Before your claim settles or reaches judgment

Step 1 - Complete your history statement and declaration

Complete the Medicare history and care services statement and Declaration that we’ve sent you. This is where you tell us which benefits relate to your injury or illness.

You’ll need to go through the statement and tick ‘yes’ or ‘no’ for each service, and complete the declaration. Only tick ‘yes’ next to services you believe are related to your injury or illness.

If you change your care services answers to ‘no’, you must attach a letter to the completed statement and Declaration.

The letter must:

• be from a treating doctor or another expert medical practitioner
• confirm the care costs weren’t related to your injury or illness.

We can’t process incomplete statements. If an incomplete statement is received, all services will be included.

You should check the statement to make sure you’ve:

• ticked ‘yes’ or ‘no’ against each service listed
• ticked ‘yes’ or ‘no’ on the care services statement
• completed, signed and dated the declaration page.

Step 2 - Return the statement and declaration to us

Send the completed statement and declaration within 28 days to the address on the form.

If you need more than 28 days, call the Medicare compensation recovery team line.

If you don’t return the statement and declaration, all the services on your statement will be recovered from your compensation payment.

Step 3 - Check your Notice of past benefits

We’ll send a Notice of past benefits to you and the compensation payer. This states how much we will recover from your compensation. This will become a Notice of charge.

The compensation payer will use the Notice of charge to pay us back first. Then they’ll pay the rest of the compensation money to you.