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An Original Medicare claim must be filed no later than one calendar year (12 months) after you received the health service. For example, if you went to the doctor on December 1, 2015, the deadline for filing a Medicare claim would be December 1, 2016. If the claim is not received in time, Medicare will not pay its share.
Under the statute of limitations (28 U.S.C. 2415), Medicare has six (6) years and three (3) months to recover Medicareâs claim. The statute of limitations begins at the time Medicare is made aware that the overpayment exists. Medicareâs overpayment does not come into existence until a judgment award or settlement offer is accepted. It is at the point of settlement that Medicareâs conditional payments are considered to be overpayments.