When you hear about the risk of identity theft today, most of the time it’s in the context of cybersecurity — scammers hacking into people’s email or online bank accounts to steal private information such as credit card numbers and passwords. While the biggest risks may have moved online, identity theft over the phone is […]
Get Instant Access to This Article
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
- Critical Central New York business news and analysis updated daily.
- Immediate access to all subscriber-only content on our website.
- Get a year's worth of the Print Edition of The Central New York Business Journal.
- Special Feature Publications such as the Book of Lists and Revitalize Greater Binghamton, Mohawk Valley, and Syracuse Magazines
Click here to purchase a paywall bypass link for this article.
When you hear about the risk of identity theft today, most of the time it’s in the context of cybersecurity — scammers hacking into people’s email or online bank accounts to steal private information such as credit card numbers and passwords.
While the biggest risks may have moved online, identity theft over the phone is still alive and well in New York state and across the country.
These fraudsters are after more than just credit card or bank information. The Washington, D.C.–based Coalition Against Insurance Fraud says health-care-related scams are by far the most common type of insurance fraud in the United States, with billions lost each year to a variety of false reimbursement and billing schemes. Medicare fraud alone is estimated to cost $60 billion every year.
According to the U.S. Department of Health and Human Services and state consumer protection offices, these are the common COVID-19 scams to look out for:
Text scams
Many people are receiving messages from people posing as government agencies falsely advertising new COVID-19 vaccines, cures, or tests. Do not click on links in texts related to the virus. Instead, check cdc.gov/coronavirus for current information.
Robocall scams
These automated calls are “phishing” not just for bank or credit-card information, but also for Social Security numbers and health plan ID numbers to use in other types of fraud.
Phone scammers often prey on people through various guises, including:
• The “health care representative”: The caller will claim to be a representative of your health plan, such as your Medicare Advantage or Medicare supplement plan.
• The “government representative”: A caller might claim to be working for the government, saying he or she is calling from Medicare, for example, and is authorized to collect fees or penalties over the phone to set right some supposed problem with the person’s Medicare account. Medicare does not make unsolicited phone calls.
• Medical discount plans masquerading as health insurance: Sometimes the caller will offer medical discount plans that are said to be the equivalent of insurance. In reality, most are memberships in a “club” that claims to offer reduced prices from certain doctors and pharmacies, as well as on some procedures.
• The “health insurance counselor”: This fraudster will offer help navigating the health-insurance marketplace for a fee, capitalizing on people’s confusion about the state-based health exchanges created through the Affordable Care Act. This sort of assistance is indeed available and is legitimate, but the people who offer it – also known as “navigators” – aren’t allowed to charge for their services.
In addition to knowing some of the tell-tale signs the person on the other end of the line is a fraudster, other ways to help avoid health care phone scams, include:
• Protect your personal information – including details about your Medicare coverage. Guard your health care insurance card number just like you would your credit card number, providing it only to health care providers at the time you are seeking services.
• One of the leading Medicare health scams involves fraudsters filing false claims for durable medical equipment such as wheelchairs, scooters, walkers and nebulizers. It’s illegal for a medical supplier to make an unsolicited phone call to people with Medicare. So, if you receive a call to buy medical equipment that your doctor hasn’t ordered, hang up.
• Another health scam that’s becoming increasingly common is designed to take advantage of people who accidentally misdial a toll-free number (a number starting with 1-800, 1-866, or 1-877). In these scenarios, scammers purchase a toll-free number that is just one digit off from a legitimate number. When people mistakenly dial that number, they think they’re speaking with a call-center agent from the company they were attempting to reach. Instead, they’re on the line with a scammer.
• Carefully monitor your statements from Medicare or your health plan for any claims for services or supplies that you did not receive.
• If any part of a phone conversation makes you uneasy, hang up and call the company or organization the person claims to be representing, using either the phone number on your health plan ID card, if the person claimed to be calling from your health-insurance company, or the toll-free number on the organization’s website.
• Report suspicious activity to local police, the state attorney general, the Centers for Medicare and Medicaid Services, or the Federal Trade Commission. Doing so can help protect others from falling prey to the fraudster’s schemes.
Dr. Don Stangler is chief medical officer at UnitedHealthcare of NY (UHC.com)