I've heard about Medicare fraud. What steps can I take to protect myself from scams related to Medicare?
Answered by 58 licensed agents
Answered by Marsha Reiniers on April 21, 2025
Agent Licensed in FL, GA, MI & NC, PA, SC & VA
Answered by Gary Church on July 22, 2025
Broker Licensed in Ca, AZ, NV & TX
Hi. Thanks for watching. My name is Steve and I'm the husband half of the Medicare husband and wife team. My wife, Sue, is off today, so I thought I'd answer a couple of questions. The one we're looking at now, this person asks, "I've heard about Medicare fraud. What steps can I take to protect myself from scams related to Medicare?"
I'll give you the biggest one right off the bat. When someone calls you, and we get these calls too, we're agents. When someone calls you and asks if you have your Part A and Part B, or do you have your grocery card, just hang up on them. They're usually from a foreign country calling you or some call center somewhere. And they're not legit. They're not legitimate agents, and they trick people.
We've had several clients get tricked into signing up. They didn't even know they were doing it, signing up for something that they didn't even know. And it just creates a big problem and it's a big mess. So that's number one. If somebody calls you because part of the Medicare rules, one of the Medicare rules is we can't just call people randomly. We have to get your permission to be able to call you. So hang up on them real easy, and that'll cut out 90% of it.
Answered by Steve and Sue Brauer on November 3, 2025
Broker Licensed in AZ & CA
Answered by Lt Col Tim Brown on April 19, 2025
Broker Licensed in TN, AL, CO & 10 other states
Answered by Terri Reagin on September 12, 2025
Broker Licensed in OK, AR, CO & 6 other states
Answered by Ann Sanfelippo on January 26, 2026
Broker Licensed in FL, AL, AZ & 14 other states
Treat your Medicare card and number like a credit card. Don't give out your Medicare Number or Social Security Number .
Answered by Bill Wheeler on August 20, 2025
Broker Licensed in KY & IN
Answered by Vincent Murray on October 8, 2025
Agent Licensed in ME, FL & NH
Only talk to people that you signed a written agreement for them to talk to you.
I would also google their name they work for. Not the insurance company name and their personal name to see if they have a reputation.
For instance, If you google my personal name you will see great reviews about me and my team.
If you google each medical company you will get mixed reviews.
You have to know and trust the person who is giving you recommendations.
Answered by Tasha Riggs on March 31, 2025
Broker Licensed in CO, AZ, HI & 10 other states
It is estimated that there is $120 billion worth of fraud in the Medicare system each year. One of the ways that you can help guard against this is to protect your Medicare number, just as you would your Social Security number. The other thing you can do is monitor your Medicare summary notice or your Advantage company's explanation of benefits. This is a notice that will list any claims that have been filed on your behalf. It's important to review these notices to make sure the claims that are being filed are for services or equipment that you actually had for yourself. If you find something on either of these notices, it's important for you to notify Medicare at 1-800-MEDICARE, or your Medicare Advantage insurance company. Again, the best thing you can do to avoid fraud and protect against this in the Medicare system is to protect your Medicare number, just as you would your Social Security number. Until next time, be healthy and be well.
Answered by Andrew Firmin on November 3, 2025
Broker Licensed in MA, CT, DE & 13 other states
Answered by Cheri Rogers on June 2, 2026
Broker Licensed in NM & TX
Hi, this is Dan Maisel, Daniel Maisel Insurance Solutions, also known as Dan the Medicare Man. Glad you asked that question. That's an important one. People are concerned today with Medicare fraud, with scams, even so much so that Dr. Oz just recently broadcasted a warning to people to be careful in who they give information to. That's what you have an agent for. From my findings, it seems like 90% of the people I talk to, if they already have Medicare, don't even know who their agent is anymore. Oftentimes, they call massive call centers whose only job is signing up for Medicare. It's a little bit different. You're an agent when you have a personal agent like myself. Our job is to work for you. We don't work for the insurance companies. I represent many companies. There's over 97 plans in my area of Southern California. I don't represent them all. I represent about 65 plans, but we find the ones that fit your needs according to what you find you need. By doing a needs assessment, if we're able to find it and figure out what it is you need, who your doctor is, your prescriptions, your hospitals that you would like to go to, they usually make the decisions on Medicare based on the wrong thing. They base it on being healthy. Well, the older we get, the more likely we may have a health problem. That's what your agent is there for, to answer your questions, work with you, not just one time and you never hear from them again, but to work with you and to be able to answer questions when you need it, when you have a problem. We're here to help. The bottom line is, contact your agent if you know who it is. I'm glad to help you if you don't, but it's a pretty good provision that was set up, rather than the old-fashioned commercial business that the federal government had of having to deal with people and maybe you get a hold of them, maybe you don't. Call your agent. We're always glad to help. That's what we get paid for. We're your agent. Have a good day.
