What's a red flag in a phone call that it might be a Medicare scam targeting my personal info?

Answered by 8 licensed agents

The major red flag is if the caller asks for your Medicare number fairly quickly into the call. The first questions should be about your doctors and prescriptions as well as questions about the coverage you are seeking. Working with a local broker in your community is always a great option.

Answered by Michael Andrews on April 15, 2025

Broker Licensed in CT

Answered by Michael Andrews Medicare Insurance Agent
They should be able to give you their license # and you could verify that # via the State Insurance Board. All agents must be licensed and registered. Even if they are out of state, they need to be licensed in their state.

If you feel comfortable enough, agree to do a Face to Face at a "safe space" - even a Starbucks! I personally will come to your home where you are most comfortable! You can also see if they will do a Zoom Call with you, but you'll want to be careful there as well. Try to stay in State and local if you have fears of trust of the person. This should be a person you rely on and trust more than your Homeowners and Auto agent!

Listen for them telling you their services are "free" and they just need to get your Medicare # for assisting you. If they seem secretive in revealing any history of their company or themselves, that is also a red flag. Can they tell you where they are located or calling from? How long have they been working with Seniors in your state and locale? Can they provide any reference letters that you could follow up on? Are they rated with AM Best, which is similar to the BBB for private industry? Ask them to send some information that you can then follow up on, and give them a call back.

In truth, there are many good companies out there, so if you do not feel comfortable with someone, let them go, and have no worries about it!

Answered by Norman Smith on April 6, 2025

Agent Licensed in FL & PA

Answered by Norman Smith Medicare Insurance Agent
For one thing, making unsolicited calls to a Medicare recipient is against the law. Per CMS regulations. And Ohio revised code 3901-8-09.

Answered by Michael Pyers on April 7, 2025

Broker Licensed in OH & MI

Answered by Michael Pyers Medicare Insurance Agent
The biggest red flag is when the caller asks for your personal information. Legit Medicare reps will never call you unexpectedly and ask for your info, such as Medicare or Social Security number.

Scammers may:

1) pressure you to act right away

2) claim there are new or better benefits available then ask for your Medicare number

3) promise free or discounted services in exchange for your info

4) offer large refunds or rebates

I make it a point to tell my clients to be cautious when answering the phone, and if they do get a call about new benefits, they need to tell the caller, "I need to speak to my broker and confirm with them". Most of the time, the caller will either hang up or pressure them more but they call me and I can review what they were being told. Most of the time I have found the information they were given was inaccurate.

Answered by Diana Garner on April 14, 2025

Broker Licensed in KY, FL, IN, OH & TN

Answered by Diana Garner Medicare Insurance Agent
If someone calls a beneficiary and wants to speak to him/her about Medicare they should ask them for their name, phone number and agency they work with and then tell them you will report them to the Centers of Medicare and Medicaid Services. Medicare beneficiaries cannot be called by anyone unless they have previously given that person their permission to be contacted.

Answered by Rene Casanova on April 3, 2025

Broker Licensed in TX

Answered by Rene Casanova Medicare Insurance Agent
A red flag in a phone call that might be a Medicare scam targeting personal information is you never initiated the call. The caller may be requesting sensitive non public information about your identity and have created some form of urgency in the conversation for you to provide the information.

Answered by Lavina Woart on April 8, 2025

Agent Licensed in NY, DE, IA, NJ & PA

Answered by Lavina Woart Medicare Insurance Agent
Never give out your Medicare ID number and your dates

The only time you ever need to provide that information is if you are at your doctor's office or you're getting something done at a hospital or you're buying Medicare related insurance

Initially to get a quote even with insurance as an agent I only ask for the A&b dates because I don't need the number until I actually enroll a person

So guard that one with your life. Scammers are trying to get that information so they can file false claims and get paid by Medicare

Answered by Gary Henderson on April 19, 2025

Agent Licensed in TX, AK, AL & 46 other states

Answered by Gary Henderson Medicare Insurance Agent
If they ask if you received your new medicare card. Do not give out the number. Medicare does not call you unless you ask for a return call.

Answered by Debra Weber on April 4, 2025

Broker Licensed in PA, DE, FL & 5 other states

Answered by Debra Weber Medicare Insurance Agent

Tags: Advice for Seniors

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