防範醫保欺詐提示 | Health Insurance Fraud Prevention Tips

CAIPA Health Article - Health Insurance Fraud Prevention Tips

醫療保險欺詐和醫療身份盜竊每年可能會讓納稅人損失數十億美元。當有人在未經您允許的情況下,盜用或使用您的個人資料(如您的姓名、社會工卡號碼或醫療保險號碼)向聯邦醫療保險和其他健康保險計劃提交虛假索賠時,就會發生醫療身份盜竊。身份盜竊是一種嚴重犯罪。 防範醫保欺詐

以下是有關保護您的個人資料、以及幫助防止醫療保險欺詐的注意事項:

  1. 如果您接到電話、短信或電子郵件詢問您的醫療保險號碼,請不要回覆!除了您的醫生、其他醫保服務提供者或經您許可的人之外,請不要將您的醫療保險卡和其號碼交給任何人。 
  2. 仔細檢查您的醫療保險信或費用報告,如果您發現報告單上有您未曾接受的服務或未曾購買產品的收費記錄,這可能就是欺詐行為。若懷疑有欺詐行為,您可撥打1-800-633-4227進行舉報。 
  3. 您應該像保護信用卡一樣,小心保管您的醫療保險卡。 
  4. 除了您的醫生或其他醫保服務提供者之外,請勿讓他人查看您的醫療記錄、或接受他人給您推薦服務。 
  5. 請不要接受未經您訂購、醫生未開具處方、或您不認識的人提供的醫療用品。如果有人上門聲稱自己是聯邦醫療保險卡(紅藍卡)或醫療補助計劃(白卡)的代表,請記住這些部門不會派代表到您家中推銷產品或服務。 

文源:

  1. Medicare 
  2. Medicaid

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