Answered by Daniel Maisel on August 4, 2025
Broker Licensed in CA, AZ, MI & NV, OH, TN & WA
Protect your Medicare number like it’s a credit card — don’t share it unless you’re sure who you’re talking to.
Be skeptical of “free” offers — if someone calls or shows up offering free braces, tests, or supplies in exchange for your Medicare info, it’s likely a scam.
Check your statements — review your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB) for anything you didn’t receive.
Hang up on unsolicited calls — Medicare will never call you to sell you anything or ask for your number out of the blue.
Report suspicious activity — call 1-800-MEDICARE or your agent (like me) if something seems off.
Simple rule: If it feels fishy, don’t bite. Let’s keep your benefits safe and your peace of mind intact.
Answered by Edward Givens on June 16, 2025
Broker Licensed in AZ, CA, CO & 12 other states
Answered by Christopher Palazzini on March 25, 2025
Broker Licensed in FL, CA, CO & 7 other states
Answered by Marc Rheingold on December 9, 2025
Broker Licensed in FL, MI, NC & SC
Have your State Department of Insurance investigate one of the representatives you want to work with.
Ask your reps for their National Producer Number, then verify it with the State Insurance Department.
Do not give your Medicare number, Social Security Number, or bank account numbers to anyone who calls you at random. Only trust the people you have verified.
Do not fall for promises that are too good to be true. THEY ARE FRAUDS.
For further questions, please contact me.
BARRY BAKER
Answered by Barry Baker on October 16, 2025
Broker Licensed in MO
Answered by Sam Duffield on November 24, 2025
Broker Licensed in AL, CO, FL & 5 other states
Answered by Monica Butler on May 11, 2026
Agent Licensed in TX
1) Be advised Medicare will never call you.
2) Cold calling is not permitted, so do not give out any personal information unless you initiated the call.
Answered by Terrie Boteler on April 7, 2025
Broker Licensed in MD, DC, DE, FL, VA & WV
Answered by Steven Bleicher on May 29, 2025
Broker Licensed in AZ
Most phone calls will ask if you have Medicare Part A and Part B. If you say Yes, and give them your Medicare number, you can count on being enrolled in a Medicare Advantage Plan that you may or may not want and may or may not be good for you.
Answered by Jim Tretola on October 5, 2025
Broker Licensed in NJ, CA, CT & 6 other states
Answered by Timothy Brown on June 1, 2025
Broker Licensed in PA, CT, DE & 15 other states
Answered by Barbara Barnes, CMIP® on July 16, 2025
Agent Licensed in PA
In most cases Medicare fraud affects the medical providers and insurance carriers more than the insured, but it is always good to be diligent in keeping your information safe.
Answered by Hannah Skinner on July 15, 2025
Agent Licensed in SC, AL, AR & 44 other states
Answered by David Haynes on December 20, 2025
Broker Licensed in TX
I have received numerous calls from callers that claim they work with Medicare and they recite some of my diagnoses. The callers use a number that has my area code.
If you get a fraudulent call, you can report it to the Medicare Fraud Hotline: 1 (800)-HHS-TIPS or you can file a complaint with the Department of Justice to name a few ways to report fraud.
Answered by Constance Phillips on November 3, 2025
Agent Licensed in OH
1. Always get a name and phone number and ask for a license number from the people who are calling. Ask what company they are with. If they are not a scammer they should have a number where they can be reached directly.
2. Don’t give private information out over the phone. This information is what scammers are hoping to get. Guard your info and if your concerned that you may be speaking to a scammer simply hang up.
3. Know some basic rules that apply to medicare sales. Agents are not allowed to solicit medicare beneficiaries without expressed permission. An agent has to have a permission to contact form or a scope of appointment in order to call
you for sales purposes. You can call them directly but the rules protect you from being solicited and knowing that can help you spot scammers or even agents who don’t play by the rules.
