Soundpath Health has made the prevention of fraud, waste and abuse committed against us and our members our top priority. The National Healthcare Anti-Fraud (This link will take you to a new website) Association estimates that as much as $50 billion is lost annually in the United States to health care fraud. Losses of that magnitude affect all of us but together we can make a difference.
Here are some examples of potential Medicare fraud:
- Your health care provider (doctor or pharmacy) bills you or your health plan for services you never received.
- Your medical device supplier bills you or your health plan for equipment that is different from what you received.
- Someone else uses your health plan ID card to get medical care, prescriptions, supplies or equipment.
You can help prevent fraud.
The good news is that you can take steps to protect yourself against fraud. Here are some simple tips to remember.
- Guard your health plan ID number just like you would your debit or credit card number.
- Don’t give out your policy numbers to door-to-door salespeople, telephone solicitors or over the Internet.
- Check your Explanation of Benefits (EOB) for inflated charges, incorrect billed services or dates of service and any false statements
- Beware of ads or promotions that offer free tests, treatments or services - especially when the provider requests your insurance information or a copy of your health plan ID card.
Tell us if you’ve been a victim of fraud.
If you think you've seen or been a victim of fraud, please report it to us immediately. Even if you’re not sure you’ve been victimized, let us know. Call Customer Service at 1-866-789-7747 (TTY 711) Monday – Friday 8 am to 8 pm from February 15 to September 30, and 8 am to 8 pm seven days a week from October 1 through February 14. You may reach a voicemail on weekends and holidays; please leave a message and your call will be returned the next business day. We’ll work with you to help you determine if you’ve been a victim of fraud or not. Together we can help reduce fraud and keep Medicare affordable for generations to come.