www.medicare.gov Open in urlscan Pro
104.69.173.22  Public Scan

Form analysis
2 forms found in the DOM

GET /search/medicare

<form action="/search/medicare" method="get" id="search-block-form" accept-charset="UTF-8" role="search" class="search-form search-block-form" aria-hidden="true">
  <div class="js-form-item form-item js-form-type-search form-type-search js-form-item-keys form-item-keys form-no-label">
    <label for="edit-keys" class="m-evo-label ds-c-label visually-hidden"><span>Search</span></label>
    <input title="Enter the terms you wish to search for." data-drupal-selector="edit-keys" type="search" id="edit-keys" name="keys" value="" size="15" maxlength="128" class="form-search">
  </div>
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--2">
    <input data-drupal-selector="edit-submit" type="submit" id="edit-submit" value="Search" class="button js-form-submit form-submit ds-c-button ds-c-button--solid">
  </div>
</form>

POST /basics/reporting-medicare-fraud-and-abuse

<form class="medicare-email-signup-form" data-drupal-selector="medicare-email-signup-form" action="/basics/reporting-medicare-fraud-and-abuse" method="post" id="medicare-email-signup-form" accept-charset="UTF-8">
  <input data-drupal-selector="edit-prod" type="hidden" name="prod" value="prod">
  <input data-drupal-selector="edit-state-question-id" type="hidden" name="state_question_id" value="65497">
  <input data-drupal-selector="edit-group-question-id" type="hidden" name="group_question_id" value="74299">
  <input data-drupal-selector="edit-email" type="hidden" name="email" value="">
  <fieldset role="group" aria-label="Signup form for email updates" class="ds-c-fieldset ds-u-margin-top--0 js-form-item form-item js-form-wrapper form-wrapper" data-drupal-selector="edit-step1" id="edit-step1">
    <legend>
      <span class="fieldset-legend"></span>
    </legend>
    <div class="fieldset-wrapper">
      <div class="js-form-item form-item js-form-type-email form-type-email js-form-item-step1-email form-item-step1-email">
        <label for="edit-step1-email" class="m-evo-label ds-c-label js-form-required form-required"><span>Enter your email address</span></label>
        <input class="ds-c-field form-email required" autocomplete="off" data-drupal-selector="edit-step1-email" type="email" id="edit-step1-email" name="step1[email]" value="" size="60" maxlength="254" placeholder="name@example.com"
          required="required" aria-required="true">
      </div>
      <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-step1-consent form-item-step1-consent">
        <input class="ds-c-choice form-checkbox required" data-drupal-selector="edit-step1-consent" type="checkbox" id="edit-step1-consent" name="step1[consent]" value="1" required="required" aria-required="true">
        <label for="edit-step1-consent" class="m-evo-label ds-c-label option js-form-required form-required"><span><span> By checking this box, you consent to our <a href="/privacy-policy">data privacy policy</a>. </span></span></label>
      </div>
    </div>
  </fieldset>
  <input autocomplete="off" data-drupal-selector="form-m9ur6vthlrf2isfva7t2n6o-6k-pkflv0jh5o-p0zww" type="hidden" name="form_build_id" value="form-M9ur6vthLrF2ISfVa7T2N6O-6K-PkFLV0jH5o-P0zww">
  <input data-drupal-selector="edit-medicare-email-signup-form" type="hidden" name="form_id" value="medicare_email_signup_form">
  <div data-drupal-selector="edit-emailsignup-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-emailsignup-actions">
    <input data-drupal-selector="edit-emailsignup-actions-next1" type="submit" id="edit-emailsignup-actions-next1" name="op" value="Next Step" class="button button--primary js-form-submit form-submit ds-c-button ds-c-button--solid"
      data-once="drupal-ajax">
  </div>
</form>

Text Content

Skip to main content
Versionreact-global-header:release-2.16.2Hashreact-global-header:2f38e40

An official website of the United States government

Here's how you know

Here's how you know

Cambiar a Español

Official websites use .gov
A .gov website belongs to an official government organization in the United
States.

Secure .gov websites use HTTPS
A lock ( lockA locked padlock ) or https:// means you’ve safely connected to the
.gov website. Share sensitive information only on official, secure websites.

Menu
 * BasicsBasicsBasicsCaret Icon
 * Health & Drug PlansHealth & Drug PlansHealth & Drug PlansCaret Icon
 * Providers & ServicesProviders & ServicesProviders & ServicesCaret Icon

 * Chat
 * Log in

 * Home
 * Basics
 * Reporting Medicare fraud & abuse

Search

Search
Print this page.


REPORTING MEDICARE FRAUD & ABUSE

Medicare
fraud and abuse

Fraud & abuse
When a person or company intentionally gives false information to Medicare (or
its beneficiaries) to get unauthorized benefits or payments.

can happen anywhere, and usually results in higher health care costs and taxes
for everyone. Some examples include:

 * A provider that bills Medicare for services or supplies they never gave you,
   like charging you for a visit you never had, or a back brace you never got.
 * A provider that charges Medicare twice for a service or item that you only
   got once.
 * A person who steals your Medicare Number or card and uses it to submit
   fraudulent claims in your name.
 * A company that offers you a Medicare drug plan that Medicare hasn’t approved.