4. Lastly if you have a local agent that you know and trust reach out to them for guidance. They can help educate you on the rules and be used as a resource to help you spot scammers.
Answered by Christopher Garcia on March 31, 2025
Broker Licensed in NM, AZ, CO & TX
Answered by Steven Kirsch on February 2, 2026
Agent Licensed in MI
Answered by Lou Ann Pyatt on April 28, 2026
Agent Licensed in SC
Answered by George Kolitsas on June 9, 2025
Broker Licensed in CT
Answered by Areasha Lockhart on May 20, 2025
Broker Licensed in CO, IA & ME
Always check and review your Benefit payment statements to confirm the charges are pertaining to procedures you have had
Answered by Sheila Dow on August 4, 2025
Agent Licensed in CT
Answered by Alicia Rosenquist on December 29, 2025
Broker Licensed in AZ, KY, MI, NM & UT
Also, check over the Explanation of Benefits forms that come to you explaining the medical and prescription claims that have been sent to your plan. Make sure you recognize these charges as your, that is, you remember going to the doctor or filling the listed prescription, as it is listed. If you did not receive those reservices, call the plan to report possible fraud.
There are many unscrupulous advertisers out there who hope you will call a number to get "free information" but intend to direct you to an agent to enroll you in a plan. Look carefully on all printed advertisements for the required statement disclosing a call will give them permissions to connect you with a sales agent. None of these advertisements are from CMS or another government agency, which does offer free information. The advertisements are all intended to sell you a Medicare plan, either an Advantage Plan or a Medicare Supplement plan.
Answered by Dorothy Lam on April 16, 2025
Agent Licensed in IL, IA & IN
Answered by Vachik Chakhbazian on July 24, 2025
Agent Licensed in CA, AL, AR & 22 other states
2. Hang up on unsolicited calls. Medicare will never call you out of the blue requesting your personal information.
3. Check your Medicare Summary Notices.
4. Beware of “free” offers. If it sounds too good to be true, then it probably is.
5. Use a trusted resource like me, a licensed agent, or call 1-800-Medicare if you are unsure.
Answered by Mary Brown on September 17, 2025
Broker Licensed in NJ, DE, FL & NC, OH, PA & TX
Answered by Andrew Kramer on June 24, 2025
Agent Licensed in FL
If you encounter a problem ever, you can call 1-800-Medicare.
Answered by Marcie Barnes on May 25, 2025
Agent Licensed in TX, AK, AL & 48 other states
Answered by Jack Mayer on September 29, 2025
Agent Licensed in CA & NV
You can take steps to help protect Medicare for the future.
1. Check your Summary of Benefits you receive from Medicare to make sure the charges are correct and that you actually received them.
2. Make sure you have a secure account with Medicare and do not give out your Medicare number to anyone you do not know.
3. Report to 1-800Medicare any charges or supplies you receive that are not correct.
Answered by Karen Ansell on May 26, 2025
Agent Licensed in FL, GA, KY & OH
Also, do not open any emails that you do not recognize the sender and NEVER click on any links unless you are 100% sure it is legitimate.
Answered by Don Hansford on October 12, 2025
Broker Licensed in TX
Also, keep your EOBs (Explanation of Benefits) from Medicare and match them to your statements from your providers. If you are billed from an "unknown" provider, call them to understand if their billing is warranted or fraudulent. If fraudulent, report them to Medicare.
Answered by Brent Mowery on October 30, 2025
Broker Licensed in OK, CO, NC & TX
Answered by Gary Haft on June 16, 2025
Agent Licensed in FL, AL, DC & 9 other states
Answered by Bruce Resnick on August 18, 2025
Broker Licensed in TX
Answered by Abigail Turner on November 10, 2025
Broker Licensed in KS, AR, AZ & 13 other states
Answered by Sonya Chandler on May 21, 2025
Agent Licensed in NY, AZ, FL & 5 other states
Do not verify your Medicare ID number.
Do not verify your Social Security number.
Do not verify your address.
Do not verify your birthdate.
Do NOT say the word 'yes' on the phone.
Scammers can buy personal information and record you verifying or supplying the word 'yes' and then put that into a pre-recorded application.
Technology can be great, but caution and suspicion need to be greater.
