The National Consumer Protection Technical Resource Center: The Center of Service & Information for SMPs

Health Care Fraud

From the Office of Inspector General (OIG), U.S. Department of Health & Human Services

Beneficiary Fraud

Unfortunately, we are seeing geographic pockets of Medicare beneficiaries who are participating as co-conspirators in fraud schemes.

How the Scam Works

  • The beneficiary will be asked to “sell” his Medicare card information or to sign weekly or monthly papers to verify that fake services were rendered. This is in exchange for a one-time payment or a monthly “kickback” amount. The scammers will target financially needy Medicare beneficiaries to persuade them to participate.

How to Fight Back

  • Be Advised. Receiving payment, free goods or services in exchange for your Medicare information is considered a crime that can result in jail time. This type of fraud also jeopardizes everyone’s health care benefits through higher costs and potentially diminished services.
  • If you are approached by someone who is offering money, free services, free groceries, free transportation or free clothing in exchange for your Medicare number, don’t do it. Just simply walk away!
  • Report any individual who engages in such behavior to Senior Medicare Patrol and law enforcement immediately.

Report Suspected Fraud

To report suspected fraud, click here.

 

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