Articles in this section of the newsletter include newsworthy topics related to healthcare in retirement. They aim to keep our clients up-to-date about current events so you have the information you need to Be informed when making decisions.

Preventing

MEDICARE FRAUD

Medicare fraud costs the program millions of dollars each month and results in higher health care costs for everyone. Often fraudulent claims are made against seniors’ Medicare accounts without them knowing about it. There are a few things you can do to help fight Medicare fraud.

 

When you get health care services, record the dates on a calendar and save the receipts and statements you get from providers. Compare the dates and services on your calendar with the statements you get from Medicare to check for mistakes. If you find items listed in your claims that you do not have a record of, it is possible that you or Medicare may have been billed for services or items you did not get. If you think a charge is incorrect and you know the provider, you may want to call their office to ask about it. The person you speak to may help you better understand the services or supplies you received. Or, your provider may realize a billing error was made.

 

Here are some additional items Medicare recommends to help reduce fraud.

  • Do protect your Medicare and Social Security Numbers. Treat your Medicare card like it is a credit card.
  • Do remember that nothing is ever "free." Do not accept offers of money or gifts for free medical care.
  • Do ask questions. You have a right to know everything about your medical care including the costs billed to Medicare.
  • Do educate yourself about Medicare. Know your rights and know what a provider can and cannot bill to Medicare.
  • Do be wary of providers who tell you that the item or service is not usually covered, but they "know how to bill Medicare" so Medicare will pay.

  • If you suspect that Medicare is being charged for health care you did not get, or you do not know the provider on the claim, you can call 1-800-MEDICARE (1-800-633-4227).

 

We at American Republic Insurance Services want to make sure you are informed about Medicare fraud so you feel secure.

 

 

Resources

medicare.gov/forms-help-and-resources/report-fraud-and-abuse/fraud-and-abuse

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