Medicare
Beneficiaries Urged to be on the Look-out for Phone Scams
The Centers
for Medicare & Medicaid Services (CMS) warns seniors and people with
disabilities to be aware of a scheme that asks Medicare beneficiaries
for money and checking account information to help them enroll in a Medicare
Prescription Drug Plan.
This scheme
is called the “$299 Ring” for the typical amount of money
Medicare beneficiaries are talked into withdrawing from their checking
accounts to pay for a non-existent prescription drug plan. Consumers can
report these cases to their local law enforcement agencies or
1-877-7SAFERX
(1-877-772-3379).
Medicare
has received complaints from Indiana, Michigan, Pennsylvania, Massachusetts
New Jersey and Georgia. Complaints have been made against a number of
different companies, but authorities believe that the companies are the
same and are typically based outside the U. S. As soon as CMS receives
these complaints, they are investigated and referred to federal law enforcement
authorities.
No Medicare
drug plan can ask a person with Medicare for bank account or other personal
information over the telephone. No beneficiary should ever provide that
kind of information to a caller. They should contact their local police
department if they believe someone is trying to take money or information
from them illegally.
People with
Medicare should also remember that they should be on the lookout for anyone
trying to take advantage of them and take steps to protect themselves
by remembering:
In addition,
legitimate Medicare drug plans will not ask for payment over the telephone
or the Internet. They must bill the beneficiary for the monthly premium.
Typically, that amount is set up as an automatic withdrawal from the beneficiary’s
monthly Social Security check. Beneficiaries may also opt to pay the monthly
premiums in other ways such as writing a check or setting up automatic
payments from their checking accounts.
SSA Follow
up Phone Calls Pose Opportunity for Attempted Identity Theft
The Social Security
Administration (SSA) has mailed the Application for Help with Medicare
Prescription Drug Plan Costs (Form SSA-1020) to almost 19 million potentially
eligible individuals.
You should be
aware that as part of its effort to reach all people who qualify for the
extra help, SSA has contracted with a company, NCS Pearson and West, to
conduct follow-up telephone calls to beneficiaries who have not responded
to the initial mailing of the application. When these calls are made,
the callers will clearly identify themselves as employees of NCS Pearson
and the West Corporation calling on behalf of the Social Security Administration.
However,
this presents an opportunity for unscrupulous individuals to solicit personal
information, which can lead to identity theft.
The NCS Pearson and
West caller will not ask for any personal information
such as Social Security numbers, dates of birth, income or resource information.
The callers will not enroll them in a specific plan. The caller will follow
a closely monitored script designed to remind individuals about the importance
of completing and mailing the application back to SSA. The calls will
be made from Monday through Saturday from 8:30 a.m. until 8:30 p.m. according
to the local time zone for the beneficiary’s area code
If beneficiaries
need another application, have specific questions about the application
or need assistance completing it, the caller will arrange for SSA to provide
any needed follow-up.
If there are follow-up calls from SSA, beneficiaries should verify the
SSA calls are legitimate prior to providing personal information by doing
the following:
For more information
go to:
http://www.socialsecurity.gov/prescriptionhelp/vendorfollowup/factsheet.htm
Durable
Medical Equipment Supplier
A representative from a mid-west durable medical equipment (DME) supplier
is reportedly calling Medicare beneficiaries and asking them if they need
a wheelchair, or know of anyone who does. If the person responds with
a "maybe" or "yes", then the supplier sends a person
to the home. This individual obtains the Medicare beneficiary's Medicare
health insurance number and sends this information to the beneficiary's
physician, seeking authorization for the DME item.
Medicare requires
that all services covered and paid by the Medicare program be medically
reasonable and necessary to the diagnosis or treatment of the beneficiary's
illness or injury. It is therefore recommended that when a person on Medicare
has a medical need, including a need for medical equipment, they contact
their doctor or health care professional directly. It is also important
to protect themselves by not sharing their personal information, especially
their Medicare health insurance claim number and their Social Security
number, with people they do not know or with a person who has randomly
called them.
Phone Calls
Soliciting Bank Account Numbers From People With Medicare
Two people with Medicare, one in the mid-west and the other on the west
coast, have reported receiving phone calls from a person claiming to represent
Medicare. With both calls, the person stated they wanted to deposit money
into the Medicare beneficiary's bank account and asked for the bank account
number. One caller was also asked for his social security number and was
told that if he didn't provide the information, he would lose his Medicare.
At least one of these calls reportedly originated outside of the United
States.
An effective
way for people with Medicare to protect themselves and their benefits
is to not share their personal and financial information with people they
do not know, especially to someone on the phone who randomly calls them.
In these situations you have the right to ask the caller for their name,
title, company they represent, and their phone number. Then, contacting
the Beneficiary Customer Service Department at your Medicare Carrier or
Intermediary can help to assist you in clarifying the validity of the
call.
Medicare
Providers Sharing Insurance Numbers of People with Medicare
The Centers for Medicare and Medicaid Services recently notified its Medicare
contractors of a potential fraud scheme involving health care providers
sharing insurance numbers of Medicare beneficiaries. The notification
states, "Capping is the practice of exchanging monetary and/or tangible
goods, including offering and/or obtaining kickbacks for services rendered.
A large number of providers have been identified as billing diagnostic
procedures for the same beneficiary population, although it is alleged
that these services are not being provided to these beneficiaries. Specialties
most commonly found participating in this scheme are Internal Medicine,
General Practice, Independent Diagnostic Testing Facility (IDTF), Laboratory,
and Family Practice."
Again, this
is an example of why it is important for people on Medicare not to share
their Medicare number, except when requested by a health professional
to receive a Medicare covered service. It is illegal for a provider to
offer any form of monetary reward to render medical treatment. Medicare
has a reward program in place for reporting fraud. Information on this
program can be obtained from Medicare's web site at www.medicare.gov. |