Appendix 1: Context and relevant provisions - Standard 26 - Arrangement for payments to Medicare Australia
Standard | Context |
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Standard 26 - Arrangement for payments to Medicare Australia | Proactive advice to Medicare and correct attribution of the payment of medical costs, allows insurers to make prompt payment of entitlements and reduces the risk that a worker is inadvertently subject to recovery action from Medicare Australia. The Health and Other Services (Compensation) Act 1995, applies when a person receives eligible benefits provided through Australian Government programs, including Medicare benefits A Medicare request for notice of past benefits is required when a payment greater than $5,000 is likely and medical services for a work-related injury may have been paid by Medicare Australia. The Health and Other Services (Compensation) Act 1995, applies when a person receives eligible benefits provided through Australian Government programs, including Medicare benefits. In accordance with this Act, the compensation payer (usually the insurer) must tell the Department of Human Services:
when a reimbursement arrangement is made more than six months from the date the claim was made. |