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

Answered by 24 licensed agents

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
Avoid the TV commercials. They are trying to drive people to that phone number. What they don’t tell you is that those commercials are for Medicaid and then since you won’t qualify, they try and sell you another type plan. Best to use an experienced agent and broker who can offer sound advice and help.

Answered by Lt Col Tim Brown on May 29, 2025

Broker Licensed in TN, AL, CO & 10 other states

Answered by Lt Col Tim Brown Medicare Insurance Agent
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
Medicare agents or brokers cannot contact you to solicit Medicare Advantage or Medicare Pharmacy (Part D) plans without your explicit prior consent. If the caller identifies themself as being from Medicare, or is requesting personal information like your Medicare number, Social Security number or banking information it's a scam. The first question you should ask them is what is your state insurance license number?

Answered by Robert Vaughan, R.Ph., MBA on May 8, 2025

Broker Licensed in CA, AZ, NM, NV & TX

Answered by Robert Vaughan, R.Ph., MBA Medicare Insurance Agent
Typically, if someone is trying to scam an individual they lie and say that they are representing Medicare and begin to ask for personal information. This would include asking for a Medicare number, social security number or other sensitive information.

Answered by David Quintal on June 8, 2025

Broker Licensed in NH, AL, AZ & 14 other states

Answered by David Quintal Medicare Insurance Agent
I would personally not ever talk to anyone calling you about Medicare. Lots of rules for agents talking to you. You have to contact an agent to talk to you, we can’t personally call you. It’s against CMS rules.

Answered by Alyssa Burgos on June 2, 2025

Broker Licensed in CO, AZ & TX

Answered by Alyssa Burgos Medicare Insurance Agent
Number One: if any money is involved? Number Two: if any personal information has been asked with this phone call? Number Three: if they might identify themselves as your bank? The odds are that you will receive only an email from your bank and it behooves you to call the bank back to confirm that you are really speaking to their employee? Number Four: if you think that you are speaking with a member of your family, DON’T believe that since “deep fakes” do involve Artificial Intelligence that mocks the voices of your own family members!

Answered by Steven Bleicher on June 8, 2025

Broker Licensed in AZ

Answered by Steven Bleicher 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
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
Biggest red flag it might be a Medicare scam is that they called you!!! It is against Medicare policy to initiate a phone call to a Medicare Beneficiary to market a Medicare plan PERIOD!!! So if they call you HANG UP!! find a local agent who you can trust, ask your friends or even your Dr's office for referrals for an honest agent!!

Answered by DeeDee Whitlock on May 19, 2025

Broker Licensed in LA

Answered by DeeDee Whitlock Medicare Insurance Agent
If they ask for your medicare number or social security number. Medicare will not call you, they use the mail and/or email if thats what you signed up for.

Answered by Joseph Peck on May 19, 2025

Agent Licensed in MI, AL, CO, KS & TN

Answered by Joseph Peck 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
A major red flag in a phone call potentially targeting your personal information, especially if it claims to be from Medicare, is when the caller asks for your Medicare number or any other personal information. Legitimate Medicare representatives will never initiate calls to ask for this information.

Here's why this is a red flag:

Medicare will never ask for sensitive information over the phone. The Medicare Family says

Scammers often use this tactic to gather information for fraud or identity theft. Bitdefender says

The call might be part of a "new Medicare card" scam, where scammers claim your current card is invalid and pressure you to provide details for a new one.

In addition to requesting personal information, other red flags include:

Pressuring you to act quickly or immediately.

Offering unsolicited services or benefits that sound too good to be true.

Threatening to cancel your Medicare benefits if you don't provide information.

Claiming there's a pending refund or rebate that requires your Medicare number.

If you receive such a call, hang up and verify the caller's identity with Medicare or a trusted source.

Answered by Fred Manas on May 23, 2025

Agent Licensed in NY, CT, DC & 7 other states

Answered by Fred Manas 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
Answering phone calls from telemarketers who call constantly can be a little scary.

It is recommended that if you didn't ask for the call or didn't give permission to call, it is best to disconnect.

Medicare will not call you; instead, they will mail any correspondence relevant to your account.

