What You Can Do to Prevent Medicare Fraud

The National Health Care Anti-Fraud Association estimates last year’s annual Medicare insurance fraud was around $100 billion, and most likely much higher. While one in five beneficiaries say they have encountered potential Medicare fraud, there are precautions you can take to reduce or eliminate fraudulent claims starting with protecting your Medicare and Social Security cards and numbers like you do your credit cards.

Experts say don’t respond to a call, text or email asking you to provide your Medicare Number. They caution you to only show your Medicare card or give out your number to your doctor or people you know who should have it. To determine if you are a victim of fraud, examine your Medicare Summary Notices (MSNs) or claims statements carefully for any discrepancies or additions of services or charges you did not receive. Another common scam is to try to get Medicare beneficiaries to sign up for drug plans that are not approved by Medicare.

If your Medicare card is stolen or you suspect fraud, report it as soon as possible to 1-800-MEDICARE (1-800-633-4227). It is important to know Medicare will never call to sell you anything or visit you at home. They will only call or contact you in limited situations to ask for personal information. One such person may be the agent who helped you sign up for a particular Medicare program or drug plan. You also may be contacted by Medicare if you have left your number to report fraud or inconsistencies with your MSNs.

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