Medicare Blog

how do you know if someone is using your medicare care

by Stanford Morar Jr. Published 2 years ago Updated 1 year ago
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The Medicare ID card indicates whether one has Medicare Advantage or Original Medicare. Medicare tracks every participant by the name of the plan used, enrollment status, type of coverage, and the coverage start date. The date of birth and start date of coverage are key facts in identification in the Medicare system.

Just call 1-800-MEDICARE (1-800-633-4227) and provide a few key pieces of information. TTY users can call 1-877-486-2048. It's also helpful to understand what Medicare covers. You can find this information in your “Medicare & You” handbook.

Full Answer

Can a doctor tell you who to see for Medicare?

Getting the same service more than once (when getting the services again isn't needed) If your doctor participates in these programs, you can still see any doctor or health care provider who accepts Medicare. Nobody—not your doctor, not anyone—can tell you who you have to see.

What should I look for in a Medicare claim?

Medicare number. The healthcare provider’s name, and other identifying details you may know. List of items or services you’re skeptical about, and the supposed date you received it. Payment amount that Medicare approved and paid. The date on your MSN or claim.

How do I find out who is using my Medicare number?

TTY users can call 1-877-486-2048. My name changed — Your Medicare card shows the name you have on file with Social Security. Get details from Social Security if you legally changed your name. If you think that someone else is using your Medicare Number, call us at 1-800-MEDICARE (1-800-633-4227).

What can my Medicare number be used for?

In the wrong hands, your Medicare number may be used for a variety of scams including filing for false claims and reimbursements. Just recently, a cardiologist from Long Island billed Medicare and Medicaid $1.3 million [ *] for unneeded tests on patients.

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What happens if scammer gets my Medicare number?

Notify the Federal Trade Commission (FTC) via identitytheft.gov or call 1-877-438-4338. The FTC will provide you with a recovery plan to help you move forward. Report the crime to the FBI's Internet Crime Complaint Center, if the identity theft occurred online.

How can I protect my Medicare card?

You can buy a plastic ID card holder at a stationery store to protect your card. If your Medicare card gets lost or damaged, you can contact the Social Security Administration to replace it by going to the agency's website.

Can someone else use your Medicare?

'Presently, there is nothing to stop someone from sharing their Medicare card with anyone who hasn't been issued with one, or is not eligible for a card, in order to source medical services at cost to the Government.

Should I carry my Medicare card in my wallet?

Keep your Medicare Advantage Card: If you're in a Medicare Advantage Plan (like an HMO or PPO), your Medicare Advantage Plan ID card is your main card for Medicare – you should still keep and use it whenever you need care. However, you also may be asked to show your new Medicare card, so you should carry this card too.

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