Medicare Blog

how to avoid medicare hoax

by Dr. Blaze Fisher III Published 2 years ago Updated 1 year ago
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And you’ll hear from an FTC expert about how to avoid these scams: Hang up. If someone calls claiming to be from Medicare, asking for your Social Security number or bank information to get your new card or new benefits, that’s a scam. Don’t give personal information to a caller claiming to be from Medicare.

Tips to avoid Medicare fraud
  1. Keep your Medicare card close. ...
  2. Guard your Medicare number. ...
  3. Watch out for bogus Medicare plans. ...
  4. Beware “FREE” health care services or products.
  5. Avoid deceptive door-to-door salespeople. ...
  6. Scour your Medicare statements.

Full Answer

How can I avoid getting scammed from Medicare?

And you’ll hear from an FTC expert about how to avoid these scams: Hang up. If someone calls claiming to be from Medicare, asking for your Social Security number or bank information to get your new card or new benefits, that’s a scam. Don’t give personal information to a caller claiming to be from Medicare.

What are the different types of Medicare abuse scams?

The range of schemes could be: Medicare scam calls, Medicare genetic testing, bogus medical alert systems, Medicare Advantage scam, fake medical alert devices, Medicare Coverage Helpline scam, and many other types of Medicare abuse.

What should I do if someone calls claiming to be Medicare?

If someone calls claiming to be from Medicare, asking for your Social Security number or bank information to get your new card or new benefits, that’s a scam. Don’t give personal information to a caller claiming to be from Medicare. You can’t trust caller id.

What is the Medicare Coverage Helpline scam?

Let’s get back to the Medicare Coverage Helpline Scam. In a different variation of it, victims receive calls from a fake representative of “AD Medical Advisors” who tries to sell them a prescription drug discount plan or advises them of a problem with their Medicare program. The crook then asks for the bank account number and withdraws $300.

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Why am I getting so many phone calls about Medicare?

Medicare will never call or come to your home uninvited to sell products or services. SSA representatives may call Medicare beneficiaries if they need more information to process applications for Social Security benefits or enrollment in certain Medicare Plans, but, again, this is rare.

Can someone steal my identity with my Medicare number?

Medical identity theft happens when someone steals or uses your personal information (like your name, Social Security Number, or Medicare Number) to submit fraudulent claims to Medicare and other health insurers without your permission. Medicare is working to find and prevent fraud and abuse.

How do I get Medicare to stop calling me?

0:245:53How To Stop Unwanted Medicare Calls - YouTubeYouTubeStart of suggested clipEnd of suggested clipChances are we can't make them stop but let me explain a little bit. About the do not call list youMoreChances are we can't make them stop but let me explain a little bit. About the do not call list you might have heard the do not call list that is a federal registry that you can either apply online if

Is Medicare subscriptions Medicare Gov legitimate?

A: The Centers for Medicare & Medicaid Services is the government agency that is responsible for Medicare and Medicaid. The website MyMedicare.gov is a legitimate website where you can find information about your personal Medicare account.

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.

How do I check to see if someone is using my Social Security number for free?

If you believe someone is using your Social Security number to work, get your tax refund, or other abuses involving taxes, contact the IRS online or call 1-800-908-4490. You can order free credit reports annually from the three major credit bureaus (Equifax, Experian and TransUnion).

Does blocking spam calls help?

Call blocking can help stop robocalls from scammers. But some robocalls might still get through. If you get an illegal robocall, hang up. Don't press a number, which could lead to more robocalls.

What area codes should you not answer?

Unless you know that a call is legitimate, it's best to avoid calls from the following international area codes with a +1-country code:232: Sierra Leone.242: Bahamas.246: Barbados.284: British Virgin Islands.268: Antigua and Barbuda.345: Cayman Islands.441: Bermuda.473: Grenada, Carriacou and Petite Martinique.More items...•

Should you decline spam calls or let them ring?

You're going to call the people that fell for your scam. But you should also call everyone who answered and hung up because every answered call is an opportunity to scam some poor sap. Some robocall scammers even make money when you don't ignore their calls. They call and hope you'll call back.

Why do doctors not like Medicare Advantage plans?

If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.

Why do I keep getting emails about Medicare?

Ads or mailings from Medicare health plans typically start on or just after October 1 each year. These marketing campaigns are designed to prompt you to call a phone number, enter an email address, or register for an event to learn more about an advertised plan and ultimately sign up for that plan.

Should I give my Medicare number over the phone?

Don't share your Medicare or Social Security number (or other personal information) with anyone who contacts you out of the blue by phone, text or email or shows up unannounced at your door. Don't send or give your old Medicare card to anyone. Impostors may claim you need to return it.

How to protect yourself from Medicare fraud?

There are some additional things you can do and keep in mind to protect yourself from Medicare fraud: When you receive your new Medicare card in the mail, shred your old one. Also, be aware that Medicare will not contact you to verify information or to activate the card.

