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Medicare fraud and abuse can happen anywhere, and usually results in higher health care costs and taxes for everyone. Some examples include:
Alert: In January 2023, there was a privacy incident with a Medicare contractor that exposed the personal information of a small group of people with Medicare in Alabama, Georgia, and Tennessee. Letters were sent to everyone who might be impacted, with detailed information about what data was potentially exposed, and what to do next. If you didn’t get a letter, it’s very likely you weren’t impacted. If you want to confirm, you can call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048. Get more details and review the letter.
If you think you’ve spotted fraud, you may want to call your provider’s office to ask about it. They may be able to help you understand the charges, or figure out if they made a billing error.
If you suspect that Medicare is being charged for an item or service you didn’t get, or your Medicare card or number is stolen, use the contact information below to report suspected fraud or abuse.
If you experience: Provider fraud or abuse in Original Medicare (including a fraudulent claim, or a claim from a provider you didn’t get care from)
If you experience: Provider fraud or abuse in a Medicare Advantage Plan or a Medicare drug plan (including a fraudulent claim)
28464 Marlboro Avenue
Easton, MD 21601
When you call, have this information ready:
Identity theft is a serious crime that happens when someone uses your personal information without your consent to commit Medicare fraud or other crimes. Use the following tips to protect yourself from becoming an identity theft victim.
Give your Medicare card, Medicare Number, Social Security card, or Social Security Number to anyone except your doctor or people you know should have it (like insurers acting on your behalf or people who work with Medicare, like your State Health Insurance Assistance Program (SHIP) A state program that gets money from the federal government to give free local health insurance counseling to people with Medicare.
(Information courtesy of the Centers for Medicare and Medicaid Services, 2023)