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The best defense against fraud is prevention. We can all help fight this drain of our health care resources.
- Report the theft of your health plan card just as you would your credit cards.
Call our 24-hour confidential toll-free hotline.- Fraud Related to Medicare Part D: (877) 479-8477
- Fraud Related to Medicare Part C: (800) 548-4850
- Fraud NOT Related to Medicare Part C or Part D:
- Idaho: (800) 323-1693
- Oregon: (888) 207-4211
- Utah: (866) 626-8555
- Washington: (800) 922-4325
- Submit a confidential report online. All information received is confidential, and you may remain anonymous if you choose. Our system cannot record your e-mail address. Choose your state:
- Review your health plan's online claims record frequently, even if you haven't been to the doctor lately, to ensure claims aren't made against your benefits fraudulently.
- Protect your health plan information. Never give your health insurance number over the telephone or Internet, or to door-to-door solicitors.
- Study your medical bills and explanations of benefits, just as you would your bank statement. Call the number on the bill if you have any questions. Report suspicious transactions to the Special Investigative Unit.
- Shred any discarded medical bills or explanations of benefit just as you would a credit card or bank statement.
- Request your health plan and provider give you an accounting or history of disclosures. This will allow you to identify anyone who looked at your records and see what has been disclosed, and to review the record of your treatment for accuracy. Federal privacy law requires your provider to comply with this request.
To report fraudulent incidents to Medicare:
- Call 1-800-MEDICARE.
- Write a letter to Medicare. Mail it to: Beneficiary Contact Center, PO Box 39, Lawrence KS, 66044.
- Call the HHS Office of Inspector General Hotline at 1-800-HHS-TIPS (1-800-447-8477). TTY users should call 1-800-377-4950.
- Send an e-mail to the HHS Office of Inspector General at hhstips@oig.hhs.gov.
- Write a letter to the Department of Health and Human Services. Mail it to: HHS Tips Hotline, PO Box 23489, Washington, DC 20026-3489
