Medicare provides Australians with essential healthcare services, covering medical expenses such as doctor visits, hospital treatment, and diagnostic tests. However, when an injury occurs due to the fault of another party—such as an employer or negligent driver—Medicare should not bear the cost. Instead, the responsible party's insurer must cover the medical expenses.

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The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

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