ANSWER: Medicare and Medicaid, as well as other federal programs such as TriCare and FEHBA definitely have a statutory right of reimbursement under federal law which cannot be ignored. If you make a recovery in the civil justice system on your personal injury claim you will have to repay the full amount of medical payments made on your behalf by these federal programs, less their pro rata share of attorney fees and costs. If this repayment obligation poses a hardship based on your financial situation then you may request a waiver or compromise of the repayment obligation. If you qualify under federal law for a full waiver of this claim or a compromise resulting in its reduction then your repayment obligation may be eliminated or further reduced. We typically negotiate with Medicare/Medicaid and other federal programs to reduce your repayment obligation as part of any settlement of your personal injury claim. As with any government programs, they are difficult to deal with, take their time and do not always recognize your concerns. Sometimes the most difficult part of resolving a personal injury claim is dealing with federal and other reimbursement claims.