Medicare, Medicaid, and your insurance provider will mail you any necessary documents... scammers will call you.
Answered by Christopher Akers on April 15, 2026
Agent Licensed in TN, FL, OH & VA
2) HANG UP! Any licensed agent who calls you to talk about Medicare must have your permission. So, if someone calls trying to sell Medicare or asking for personal information, and you don't know them, they obviously don't have permission to call you. So HANG UP! Don't say anything, remember anything you say, they can record and twist around to use to defraud you. Don't give them anything, not even a hello. HANG UP!
Know your local agent. Your local licensed Medicare insurance agent is the only person you should give your Medicare number and discuss your Medicare plans with. Find an agent you like and trust and stay with them.
Answered by Tim J Harris on January 30, 2026
Agent Licensed in TX
The first way to protect yourself is to protect your Medicare Beneficiary ID number / your Medicare card. Treat it with the same protection as you would your social security number. It is needed for someone to assist you with health, financial assistance and Medicare-related needs but be sure you trust who you're providing the information to.
The second way to protect yourself is to not accept or give information to people who call you asking about or wanting to tell you about Medicare supplements, Medicare Advantage or "Medicare programs." While all of those things do exist, if you need help, it's better that you make the call to CMS, go to Medicare.gov or connect with a licensed health / Medicare broker. This way, you KNOW who you're contacting and can vet them before interacting with them. Now, the exception is if you attend an event or submit a request to a specific broker to assist you. If you do that, you're giving them permission to contact you. Keep a note of anyone you complete a permission to contact form with so you'll know it's safe to speak with them.
The third way to protect yourself is to attend Medicare events--general education or events that talk about specific plans in your area. Generally, you'll get qualify information and can make well-informed decisions from there...or at least narrow down what you may want to do or gain a better understanding of options in general.
Finally, work with a health / Medicare broker. Agents typically work for a single company; brokers represent many. As such, most will be able to give you the pros and cons on any option you're considering. They can become your go-to person year after year so you'll have someone who knows you, your needs and can help you choose what's best based on your financial and medical needs each year. If you have more questions, give us a call. We'll do our best to answer.
Answered by Tanisha Coffey on April 28, 2026
Broker Licensed in FL, CA, GA & MD, SC, TX & VA
Answered by Paul Mercier on October 16, 2025
Broker Licensed in MA, NH & RI
Be cautious of free gifts in exchange for your Medicare number. When you receive services, check your charges and keep your receipts. Log dates and times services were received. Keep your Medicare card in a safe location and always be wary of unsolicited calls seeking your personal information or Medicare number.
Avoid clicking on links that “pop-up” even if they have the word “Medicare” in them.
Avoid deceptive “door to door” solicitation.
Do not be afraid of intimidation tactics, hang up or do not answer!
Answered by Robin Earley on July 28, 2025
Agent Licensed in IL
Answered by Lara Goulson on August 6, 2025
Agent Licensed in CA
Answered by Bonnie Beliveau on March 11, 2026
Broker Licensed in NC, PA, SC & TN
2. Never share personal information with solicitors who contact you by phone or email, especially those that claim to be from Social Security. Social Security will only contact you via postal mail.
3. Safeguard your Medicare number. Do not share your Medicare number with anyone except your doctor's office or authorized Medicare agent.
4. Stay away from "free" perks and services in exchange for your personal information.
*personal information includes your Social Security number, Medicare number, date of birth, financial information, name, address
Answered by Britania James on April 17, 2025
Broker Licensed in AL, CA, FL & 7 other states
Treat your Medicare card and number like a credit card.
Never give your Medicare number, Social Security number, or banking information to anyone who contacts you unexpectedly by phone, email, or door-to-door. (If you didn’t request anyone to call you or come to your home and you don’t know them, it doesn’t matter what they say, hang up, delete email, and or close your door.)
Medicare will never call or visit to sell you anything or ask for payment.
Answered by Laverne Ward on October 10, 2025
Agent Licensed in GA
Answered by George Barkley on March 9, 2026
Broker Licensed in GA, AL, FL & NC, SC, TN & TX
Answered by Lynn Hapke on March 9, 2026
Broker Licensed in NH
Answered by David Perkins on November 14, 2025
Agent Licensed in KY & TN
Tags: Advice for Seniors
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