Fraud, Waste & Abuse

Hang up! It's a scam Fraud Alertadditional resources

Previously we posted an alert regarding the multiple phone scams regarding the new Medicare ID cards being mailed to all beneficiaries. You don’t have to talk with these callers and should not give any information! You can simply hang up!

For more information on what to do if you receive a call like this go to:
https://www.medicare.gov/newcard/

  • Remember
  • Medicare will never charge you for your Medicare ID card
  • Medicare will never call uninvited and ask you to give any personal information
  • Your Medicare card will automatically come to you in the mail. There is nothing you need to do unless your address with Medicare needs to be updated. To update your address you can go to my Social Security account

Visit Medicare.gov for more information about Medicare fraud and abuse.

Reporting concerns

Blue MedicareRx (PDP) takes allegations of Medicare fraud and abuse very seriously. If you think that you or a Blue MedicareRx member has been a victim of Medicare or health insurance fraud or abuse, please use the following phone number to report your concern.

Phone:

1-877-853-7693
TTY hearing impaired users call 711
8 a.m. to 8 p.m., daily, local time 

Medicare:

You may also contact Medicare directly with concerns about Medicare Advantage plans or Medicare Prescription Drug Plans, such as Blue MedicareRx, at: 1-800-MEDICARE (1-800-633-4227) 24 hours per day, seven days a week. TTY hearing impaired users call 1-877-486-2048.

About Waste Fraud and Abuse

The U.S. General Accounting Office estimates that $1 out of every $10 spent for Medicare and Medicaid is lost to fraud and abuse. That means that there is less money to help people like you who depend on these programs for health care. Blue Cross Blue Shield of Arizona is actively working to identify, investigate and prosecute health insurance fraud, but we need your help.


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Some examples of fraud include:

  • Altering claims to obtain higher payments
  • Soliciting, offering or receiving a kickback, bribe or rebate
  • Using another person's Medicare card to obtain medical care

This is an example of abuse:

  • Claims for prescriptions that aren't medically necessary

Confidentiality

Every effort will be made to protect the identity of the reporting party. There will be no retaliation for good faith reporting.

Resources to Help Protect Yourself from Fraud, Waste and Abuse page top