Alert: In January 2023, there was a privacy incident with a Medicare contractor
that exposed the personal information of a small group of people with Medicare
in Alabama, Georgia, and Tennessee. Letters were sent to everyone who might be
impacted, with detailed information about what data was potentially exposed, and
what to do next. If you didn’t get a letter, it’s very likely you weren’t
impacted. If you want to confirm, you can call 1-800-MEDICARE (1-800-633-4227).
TTY users can call 1-877-486-2048.  Get more details and review the letter.

How to spot & prevent Medicare fraud & abuse

If you think you’ve spotted fraud, you may want to call your provider’s office
to ask about it. They may be able to help you understand the charges, or figure
out if they made a billing error.

If you suspect that Medicare is being charged for an item or service you didn't
get, or your Medicare card or number is stolen, use the contact information
below to report suspected fraud or abuse.

If you experience:

Contact:

Provider fraud or abuse in Original Medicare (including a fraudulent claim, or a
claim from a provider you didn’t get care from)

1-800-MEDICARE (1-800-633-4227)

or

The U.S. Department of Health & Human Services – Office of the Inspector General

Provider fraud or abuse in a Medicare Advantage Plan or a Medicare drug plan
(including a fraudulent claim)

1-800-MEDICARE (1-800-633-4227)

or

The Investigations Medicare Drug Integrity Contractor
(I-MEDIC) at 1-877-7SAFERX (1-877-772-3379), or by US mail:

Qlarant
28464 Marlboro Avenue
Easton, MD 21601
Attn: I-MEDIC 

When you call, have this information ready:

 * Your name and Medicare Number.
 * The name of the provider that you’re reporting, along with any identifying
   information you may have.
 * The service or item you’re questioning and when you supposedly got it.
 * The amount that Medicare approved and paid.
 * The date on your
   Medicare Summary Notice
   
   A notice you get after the doctor, other health care provider, or supplier
   files a claim for Part A or Part B services in Original Medicare. It explains
   what the doctor, other health care provider, or supplier billed for, the
   Medicare-approved amount, how much Medicare paid, and what you must pay.
   
   , health or drug plan's Explanation of Benefits, or claim.


PROTECTING YOURSELF FROM MEDICAL IDENTITY THEFT  

Medical identity theft is a serious crime that happens when someone uses your
personal information without your consent to commit Medicare fraud or other
crimes. Use the following tips to protect yourself from becoming a victim.

 


DO:

 * Protect your Medicare Number and your Social Security Number.
 * Guard your Medicare card like it’s a credit card.
 * Become familiar with how Medicare uses your personal information. If you join
   a Medicare health or drug plan, the plan will let you know how it will use
   your personal information.



 * Remember that Medicare will never call you to sell you anything or visit you
   at your home. Medicare, or someone representing Medicare, will only call and
   ask for personal information in limited situations:
   
   * A Medicare health or drug plan may call you if you’re already a member of
     the plan. The agent who helped you join can also call you.
   * A customer service representative from 1-800-MEDICARE can call you if
     you’ve called and left a message or a representative said that someone
     would call you back.
   * If you filed a report of suspected fraud, you may get a call from someone
     representing Medicare to follow up on your investigation.
   
   
   
   Contact the Federal Trade Commission if you think you’ve been a victim of
   personal identity theft.


DON’T:

 * Give your Medicare card, Medicare Number, Social Security card, or Social
   Security Number to anyone except your doctor or people you know should have
   it (like insurers acting on your behalf or people who work with Medicare,
   like your
   State Health Insurance Assistance Program (SHIP)
   
   State Health Insurance Assistance Program (SHIP)
   A state program that gets money from the federal government to give free
   local health insurance counseling to people with Medicare.
   
   . Get the contact information for your local SHIP.
 * Accept offers of money or gifts for free medical care.
 * Allow anyone, except your doctor or other Medicare providers, to review your
   medical records or recommend services.
 * Join a Medicare health or drug plan over the phone unless you called us.


SITE MENU

 * Find care
 * About Us
 * What Medicare covers
 * Drug coverage (Part D)
 * Supplements & other insurance
 * Claims & appeals
 * Manage your health
 * Site map


TAKE ACTION

 * Find health & drug plans
 * Find care providers
 * Find medical equipment & suppliers
 * Find a Medicare Supplement Insurance (Medigap) policy
 * Find publications
 * Talk to someone
 * Manage your email preferences
 * Get information in other languages


CMS & HHS WEBSITES

 * HealthCare.gov
 * InsureKidsNow.gov
 * Medicaid.gov
 * CMS.gov
 * HHS.gov
 * USA.gov


HELPFUL LINKS

 * FOIA
 * No Fear Act
 * Inspector General
 * Archive
 * Downloadable databases


SIGNUP FOR EMAIL UPDATES

Enter your email address
By checking this box, you consent to our data privacy policy.

 * Find Medicare.gov on facebook (link opens in a new tab)
 * Follow Medicare.gov on Twitter (link opens in a new tab)
 * Find Medicare.gov on YouTube (link opens in a new tab)

About Medicare Nondiscrimination / Accessibility
Privacy Policy Privacy Setting Linking Policy Using this site Plain Writing
Medicare.gov
A federal government website managed and paid for by the U.S. Centers for
Medicare and Medicaid Services.
7500 Security Boulevard, Baltimore, MD 21244