- Department of Health and Human Services (HHS) Office of Inspector General (OIG) Medicare fraud hotline at 1-800-HHS-TIPS
- Contact the HHS by mail at HHS Tips Hotline, PO Box 23489, Washington, DC 20026-348
- Centers for Medicare and Medicaid Services at 1-800-MEDICARE
- Contact CMS by mail at Medicare Beneficiary Contact Center, PO Box 39, Lawrence, KS 66044
- You can report it by calling the CMS report hotline, or submit the information online.
What do I do if I get a scam call about Medicare?
If you gave out your Medicare number, call 1-800-MEDICARE. If you gave the caller any funds, cancel them through your bank or credit card company if possible. Unfortunately, most scammers try to get victims to pay using untraceable means, like a wire transfer.
Should you report Medicare fraud?
If you know Medicare fraud, waste, or abuse that's happening, it’s vital that you report the incident. As citizens, it’s our job to be courageous and prevent injustice from occurring again. Besides, sometimes there is a reward available to the person that reports Medicare fraud, waste, or abuse.
What are the most common Medicare scams?
The most common Medicare scams include: 1. You need to pay for your new card A caller may claim to be a Medicare representative. This person says that you need to pay a fee to replace your current Medicare card, usually around $25. 2. You have a refund coming
What to do if you get scammed by a scammer?
If you gave the caller any funds, cancel them through your bank or credit card company if possible. Unfortunately, most scammers try to get victims to pay using untraceable means, like a wire transfer. If you act quickly, you may be able to reverse a wire transfer before it’s accepted, which may be just a few hours or a day later.
What can a scammer do with your Medicare number?
In the unfortunate event that you fall victim to health care fraud, here's what scammers may do with your Medicare number:Identity theft or identity swapping.Double billing.Phantom billing.Upcoding.Unbundling.Bogus marketing.Impersonating a healthcare professional.Prescription forgery.More items...•
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.
Does Medicare ever contact you by phone?
A Medicare health or drug plan may call you if you're already a member of the plan. The agent who helped you join can also call you. A customer service representative from 1-800-MEDICARE can call you if you've called and left a message or a representative said that someone would call you back.
Are there any Medicare scams?
These callers claim that new Medicare, Social Security, or supplemental insurance benefits cards are being issued or that the beneficiary's file must be updated. The scam artist asks the citizen to verify or provide their personal banking information, which is then used to commit theft.
How do I report a phone number that keeps calling?
The FTC is the primary government agency that collects scam complaints. Report all robocalls and unwanted telemarketing calls to the Do Not Call Registry. Report caller ID spoofing to the Federal Communications Commission. You can report either online or by phone at 1-888-225-5322 (TTY: 1-888-835-5322).
What phone number is 800 633 4227?
For questions about Medicare benefits, call 1-800-MEDICARE (1-800-633-4227) or visit Medicare.gov. TTY users should call 1-877-486-2048.
What's with all the Medicare phone calls?
Phone calls Sometimes, they're selling phony products such as supplemental or prescription drug Medicare plans. The whole purpose of all of these calls is to obtain your personal information, whether that is your Medicare card number, your Social Security number, or banking information.
How do I stop fake Medicare calls?
How to Stop Medicare Phone Calls. First, you'll want to be sure to add your telephone number to the Federal Trade Commission's Do Not Call List. To register, call from the phone which you want on the Do Not Call list. The phone number is 1-888-382-1222.
How do I avoid Medicare scams?
Tips to avoid Medicare fraudKeep your Medicare card close. ... Guard your Medicare number. ... Watch out for bogus Medicare plans. ... Beware “FREE” health care services or products.Avoid deceptive door-to-door salespeople. ... Scour your Medicare statements.
What is Medicare fraud?
The Center for Medicare and Medicaid Services (CMS) states that Medicare fraud is: Intentionally billing Medicare for a service not provided. Billing Medicare at a higher rate. If a provider pays for referrals of Medicare beneficiaries.
What to do if you think there is an error in Medicare?
If you think the error is intentional or the doctor admits to an error, you’ll need to report it. An error, intentionally or unintentionally, is Medicare waste.
How to contact HHS?
Contact the HHS by mail at HHS Tips Hotline, PO Box 23489, Washington, DC 20026-348. Centers for Medicare and Medicaid Services at 1-800-MEDICARE. Contact CMS by mail at Medicare Beneficiary Contact Center, PO Box 39, Lawrence, KS 66044. You can report it by calling the CMS report hotline or submit the information online.
What happens if a provider doesn't follow proper medical practices?
When a provider doesn’t follow proper medical practices and unnecessary tests, they are committing Medicare Abuse. Practices that result in unnecessary costs to Medicare are considered abusing the system. Medicare abuse is a serious crime, and violators will be prosecuted.
What is provider information?
Provider information. Information about the service that was supposedly provided. and the reason you think fraud was committed. If a reported Medicare fraud leads to the recovery of funds, Medicare may provide a reward. If you or someone you know suspects fraud, waste, or abuse, report it immediately.
How long can you go to jail for health care fraud?
Health care fraud is a federal crime with serious consequences. If convicted you could serve up to 10 years in federal prison and pay hefty fines of up to $250,000. If you cause serious bodily harm/injury to someone, 20 years could be added to your sentence. However, if death is involved, you could face life in prison.
What to do if a doctor says something to you?
If a doctor ever says one of these things to you, report it immediately: The more tests that are done, the less you pay out-of-pocket. Offers you a gift to get you to use their services. Waives a copayment or says the co-payment is higher on a no-copay plan. States you can receive coverage on a non-covered service.
What Is Considered Medicare Fraud?
Medicare fraud can take many shapes, but it is commonly defined as someone knowingly deceiving Medicare in order to receive payment or reimbursement when they should not have, or to receive a higher payment or reimbursement than they should have.
