August 7, 2024
Reporting Medicare Fraud
Did you find something concerning on your Medicare statement? Or maybe you gave someone your Medicare information over the phone. If you think you might have experienced Medicare fraud, please report it! You won’t be in trouble, and it will help stop future fraud from happening.
If you suspect Medicare fraud, errors, or abuse, address it immediately by taking these steps:
Rule out error: If you have questions about information on a Medicare Summary Notice (MSN) or Explanation of Benefits (EOB), call the provider or plan and ask for an explanation.
Get help from California Senior Medicare Patrol (SMP): If you are not comfortable calling the provider or plan or if you are not satisfied with their response, SMP can help you:
- Identify and report fraud schemes and deceptive health care practices, such as illegal marketing or billing for services that were never provided.
- Refer complaints of potential fraud and abuse to the appropriate entity, who can intervene.
- You can report suspected fraud using a new online form here: https://smpresource.org/you-can-help/report-fraud.
