Care 1st Health Plan | Compliance Newsletter | 2014 | English - page 6

Identity theft: Be aware
of these schemes
Identity theft impacts Medicare/Medicaid
(or Medi-Cal) and can lead to higher health
care costs. Don’t let anybody steal your
identity. Current fraud schemes to be on
the lookout for include:
People using your Medicare/Medi-Cal or
health plan member number for reimburse-
ments of services you never received.
People calling you to ask for your Medicare/Medi-Cal or
health plan numbers.
People trying to bribe you to use a doctor you don’t
know to get services you may not need.
Protecting future generations
Did you know that reducing Medicare and
Medi-Cal fraud is one step towards making
sure your grandchildren will have Medicare
and/or Medi-Cal when they need it? You
can do your part by being on the lookout
for fraudulent schemes such as:
People going door to door to sell you
health care items or services (only your
doctor knows what you need).
People calling you to ask for your Medicare, Medi-Cal or
health plan numbers.
People offering you money or other incentives for health
care services you don’t need.
Always check your bill
You are one of the first lines of defense
against Medicare and Medi-Cal fraud. Do
your part and report services or items
that you have been billed for but did not
receive. Review your plan statement and be
on the lookout for this scheme.
Make sure you received the services or
items billed.
Check the number of services billed.
Ensure the same service has not been billed more than
once.
DID YOU
KNOW?
DO YOUR
PART
You can protect your identity and your
benefits:
Never give out your Social Security,
Medicare, Medi-Cal, or health plan
numbers or banking information to
someone you don’t know.
Carefully review your Plan Statement
to ensure all the information is correct.
Know that free services DO NOT
require you give your plan, Medi-Cal or
Medicare number to anyone.
Share this information with your
friends.
To discuss benefit, coverage or
claims payment concerns, contact
Member Services at
800-544-0088
(Medicare),
800-605-2556
(Medi-Cal),
855-905-3825
(Cal MediConnect), or
TTY
711
.
Source: Centers for Medicare & Medicaid Services
6
2014 Compliance Newsletter for Members
1,2,3,4,5 7,8
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