Medicare Fraud Offences

Lawyers NSW

What is Medicare Fraud?

Medicare Fraud involves the illegal obtaining of reimbursement benefits under the Medicare program using false means and documents, or with the full knowledge that there is no entitlement to such benefits.


Examples of Medicare Fraud

  • A person using another person’s Medicare card

  • Using an invalid concession card to obtain certain health benefits

  • Making a claim under the Medicare Program for a service that was not provided

  • Obtaining prescription for PBS medicines using forged documentation

Medicare Fraud & The Law

Medicare Fraud is generally covered under the sections 134.2(1) and 135.1(1) of the Criminal Code Act 1995.

Going to Court - "What am I looking at?"

Medicare Fraud is considered a very serious offence, as it is one committed against the Commonwealth. Misuse of the Medicare Health Care Program will often carry a term of imprisonment as the Courts have a strong view that such offence threatens the financial security of a system designed to help the nation’s needy sick and there is a strong need for deterrence. Such an offence is considered widespread and also at times difficult to detect.


The penalties imposed will vary and will often reflect the time, nature and amounts of money involved. For a major offence, a criminal record, combined with a hefty fine and up to 10 years imprisonment are all available sentencing options.

Lawyer Call - here to help..

If you have been charged with Medicare fraud, contact one of our offices today and seek the legal assistance of experienced professionals in this field. 

Contact Lawyer call to discuss your circumstances and obtain an expert legal opinion on how to best deal with your Court proceedings. Despite the common trend of having custodial sentences imposed for these types of offences, our specialised criminal solicitors at have often obtained non-custodial sentences, even in those cases where the fraudulent activity was considered to be significant.




“I cannot begin to thank Paul for his tireless efforts with my case. Would recommend them anybody with a criminal matter their clear communication and expert advice got me my best possible outcome”


—  Casey, Nurse


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