Do not give out your Medicare number over the phone unless you are sure about the company or agent that you are speaking with.

Answered by Deborah Webster on June 5, 2025

Broker Licensed in Ia & SC

Answered by Deborah Webster Medicare Insurance Agent
Thanks for your question.!

I would say if you receive a phone call and that Kaller asked for your Medicare number Social Security number or banking info within the first five minutes of the phone call that’s a red flag for me. I recommend looking for a local broker and you reach out to them directly. That way you know you’re dealing with a professional licensed individual that can help you with your Medicare..

Most beneficiaries don’t realize Medicare brokers offer advice, guidance, and expertise to simplify Medicare at no cost to you.

Answered by Toni Chavez on June 8, 2025

Broker Licensed in AZ, CA, NM, NV & UT

Answered by Toni Chavez Medicare Insurance Agent
Unfortunately seniors get bombarded with Medicare calls all day long. Some are legit but many are scams. First of all, I never recommend signing up for Medicare over the phone. Most legitimate calls come from an agent that only works for one company. In addition, usually are calling from another state that you don't even reside in. Often when you set up a plan over the phone the agent doesn't even include your primary doctor on your plan and since the agent is out of state, they don't know all the best plans in your zip code.

Scams are very prevalent. Some of the major things to watch out for. When you first pick up the phone, often there will be a short pause, then you will hear a little blip sound. After the blip, usually there is a guy with an Indian accent that answers with a name like Sam or Mike. From there they start blabbing about all of these benefits that usually you don't qualify for. The next step, they ask you to pull out your Medicare or you red, white and blue card. If you have a card that is older than 5-6 years old, then your Medicare number is your social security number. The guy on the phone will ask you to verify your Medicare number, date of birth and sometimes your address. Now they have enough information to pull a scam. Be careful out there folks.

Answered by Mel Stevens on April 28, 2025

Broker Licensed in AZ

Answered by Mel Stevens Medicare Insurance Agent
Medicare will never call you in the phone unless you have made an appointment, even then most appointments are in person in the office. If you get an unexpected call from Social security, Medicare or your Medicare company always treat it as a scam. Do not provide any information (DOB, SS, MBI) over the phone.

Answered by Eizel Mere on May 19, 2025

Broker Licensed in FL

Answered by Eizel Mere Medicare Insurance Agent
A key warning sign of a Medicare scam is an unexpected call asking for personal information, such as your Medicare or Social Security number.

Medicare will never contact you out of the blue to request this. Be cautious of offers for free or discounted medical supplies, services, or money in exchange for your information.

Scammers may also falsely claim you’re owed a refund or rebate to get your details.

If you have further questions or feel you are being scammed, please reach out to your local insurance agent. They can log into your account and see if there are any pressing issues with your current insurance.

Also, feel free to email us at: [email protected]. We have combined 30 years in Medicare insurance experience, and we will be happy to talk with you.

Answered by Betty McCarty on April 23, 2025

Agent Licensed in WA

Answered by Betty McCarty Medicare Insurance Agent
Many times it is asking for personal info over the phone with no conversation on plans or companies. Being rushed through a phone call can also be a red flag. Someone saying it will take 15 minutes and really does not good.

Answered by Philip Santucci on June 5, 2025

Broker Licensed in IL

Answered by Philip Santucci 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
When they ask for your Medicare number or to tell you they need to confirm your Medicare number but ask you to give it to them. When they tell you about big extra benefits you can get with nothing to back it up in regards to your health, medication or doctors.

Answered by Melanie Blackston on May 28, 2025

Broker Licensed in SC, GA & NC

Answered by Melanie Blackston Medicare Insurance Agent
Every Sunday, we have lunch at my grandparents' house, and they often share stories about the phone calls they've received that week regarding Medicare. Some of them are absolutely absurd!

Most recently, my grandfather mentioned that he received a call from someone who insisted that his Medicare red, white, and blue card was expiring. They asked him for the card number so they could send a new one. The caller also claimed they worked for the federal government. Be cautious of these types of calls!

Answered by Dalton Johnson on May 23, 2025

Agent Licensed in NC

Answered by Dalton Johnson Medicare Insurance Agent

Tags: Advice for Seniors

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