Senior Medicare Patrol Part II: How to Protect Yourself from Medicare Fraud and Abuse
Did you know that the best way to protect yourself from Medicare fraud and abuse is to prevent it before it happens? Though the following preventive steps are common sense, too few beneficiaries observe them.
Things You Can Do:
- Ask questions when you see your doctor. You have the right to know and understand everything about your care, including how much it costs.
- Keep a record of the dates of Medicare services you received. Obtain a free copy of My Health Care Tracker from your local SMP office or call 800-963-5337.
Review your Medicare Summary Notice (if you have Original Medicare Parts A and B) or your Evidence of Coverage (Medicare Advantage Plans) as soon as it arrives and compare it with what you wrote in My Health Care Tracker to ensure that you received the services or products listed, they were actually ordered by your doctor, and there was no duplicate billing.
Things You Should Do: • Report any billing errors or questions to your medical provider’s office. • Report any suspected fraud or abuse to your local SMP office (800-963-5337).
Things You Should Never Do:
- Do not share your Medicare number with anyone except your medical provider. Period! Treat your Medicare card like a credit card.
- Do not respond to any phone calls, texts, or emails asking for your Medicare number—even if you are offered free services or they claim to be from Medicare. Medicare will never call you unprompted and ask for your personal information.
How Your Senior Medicare Patrol (SMP) Can Help Your local SMP is ready to provide you with the information you need to PROTECT yourself from Medicare fraud, errors, and abuse, DETECT potential fraud, errors, and abuse, and REPORT your concerns. SMPs use trained senior volunteers to help educate and empower fellow seniors in the fight against healthcare fraud. Your SMP can also assist you with your questions, concerns, or complaints about potential fraud and abuse you observe. It provides information and educational presentations, too.
To contact your local SHINE Senior Medicare Patrol Program: Visit www.floridashine.org or call the Elder Helpline 866-467-4624
SHINE is a program of the Florida Department of Elder Affairs in partnership with Advantage Aging Solutions. SHINE provides free and unbiased health insurance counseling through a network of volunteers; empowering Florida seniors to make informed health choices. |