There is a process for leaving employer group health plans, whether you are the employee or the covered spouse, and enrolling ...

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The personal information of Medicare recipients was used to create unauthorized accounts, the Centers for Medicare & Medicaid ...

Federal authorities have charged 11 individuals in a health care fraud case involving $10.6 billion billed to Medicare for ...

Submitted by the Office of the Insurance Commissioner.

These scams tend to increase during Medicare’s open enrollment period (October 15 to December 7). During this period, Medicare beneficiaries are encouraged to review their coverage and make any ...

A summary notice is a letter Medicare will send you that lists all the healthcare services, supplies, and equipment you received. » Learn more: Medicare fraud and abuse Finding unbiased Medicare ...

How to protect yourself from Medicare scams It is important to protect yourself from Medicare scams. In 2024, Medicare fraud and scams resulted in a loss of $1.6 billion.

Medicare abuse is when people fall victim to schemes offering free medical supplies or claims about refunds in exchange for social security numbers, Medicare numbers and credit card information.

If a provider files your claim, you typically receive a Medicare summary notice that includes reimbursement for covered services or equipment. The reimbursement is 80% of the Medicare-approved ...