Who Investigates Medicare Fraud?
Medicare fraud may be investigated by a handful of government agencies including the U.S. Department of Justice, the U.S. Department of Health and Human Services (HHS), the HHS Office of Inspector General and the Centers for Medicare and Medicaid Services.
Is there a Reward for Reporting Medicare Fraud?
Yes. The False Claims Act established a reward that can be given to someone who reports Medicare fraud. The reward equals 15-25% of what the government collects as a result of you reporting the instance of Medicare fraud.
Why do scammers ask for my Medicare number?
Some scammers ask for your Medicare number so they can get Medicare to pay them for benefits you've never received or didn't need. While this doesn't take money directly out of your pocket, it does cause the government to spend more on your benefits, raising costs for everybody.
Who do scammers pose as in Medicare fraud?
Other scammers might pose as friends, relatives, law enforcement, or the IRS.
How to avoid Medicare fraud?
Help yourself and others avoid fraud in the future by reporting any scams that target you. File a complaint with the FTC to help them track Medicare fraud and scams.
What is the biggest Medicare fraud case?
Unnecessary medical braces. 2019 saw one of the largest Medicare fraud cases ever investigated by the FBI. In a scheme that lined criminal pockets with $13 million, scammers sold unnecessary durable medical equipment (DME) to Medicare beneficiaries—then billed the government for it. The medical brace crackdown will result in trials ...
How much money did Americans lose to Medicare fraud in 2019?
According to the FTC, Americans lost $717.3 million to fraud in 2019. 3 And the top two kinds of fraud in the nation—imposter scams and identity theft—are also the most common types of Medicare fraud. Chances are, you or someone you know has received a phone call from someone trying to get your Medicare or Social Security number.
What happens if you fall for a Medicare scam?
If you fall for this scam, it could eat away at your benefits and prevent Medicare from covering similar tests in the future. And if a doctor doesn't order the test as medically necessary, you could end up footing the bill yourself. Many victims never receive their test results.
What do imposters do to Medicare?
Imposters who threaten to take away your Medicare benefits typically ask for money to prevent a (false) negative consequence. They’re after your money and may ask you to pay them in untraceable methods such as a wire transfer or gift cards.
How to report a fraudulent call to Medicare?
How to Report a Medicare Call. You can report a fraudulent call from someone claiming they worked for Medicare by going to the FTC Complaint Assistant. You can help protect yourself from fraudulent activities by never offering credit card or personal information to anyone.
What to do if you think Medicare is calling you?
If you think the call is from Medicare, hang up and call them back at the national number. Then, if it was one of them, they can help you. However, if Medicare isn’t attempting to reach you, then you avoid a spammer trying to steal your information. Telemarketing calls attempt to commit fraud and theft.
How to protect yourself from robocalls?
If this is your case, you might consider downloading an application to your cell phone that can help safeguard you from robocalls. When a robocall strikes your phone, be sure to never speak to them. By responding, you’re telling the spammers that your phone number is active. Immediately file a complaint with the FTC.
How long after you register for Do Not Call list can you get spam calls?
Also, register both your cell phone and home phone to put an end to the calls. If you find you’re still getting spam calls 31 days after you register with the Do Not Call list, file a complaint. If you have a smartphone, you can install a call blocker.
What is the phone number for the Federal Trade Commission?
To register, call from the phone which you want on the Do Not Call list. The phone number is 1-888-382-1222.
Do not call Medicare?
If you’re getting too many spam phone calls, you might want to get on the Federal Trade Commission’s Do Not Call list. Medicare beneficiaries are likely to receive phone calls once they become eligible for Medicare.
Can you get information from Medicare if you have Social Security?
When enrolling in Medicare, you should be aware that neither Social Security nor Medicare calls you to get information. Should any issue arise in which Medicare or Social Security needs any information from you, they’ll ALWAYS send you a letter to notify you. If you’re getting too many spam phone calls, you might want to get on ...
How to deal with Medicare scams?
The most common Medicare scams include: 1. You need to pay for your new card .
How to contact Social Security if you are not sure your information is correct?
If you aren’t sure yours is correct, contact Social Security at 800-772-1213 or update – or create – your Social Security account. 7. Review Your Medicare Statements. One of the things these criminals use your information for is billing Medicare for fake services.
What do criminals call you about Medicare?
The criminal may call you claiming that you need to verify your Social Security, bank, or credit card information before they can send your new Medicare card. They may also ask you to verify your address. 5. Your new card was lost or compromised in some way.
What do you call a medicare representative?
Medicare rarely calls beneficiaries, and never calls to ask for your banking, credit card, or Social Security information. Anyone who calls you claiming to be from Medicare and asking for this information is a criminal. If you’re worried that there is legitimately an issue that needs your attention, hang up the phone. Then, call 1-800-MEDICARE (633-4227). That way, you know for sure you’re speaking to a Medicare representative. He or she can give you the assistance you need.
What to do if someone calls you for your medical card number?
Whether it’s the new card or your old one, protect it. If someone calls you and asks for your card number, hang up and call 1-800-MEDICARE. When you get your new card, shred the old one, making sure to destroy the number.
How to protect yourself from stealing your information?
One of the best ways to protect yourself against criminals looking to steal your information is to know what Medicare will and won’t do, and how to protect your information. 1. You don’t have to do anything to get the new Medicare card. These cards are automatically being sent to every beneficiary.
Can a criminal steal my Medicare number?
The main difference now is that, in addition to the above three, criminals may also attempt to steal your Medicare number. Previously, of course, this number was the same as your Social Security Number. These callers are often extremely aggressive. They may call repeatedly or at odd times of the day or night.
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.