What are some examples of Medicare abuse?

One example of Medicare abuse is when a doctor makes a mistake on a billing invoice and inadvertently asks for a non-deserved reimbursement. Medicare waste involves the overutilization of services that results in unnecessary costs to Medicare.

What is Medicare scam?

Medicare scams, like the one described above involving Medicare cards, are when individuals pose as health care providers to gather and use a Medicare beneficiary’s personal information to receive health care or money they are not entitled to.

What is the number to call for Medicare fraud?

1-800-557-6059 | TTY 711, 24/7. The above scenario is just one example of a recent type of Medicare scam. Let’s take a deeper look at Medicare fraud, including the types of scams to be aware of and how you and your loved ones can stay safe.

How long is the man in jail for Medicare fraud?

The man faces up to 10 years in prison for each of the six counts of fraud. A former health care executive in Texas admitted to her role in a $60 million Medicare fraud scheme that included overdosing hospice patients in order to maximize profits. She faces up to 10 years in prison.

Why is it important to identify Medicare fraud?

Identifying Medicare fraud and abuse helps to maintain the integrity of the program, keep costs down and prosecute criminals. As a Medicare beneficiary, it is your duty to do your part in helping to combat Medicare fraud for the benefit of all. 1 Schulte, Fred.

What is the False Claims Act?

The False Claims Act protects the government from being sold substandard goods or services or from being overcharged. It holds people accountable who knowingly submit or cause to be submitted a false or fraudulent Medicare claim.

What happens if you get a Medicare scam?

If Medicare suspects malicious activity with an account, the person with coverage could be held accountable and wind up spending thousands in legal fees to resolve the issue. By knowing the Medicare scams to look for and what to do after a Medicare-related fraud, you can better protect yourself and loved ones.

How much did Medicare fraud cost in 2017?

This type of fraudulent call and others like it happen every day. According to AARP, Medicare fraud losses hit $60 billion in 2017 and continue to rise. And Medicare scammers seem to come out of the woodwork around the annual Open Enrollment period, which ends December 7. The crooks are after your money or Medicare’s.

What happens if Medicare caps on reimbursements?

If the Medicare health plan has annual caps on reimbursements for treatments or prescriptions, fraudulent claims may reach those caps , prohibiting a beneficiary from using actual benefits and disrupting the person’s medical care.

What is a scammed bill?

Sending a bill from an unknown hospital, doctor or medical supplier. Scammers send such bills knowing that many people will pay them, thinking they’re receiving another charge from recent medical activity or, perhaps, a portion not covered by Medicare. Some scammers set up dummy companies to receive the funds.

Is it risky to call Medicare?

Unsolicited phone calls selling Medicare plans are risky. Medicare displays all approved plans on its website in its Medicare Plan Finder , where you can compare plans and enroll. There are also certified insurance brokers who can help demystify the choices and answer your questions.

Is Medicare open enrollment legitimate?

While some may be legitimate, many aren’t.

Can health care scams be perpetrated?

Scams can even be perpetrated by health care employees with access to your records. So, keep a calendar and record the exact dates of any health care services you’ve received so you can compare them against bills. Also, save any receipts or statements listing the date of these services.

What does Medicare check?

If you have Original Medicare, check your MSN. This notice shows the health care services, supplies, or equipment you got, what you were charged, and how much Medicare paid. If you’re in a Medicare health plan, check the statements you get from your plan.

When you get health care services, record the dates on a calendar and save the receipts and statements you get from

When you get health care services, record the dates on a calendar and save the receipts and statements you get from providers to check for mistakes. Compare this information with the claims Medicare processed to make sure you or Medicare weren’t billed for services or items you didn’t get.

Full List of Medicare Scams Below

The range of schemes could be: Medicare scam calls, Medicare genetic testing, bogus medical alert systems, Medicare Advantage scam, fake medical alert devices, Medicare Coverage Helpline scam, and many other types of Medicare abuse.

Bidencare Health Email

The Bidencare Health Email Scam takes advantage of people interested in getting the health insurance through the Bidencare enrollment.

Fake COVID-19 Vaccine

A new COVID-19 vaccine scam is happening today. It's known as the Fierce Pharma Email Scam, Pfizer Online Registration or the NHS Invite.

Natural Health Sherpa Scam

Watch out for the Natural Health Sherpa Scam, which is happening this week. If you just received an invoice referencing the company.

Free Medicare Back Brace

Beware of the Free Medicare Back Brace Scam. How does it work? It comes to a phone call offering no-cost back braces covered by Medicare.

MyBenefitsKeeper Reviews and Health Insurance Innovations Scam Complaints

We've received complaints from people worrying about a potential MyBenefitsKeeper scam. Here are some Health Insurance Innovations reviews.

