Medicare and Medi-Cal Fraud Information and Prevention

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Medicare and Medi-Cal Fraud Information and
Prevention

• Marta E. Erismann
• Community Outreach Coordinator
• Senior Medicare Patrol

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California Health Advocates

• is dedicated to Medicare
• beneficiary advocacy and education for
  Californians.
• Policy Public policy research and
  recommendations for improved rights and
  protections, partner with national Medicare
  organizations based in Washington D.C.
• Training Professionals and informal helpers,
  vibrant web resources, newsletter and regional
  forums
• Advocacy Bring the experience of Medicare
  beneficiaries to the public through media and
  educational campaigns with the legislative staff
  at federal and state levels.
• www.cahealthadvocates.org

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These Are The Most Important Identification Cards
You have

• SOCIAL SECURITY
• Medicare
• Medi-CAl

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Take Care Of Your Social Security and Medicare
Cards

• Your Social Security number can be used to steal
  your identity
• Keep your Social security Card in a safe place
• Never carry your Social Security card in your
  wallet or your purse.

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If Someone steals your Medicare or Medi-Cal number

• Your medical records maybe
• marked as OVER USER!
• You might not get the medical care you need.

OVER USER
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What is wrong with this picture.

• Medicare and Medi-Cal are billed for care you
  dont need.
• Every dollar stolen from Medicare and Medi-Cal is
  a dollar less to provide medical care.

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It is estimated that 1 out of 10 is lost to
fraud

• Money is stolen out of the
• Medicare and Medi-Cal Programs.
• Thieves use the money to buy luxury
• mansions, jewelry, etc.

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Who is stealing from Medicare?

• Medical Clinics
• Medical Equipment
• Physicians,
• Hospitals
• Ambulances

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How Do The Thieves Get TheMedicare And Medi-Cal
Numbers?

• They tell seniors
• I am from Medicare (or Medi-Cal)
• Medicare (or Medi-Cal) wants to give you
• Free Milk, or ensure, or groceries, etc. but we
  need your Medicare number.

Cash Free Groceries Free Medicines Trip to
Indian Casinos
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A few weeks later

• Most seniors that took a ride to the clinic may
  receive
• You may begin to receive diabetic supplies that
  you never ordered, dont need, or do not want.

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Be Informed and Report Medicare Fraud
Be Alert! Dont let anyone fool you!

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• Ask someone to help you review your bills! Make
  sure that you are only charged for the services
  you received!

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• This is your credit card for Medical Services.
  KEEP IT IN A SAFE PLACE!

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• Be informed
• Consult with your family, ask questions before
  signing.

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• Nothing Is Free!
• Dont accept services or equipment that you have
  not ordered.

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Contact Information

• California Health Advocates
• Senior Medicare Patrol Program
• 1-855-613-7080
• Website www.cahealthadvocates.org