How to Protect Yourself from Medicare Fraud
Medicare provides essential health coverage to millions of older adults, but unfortunately, it’s also a common target for fraud. Scammers often take advantage of seniors’ trust and confusion about benefits, which can lead to stolen information, false charges, and even gaps in care. At Emics Elder Care, we believe that protecting your health also means protecting your peace of mind. Here’s what you should know about Medicare fraud—and how you can avoid becoming a victim.
What is Medicare Fraud?
Medicare fraud happens when someone intentionally deceives Medicare to receive unauthorized benefits or payments. It can involve doctors, medical equipment suppliers, or even scammers pretending to represent Medicare. Fraud not only costs taxpayers billions each year but can also put your personal health information at risk.
Common Examples of Medicare Fraud
- Billing for services you never received
- Being charged for equipment or supplies you didn’t order
- “Free” medical tests or screenings in exchange for your Medicare number
- Scammers calling and asking for personal information to issue a new Medicare card
- Identity theft leading to false claims in your name
How to Avoid Medicare Fraud
1. Protect Your Medicare Number
Treat your Medicare card like a credit card—don’t share your number unless you’re at a trusted doctor’s office or pharmacy. Medicare will never call to ask for your number or payment information.
2. Review Your Statements
Check your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB) regularly. Look for unfamiliar charges, duplicate bills, or services you don’t recall receiving. Report anything suspicious immediately.
3. Be Cautious of “Free” Offers
If someone offers you free medical equipment, screenings, or gift cards in exchange for your Medicare number, it’s a scam. Real Medicare services will never require you to trade personal information for perks.
4. Know Who’s Contacting You
Scammers often pose as Medicare representatives. Remember: Medicare will not call you unexpectedly. If you get a suspicious call, hang up and contact Medicare directly at 1-800-MEDICARE (1-800-633-4227).
5. Keep Good Records
Maintain a folder with doctor’s appointments, tests, and medical services you’ve received. This makes it easier to spot fraudulent charges later.
What to Do If You Suspect Fraud
If you think you’ve been targeted:
Call Medicare at 1-800-MEDICARE.
Report suspected fraud to the Office of the Inspector General (OIG) at 1-800-HHS-TIPS.
Reach out to your local Senior Medicare Patrol (SMP) program for guidance.
Final Thoughts
Medicare fraud can feel overwhelming, but you don’t have to face it alone. By staying vigilant and knowing the warning signs, you can protect both your benefits and your identity. At Emics Elder Care, we’re here to help families navigate Medicare and Medicaid with confidence and care.