ZuPoo Colon Cleanse

There is a bit of craziness these days about a potential ZuPoo scam. What is it? Miracle products. Read these ZoPoo colon cleanse reviews.

How to contact Medicare fraud?

Scammers design these links to steal your financial and personal information. Call 1-800-MEDICARE (1-800-633-4227) for questions about your benefits, your card, your Medicare number, or to report anything suspicious. Learn more about Medicare fraud at medicare.gov.

How to avoid scams?

How to avoid the scam. Don’t wire money, send cash, or use gift cards or cryptocurrency to pay someone who says they’re with the government. Scammers ask you to pay these ways because it’s hard to track that money, and almost impossible to get it back. They’ll take your money and disappear.

What is an impersonator scam?

A government impersonator scam often starts with a call, email, or text message from someone who says they’re with a government agency. They might give you their “employee ID number” to sound official. And they might have information about you, like your name or home address. They often say they work for the Social Security Administration, the IRS, ...

What do scammers pretend to be?

Scammers pretend to be from the Federal Trade Commission (FTC). They may say that you won a federally supervised lottery or sweepstakes, but you have to pay taxes or a fee to get your money. Or they pretend they’re the “Refund Department” and say they have money for you, and ask for your bank account.

What to do if you get a call from someone claiming to be the Social Security Administration?

If you get an unexpected call from someone claiming to be the Social Security Administration, hang up. Chances are it’s a scammer calling you. Don’t call back the number the caller gives you, and don’t use the one that shows up on your caller ID. If the call is a robocall, don’t press any numbers.

How to avoid government impersonators?

How To Avoid a Government Impersonator Scam. Scammers pretend to be calling you from government agencies like the Social Security Administration and the IRS. Or say they work for Medicare. They say that if you don’t pay or you refuse to give them your personal information, something bad will happen.

Can caller ID be fake?

But caller ID can be faked. It could be anyone calling from anywhere in the world. Don’t click on links in unexpected emails or text messages. Scammers send emails and text messages that look like they’re from a government agency, but are designed to steal your money and your personal information.

What is a Medicare Set Aside?

A Medicare set aside ( MSA) is simply an account or trust that holds settlement proceeds. Medicare recipients who receive greater than $25,000 for a personal injury settlement or reasonably expect to enroll in Medicare within 30 months of a settlement of more than $250,000 need to consider Medicare Set Aside.

Two broad types of MSAs

Commonly, MSAs get established for Workers’ Compensation claims (WCMSA). In addition, they are used for personal liability settlements (LMSA). The sources of the liabilities may differ, but accounts get established to ensure Medicare is the secondary payer of future claims.

How are MSA Allocations determined?

The crucial first step is to hire a qualified attorney for representation in a Workers’ Comp or personal liability claim. A personal injury professional with a track record in Medicare Set-Asides and secondary payer compliance is an absolute necessity. As a first step, one can look to the Special Needs Alliance.

What about for Workers Comp?

CMS maintains specific standards for creation and adherence to WCMSA guidelines and provides copious guides and instructions. However, as an administrator (could be self-administered) for allocated funds, whether lump sum or paid in an annuity structure, ongoing compliance is an ominous task. We’ll discuss this more later in the blog.

What about personal injury or liabilities?

CMS does not provide clear-cut guidelines, nor is there anything codified into law regarding personal injury or liabilities (LMSAs), making them more challenging to navigate. Attorneys and administrators may start with Workers’ Compensation rules.

Medicare set aside mistakes to avoid

Here are the most common Medicare set aside mistakes we have seen people make.

Stay on top of your financial health – not just Medicare benefits!

Avoiding Medicare set aside mistakes and optimizing your Medicare benefits are a few aspects of your overall financial health. The ins and outs of Medicare overall can be a challenge to grasp. The greatest Medicare mistake is to let annual enrollment go ignored.

Medicare Coverage Helpline Scam: How it Works

Watch out for the Medicare Coverage Helpline Scam happening this month. Many people are getting Medicare scam calls claiming to be from local medical centers. The topic of the discussion is anything related to the pandemic.

Medicare Fraud Impersonates Authorities

Let’s get back to the Medicare Coverage Helpline Scam. In a different variation of it, victims receive calls from a fake representative of “AD Medical Advisors” who tries to sell them a prescription drug discount plan or advises them of a problem with their Medicare program. The crook then asks for the bank account number and withdraws $300.

Medicare Coverage Scam: How To Avoid

Warn your parents and grandparents of this in advance and advise them to tell the callers they’ll call them back. That way they can ring off straight away. Also, don’t forget to register your or their phone number with the Do Not Call Registry List (in the US HERE and Australia HERE ), Telephone Preference Service (TPS in the U.K.

How to Report the Medicare Coverage Helpline Scam

Make your family and friends aware of the Medicare Coverage Helpline scam by sharing this article on social media using the buttons provided. You can also officially report the scammers to the FTC (Federal Trade Commission) using the link below:

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